Kata Kunci

Abstrak

Background: Functional abdominal pain (FAP) is a common pediatric disorder, particularly affecting girls and those with mental health issues. It is characterized by persistent symptoms without a clear identifiable organic pathology. The Rome IV Criteria classify FAP into subtypes, each with distinct symptoms and management requirements. Discussion: According to the Rome IV Criteria, FAP subtypes include irritable bowel syndrome (IBS), functional dyspepsia, abdominal migraine, and FAP not otherwise specified (NOS). The pathophysiology of FAP involves gut hypersensitivity, hyperalgesia, genetic predispositions, and psychosocial triggers. Diagnosis is based on medical history, physical examination, the presence of alarm signs, and the characteristics of pain. Treatment strategies may include dietary modifications, psychological interventions, and pharmacological treatments such as proton pump inhibitors, prokinetics, and antidepressants like amitriptyline. Conclusion: Identifying the specific subtype of FAP, as outlined by the Rome IV Criteria, enables healthcare professionals to implement individualized care strategies for optimal outcomes.