Functional Abdominal Pain and Its Management

Comprehensive Care for Chronic Abdominal Discomfort

What is Functional Abdominal Pain?

Functional abdominal pain (FAP) is a chronic or recurrent pain in the abdomen that cannot be linked to any identifiable structural or biochemical abnormality. It is often classified as a functional gastrointestinal disorder, where the pain originates from a miscommunication between the brain and the gut.

At Central Gastro, we provide expert care for diagnosing and managing functional abdominal pain, helping you regain comfort and improve your quality of life.

Symptoms of Functional Abdominal Pain

Functional abdominal pain can vary in severity and duration but often includes:

• Persistent or Recurrent Pain: Typically felt in the abdomen without a specific location.
• Bloating: Feeling of fullness or tightness in the abdomen.
• Nausea: Sometimes accompanied by vomiting.
• Loss of Appetite: Due to chronic discomfort.
• Pain Unrelated to Meals or Bowel Movements: A distinguishing characteristic of functional pain.

If these symptoms persist or interfere with your daily life, professional evaluation is crucial.

What Causes Functional Abdominal Pain?

The exact cause of functional abdominal pain is not fully understood, but contributing factors may include:

• Gut-Brain Axis Dysregulation: Miscommunication between the nervous system and the gastrointestinal tract.
• Visceral Hypersensitivity: Heightened sensitivity of the nerves in the digestive system.
• Psychological Stress: Anxiety, depression, or trauma can exacerbate symptoms.
• Altered Gut Motility: Irregular movement of food and waste through the intestines.
• Inflammation or Post-Infection: Residual effects from previous gastrointestinal infections.

Complications of Functional Abdominal Pain

While functional abdominal pain does not cause physical damage to the digestive system, untreated or poorly managed symptoms can lead to:

• Emotional Distress: Increased anxiety, depression, or frustration due to chronic pain.
• Reduced Quality of Life: Interference with daily activities, work, or social interactions.
• Nutritional Deficiencies: From altered eating habits or appetite loss.
• Sleep Disturbances: Due to persistent discomfort.

Diagnosis of Functional Abdominal Pain

At Central Gastro, we use a thorough diagnostic approach to confirm functional abdominal pain and rule out other potential causes:

• Comprehensive Medical History: Assessing symptom patterns and triggers.
• Physical Examination: To check for signs of other underlying conditions.
• Blood Tests: To rule out infections, inflammation, or nutritional deficiencies.
• Stool Analysis: To detect potential infections or imbalances.
• Imaging Tests: Such as ultrasound or CT scans to identify structural abnormalities.
• Endoscopy: If necessary, to investigate symptoms further.

Treatment Options for Functional Abdominal Pain

At Central Gastro, we focus on addressing the root causes and managing symptoms effectively through personalized care plans:

1. Medications

• Antispasmodics
• Neuromodulators
• Probiotics
• Pain Relievers

2. Dietary Modifications

• Low-FODMAP Diet: Reduces fermentable carbohydrates that may cause bloating or discomfort.
• Elimination Diet: Identifies and avoids potential food triggers.
• Balanced Nutrition Plans: Tailored to your specific needs to ensure adequate nutrient intake.

3. Psychological Support

• Cognitive Behavioral Therapy (CBT): Helps address the gut-brain interaction and manage stress-related symptoms.
• Gut-Directed Hypnotherapy: Proven effective in reducing functional abdominal pain.
• Stress Management Techniques: Such as mindfulness, yoga, or relaxation exercises.

4. Lifestyle Adjustments

• Regular Exercise: Improves overall digestive health and reduces stress.
• Adequate Sleep: Promotes healing and reduces pain sensitivity.
• Hydration: Supports proper gut function.

Long-Term Management of Functional Abdominal Pain

Functional abdominal pain requires a holistic, long-term approach for effective management. At Central Gastro, we provide:

• Ongoing Monitoring: Regular follow-ups to assess progress and adjust treatments.
• Patient Education: Empowering you to understand and manage your condition.
• Multidisciplinary Support: Access to dietitians, psychologists, and pain management specialists.