Review
Copyright ©The Author(s) 2022.
World J Clin Pediatr. Mar 9, 2022; 11(2): 105-119
Published online Mar 9, 2022. doi: 10.5409/wjcp.v11.i2.105
Table 1 Diagnostic criteria for functional abdominal pain disorders in children and adolescents
HFGIDs in children or adolescents
H2Functional abdominal pain disorders
H2aDiagnostic criteria for functional dyspepsia
One or more of the following symptoms at least 4 d per month: (1) Postprandial fullness; (2) Early satiation; (3) Epigastric pain or burning not associated with defecation; and (4) After appropriate evaluation, the symptoms cannot be fully explained by another medical condition
Within FD, the following subtypes are now adopted: (1) Postprandial distress syndrome; and (2) Epigastric pain syndrome
H2bDiagnostic criteria for irritable bowel syndrome
All of the following: (1) Abdominal pain at least 4 d per month (associated with one or more of the following: (a) Related to defecation; (b) Change in frequency of stool; and (c) Change in appearance of stool); (2) In children with constipation, the pain does not resolve with resolution of the constipation; and (3) After appropriate evaluation, the symptoms cannot be fully explained by another medical condition.
H2cDiagnostic criteria for abdominal migraine
All of the following occurring at least twice: (1) Paroxysmal episodes of intense, acute periumbilical, midline or diffuse abdominal pain lasting 1 h or more; (2) Episodes are separated by weeks to months; (3) The pain is incapacitating and interferes with normal activities; Stereotypical pattern and symptoms in the individual patient; (4) The pain is associated with 2 or more of the following: (a) Anorexia; (b) Nausea; (c) Vomiting; (d) Headache; (e) Photophobia; and (f) Pallor; and (5) After appropriate evaluation, the symptoms cannot be fully explained by another medical condition
H2dDiagnostic criteria for functional abdominal pain not otherwise specified
All of the following at least 4 times per month: Episodic or continuous abdominal pain that does not occur solely during physiologic events; Insufficient criteria for irritable bowel syndrome, functional dyspepsia, or abdominal migraine; After appropriate evaluation, the abdominal pain cannot be fully explained by another medical condition

  • Citation: Cordeiro Santos ML, da Silva Júnior RT, de Brito BB, França da Silva FA, Santos Marques H, Lima de Souza Gonçalves V, Costa dos Santos T, Ladeia Cirne C, Silva NOE, Oliveira MV, de Melo FF. Non-pharmacological management of pediatric functional abdominal pain disorders: Current evidence and future perspectives. World J Clin Pediatr 2022; 11(2): 105-119
  • URL: https://www.wjgnet.com/2219-2808/full/v11/i2/105.htm
  • DOI: https://dx.doi.org/10.5409/wjcp.v11.i2.105