Functional abdominal pain syndrome (FAPS) is a debilitating disorder with persistent or almost continuous abdominal pain, which is present for at least 6 months and impairment of daily functioning.
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Abdominal Pain Syndrome. |
AIM:
To review the epidemiology, pathophysiology, and treatment of FAPS.
Method:
A literature review using the keywords: functional abdominal pain, chronic abdominal pain, irritable bowel syndrome and functional gastrointestinal disorders.
result:
No epidemiological studies have specifically focused on FAPS. The prevalence estimates range from 0.5% to 1.7% and shows the predominance of a woman. The FAPS pathophysiology is unique in that the pain is mainly due to the central perception of the input of the normal intestine rather than the increased peripheral stimulation from the viscera of the abdomen. The diagnosis of FAPS is symptom-based according to Rome III diagnostic criteria. These criteria are formulated to identify patients with severe symptoms because they require persistent or almost continuous abdominal pain with loss of daily function and are distinguished from IBS by bowel habit, eating, or other bowels. Are related to their non-association with change in events related to. As treatment is not possible, treatment objectives are to reduce suffering and improve quality of life. Treatment is based on a biopsychosial approach with a therapeutic patient – physician partnership on its basis. Therapeutic options include central nonreligious and pharmacological modalities and peripheral modalities. These can be combined to produce enhanced effects.
Conclusion:
Although few studies have specifically assessed functional abdominal pain syndrome or its treatment, the treatment strategies outlined in this paper appear to be effective.
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