No prospective studies have been performed on the outcome of functional abdominal pain. Once diagnosed, gastroen-terologists rarely identify an occult organic disorder. Many patients become asymptomatic within 2 to 6 weeks of diagnosis. Most children and parents accept the reassurance that the pain is not organic and that environmental modification is effective treatment. However, 30 to 50% of children may continue to have such problems into adult life, many of them developing IBS. Factors that may lead to a good prognosis for resolution of the pain include the following: (1) no family history of pain, (2) being female, (3) age of onset > 6 years of age, and (4) duration of symptoms < 6 months. Non-ulcer dyspepsia and IBS are two variants of chronic recurrent abdominal pain, usually occurring in patients > 10 years old. Some of the patients have both. Physical examination in these patients is normal. Similar to those with recurrent abdominal pain, they sleep well and are not awakened by pain. They often require full examination, including upper intestinal endoscopy, to rule out acid peptic disease in the stomach and esophagus, and even 24-hour pH monitoring to exclude reflux. Those with bowel symptoms should have stool studies and perhaps sigmoidoscopy or colonoscopy to rule out IBD, and lactose hydrogen test for lactose intolerance.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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