Abstract
Functional abdominal pain disorders in children: Bridging the gap
Highlights
In early twentieth century, Sir George Frederic Still, known as the father of British Paediatrics, wrote; “I know of no symptom which can be more obscure in its causation than colicky abdominal pain in childhood”
We have proposed a disease model named as automatic stomach in functional abdominal pain disorders (FAPDs) to explain the symptom generation in FAPDs
We have evaluated the health care consultations in FAPDs which is an indirect measure of the burden on health economy
Summary
The first Part my presentation is dedicated to the epidemiology of functional abdominal pain disorders. A recent meta-analysis of 58 epidemiologic studies on abdominal pain conducted from 1957 to 2014, including nearly two hundred thousand children, reported a global pooled prevalence of 13.5 %. Very few studies have reported the prevalence of FAPDs in 5 to 12 age group. An epidemiological study was conducted to determined the Sri Lankan prevalence in 5 to 12 age group. The questionnaires were filled with the help of the research assistants, which increased the accuracy and validity of the research. 653(65.3%) correctly filled questionnaires were included in the analysis. The prevalence FAPDs was 12.6% in 5 - 12 age group. The commonest FAPDs subtype was Functional abdominal pain followed by IBS. The Prevalence of an Abdominal migraine was less than 1% in our cohort
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