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Functional Gastrointestinal Disorder, Pediatric

Andrew Dinh, DO, Byron C. Hepburn, MD, FAAFP and Jay N. Shah, DO, MPH Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Term that describes a group of conditions that present with variable combinations of chronic or recurrent gastrointestinal (GI) symptoms not explained by structural or biochemical ab...

DIAGNOSIS

HISTORY

  • With thorough history, clinical diagnosis sufficient

  • Symptoms reported vary depending on condition.

  • Based on the Rome IV criteria, symptoms occur >2 months (2).

  • Symptoms can include

    • ...

TREATMENT

GENERAL MEASURES

  • Treatment plan should take into consideration the physical and psychosocial components of the condition.

  • Patient education about this group of conditions and their benign natu...

ONGOING CARE

DIET

  • The majority of adolescents report that eating induces their symptoms.

  • FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) are carbohydrates that are po...

REFERENCES

1
Hyams JS, Di Lorenzo C, Saps M, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology.  2016;150(6):1456–1468.e2. [View Abstract on OvidMedline]
2
R...

ADDITIONAL READING

  • Benninga MA, Nurko S, Faure C, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology.  2016;150(6):1443–1455. [View Abstract on OvidMedline]

  • ...

CODES

ICD10

K59.9 Functional intestinal disorder, unspecified 

ICD9

564.89 Other functional disorders of intestine 

SNOMED

119292006 Disorder of gastrointestinal tract 

CLINICAL PEARLS

  • Symptom-based diagnosis

  • Not a diagnosis of exclusion

  • No tests needed for diagnosis

  • Treatment based on symptoms

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