Table 1.
Criteria for functional gastrointestinal disorders related to pain in children
| Functional dyspepsia1 |
| Must include all of the following |
| Persistent or recurrent pain or discomfort centered in the upper abdomen |
| Pain or discomfort not relieved by defecation or associated with onset of a change in stool frequency or form |
| Irritable bowel syndrome1 |
| Must include all of the following |
| Abdominal pain or discomfort associated with 2 or more of the following at least 25% of the time |
| Improved by defecation |
| Onset associated with a change in stool frequency |
| Onset associated with a change in stool form |
| Abdominal migraine |
| Must include all of the following |
| Paroxysmal episodes of intense, acute periumbilical pain lasting at least one hour |
| Intervening periods of usual health lasting at least weeks |
| Pain interferes with normal activity |
| The pain is associated with at least two of the following |
| Anorexia |
| Nausea |
| Vomiting |
| Headache |
| Photophobia |
| Pallor |
| Criteria must be fulfilled at least two times in the preceeding 12 mo |
| Childhood functional abdominal pain1 |
| Must include all of the following |
| Episodic or continuous abdominal pain |
| Does not meet criteria for another FGID |
| Childhood functional abdominal pain syndrome |
| Must include childhood FAP and at least 25% of the time with at least one of the following |
| Some loss of daily function |
| Additional somatic complaints such as headache, limb pain, or difficulty sleeping |
All require that there be no evidence of an inflammatory, anatomic, metabolic, or neoplastic process that explains the symptoms.
1
Criteria fulfilled at least once per week for at least 12 mo. FGIDs: Functional gastrointestinal disorders; FAP: Functional abdominal pain.