Interobserver and intraobserver reliability of the Rome II criteria in children.

Diagnosing functional abdominal pain with the Rome II criteria: parent, child, and clinician agreement. Recurrent abdominal pain: symptom subtypes based on the Rome II Criteria for pediatric functional gastrointestinal disorders. Childhood functional gastrointestinal disorders. Abdominal pain and irritable bowel syndrome in adolescents: a community-based study. Recurrent abdominal pains: a field survey of 1,000 school children. Quality of life and health care consultation in 13 to 18 year olds with abdominal pain predominant functional gastrointestinal diseases. in Common Diseases and Disorders in Childhood (ed. Finally, management options for children with functional abdominal pain are discussed including medications, dietary interventions, probiotics and psychological and complementary therapies, to improve understanding and to maximize the quality of care for children with this condition. This Review summarizes current knowledge regarding the epidemiology, pathophysiology, risk factors and diagnostic work-up of functional abdominal pain. Moreover, large, well-performed, high-quality clinical trials for effective agents are lacking, which undermines evidence-based treatment. Making a diagnosis of functional abdominal pain can be a challenge, as it is unclear which further diagnostic tests are necessary to exclude an organic cause. The prevailing viewpoint in the pathogenesis involves the inter-relationship between changes in hypersensitivity and altered motility, to which several risk factors have been linked. Although common, its definition is confusing, predisposing factors are poorly understood and the pathophysiological mechanisms are not clear. Chronic abdominal pain is one of the most common clinical syndromes encountered in day to day clinical paediatric practice.

Chronic functional abdominal pain