Childhood functional gastrointestinal disorders

This is the first attempt to define a functional gastrointestinal disorder (FGID) in infancy, childhood and adolescence. The decision making process is the same as for adults, including reaching consensus based on clinical experience. This article is intended for quick reference. The selected classification scheme is different from the classification scheme used in adult population in that it is organized according to major complaints rather than organs. As the child is still developing several diseases such as pediatric diarrhea (or functional diarrhea) are associated with a specific physiological stage and others can be caused by a behavioral response obtained by sphincter function such as fecal retention . Symptoms (such as indigestion) can only be identified after being reported. Infant reflux, ruminant and circulating vomiting constitute a vomiting disorder. Abdominal pain is classified as functional dyspepsia, irritable bowel syndrome (IBS), functional abdominal pain, abdominal migraine and esophageal pain. Defecation disorders include dysuria in infants, functional constipation, functional fecal retention and functionally non-retention fecal contamination. Several diseases like functional abdominal pain as well as IBS and dyspepsia are exact copies of adult standards as there is enough data to confirm that they represent specific and similar diseases in pediatrics . Other diseases not included in pediatric classification, such as functional biliary tract disease also occur in children, but the available data are not enough to guarantee that they are currently included. For these diseases, we recommend that clinicians temporarily refer to established criteria for adult populations.

Key words: childhood vomiting, cardiovascular vomiting syndrome, functional dyspepsia in children, irritable bowel syndrome in children, functional abdominal pain in children, functional diarrhea in children, functional constipation in children

The most common form of functional gastrointestinal dysfunction is irritable bowel syndrome. Functional constipation and chronic functional abdominal pain are other intestinal functional disorders with physiological causes but without an identifiable structural, chemical or infectious state. Part of the area can be visualized with camera. Endoscopic examination when examining upper gastrointestinal tract, colonoscopy examination or sigmoidoscopy examination when examining the lower digestive tract is called. Capsule endoscopy is the place to swallow capsules containing the camera to inspect the tube. Biopsy can also be carried out during the examination

Functional gastrointestinal disorders, a group of symptoms characterized by chronic or recurrent symptoms associated with any part of the gastrointestinal tract. A functional state refers to an abnormal function of an organ, and there is no structural change in the organization. Examples include irritable bowel syndrome (IBS), functional dyspepsia, and functional abdominal pain syndrome. Gulf War veterans are entitled to various VA benefits such as Gulf War Registration Health Examination, Air Hazard and Open Burn Registration, Health Care and Disability Compensation for Military Diseases. Their families and survivors may also be eligible to receive benefits.

This is the first attempt to define a functional gastrointestinal disorder (FGID) in infancy, childhood and adolescence. The decision making process is the same as for adults, including reaching consensus based on clinical experience. This article is intended for quick reference. The selected classification scheme is different from the classification scheme used in adult population in that it is organized according to major complaints rather than organs. As the child is still developing several diseases such as pediatric diarrhea (or functional diarrhea) are associated with a specific physiological stage and others can be caused by a behavioral response obtained by sphincter function such as fecal retention . Symptoms (such as indigestion) can only be identified after being reported. Infant reflux, ruminant and circulating vomiting constitute a vomiting disorder