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Topic: Chronic Functional Abdominal Pain

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	Abdominal pain - Wikipedia, the free encyclopedia
		Due to the many organ systems in the abdomen, abdominal pain is a concern of general practitioners/family physicians, surgeons, internists, emergency medicine doctors, pediatricians, gastroenterologists, urologists and gynecologists.
		The pain associated with inflammation of the parietal peritoneum is steady and aching, and worsened by changes in the tension of peritoneum caused by pressure or positional change, and is often accompanied by tension of the abdominal muscles contracting to relieve such tension.
		Pain that is felt in the abdomen may be "referred" from elsewhere (e.g., a disease process in the chest, like a subdiaphragmatic abscess, may cause pain in the abdomen), and abdominal processes can cause radiated pain elsewhere (e.g.
	en.wikipedia.org /wiki/Abdominal_pain (389 words)

	Chronic Abdominal Pain in Children
		In reality, the chronic abdominal pain syndrome is a common condition that affects 10 to 15 percent of school-aged children between the ages of 5 and 15.
		Chronic abdominal pain is defined as multiple (more than three) pain attacks during a continuous three-month period that are sufficient to alter the normal activities of daily life.
		Pain is often poorly defined (e.g., sharp or dull), varies in severity, and may be incapacitating, causing the child to assume a fetal position (lying down, with knees bent to chest).
	www.breachbuilders.org /health-childabdominalpain.htm (1376 words)

	Chronic Abdominal Pain (Site not responding. Last check: 2007-10-08)
		Chronic functional abdominal pain is a functional gastrointestinal disorder.
		It occurs because of altered sensitivity to nerve impulses in the gut and brain, and it is not associated with altered motility in the intestines.
		For people with chronic functional abdominal pain, the pain can be so all-consuming that it becomes the main focus of their life.
	www.aboutibs.org /Publications/CFAP.html (1293 words)

	Postgraduate Medicine: What could be causing chronic abdominal pain?
		Pain located between the xiphoid process and the umbilicus originates in the foregut, which includes the distal esophagus, stomach, proximal duodenum, biliary tree, pancreas, and liver (although conditions of the liver usually do not cause chronic abdominal pain).
		Pain between the umbilicus and the symphysis pubis emanates from hindgut organs (eg, distal one third of the transverse colon, descending colon, rectosigmoid region) (1).
		Pain caused by chronic pancreatitis is usually midepigastric, with radiation to the lower thoracic or upper lumbar vertebral region.
	www.postgradmed.com /issues/1999/09_99/debanto.htm (2819 words)

	Functional Abdominal Pain in Children
		Abdominal pain can be acute pain, meaning it happened all of a sudden, or it can be chronic or long term.
		These children are usually thought to have functional abdominal pain, which may be secondary to stress or having hypersensitive reactions to the normal actions of their intestines.
		For children with daily abdominal pain that is not thought to have a treatable organic cause, it is important to help your child learn to deal with the pain to minimize the disruption it can cause to his life.
	www.keepkidshealthy.com /welcome/commonproblems/abdominal_pain.html (1194 words)

	Chronic functional abdominal pain (Site not responding. Last check: 2007-10-08)
		Chronic functional abdominal pain (CFAP) is the ongoing presence of abdominal pain for which there is no physical explanation.
		CFAP is characterized by chronic pain, with no physical explanation.
		It is theorized that CFAP is a disorder of the nervous system where normal nerve impulses are amplified "like a stereo system turned up too loud" resulting in pain.
	www.worldhistory.com /wiki/C/Chronic-functional-abdominal-pain.htm (200 words)

	American Society for Gastrointestinal Endoscopy :: Member Site (Site not responding. Last check: 2007-10-08)
		Chronic functional abdominal pain is a less common disorder seen in only 2% of the population and primarily in women.
		Pain may be described as recurrent or continuous for at least 6 months, incomplete or no relationship with eating or defecation, loss of daily function, and no evidence for organic disease.
		Chronic RUQ abdominal pain can be attributed to a myriad of disease processes with a wide spectrum of intensity, duration, frequency, and associated disorders.
	www.asge.org /nspages/practice/patientcare/97-right.cfm (2521 words)

	Chronic Abdominal Pain -- Recommendations and Resources (Site not responding. Last check: 2007-10-08)
		But the main causes of abdominal pain are handled by surgeons (acute) or gastroenterologists (chronic).
		Abdominal pain is not a GI disease because 1 it's not a disease, it's a symptom, and 2 it's caused by many other things than GI disease.
		Chronic pain is essentially caused by the bombardment of the central nervous system (CNS) with nociceptive impulses, which causes changes in the neural response.
	www.becomingapediatrician.com /health/31/chronic-abdominal-pain.html (827 words)

	NGC - NGC Summary
		Functional abdominal pain may be categorized as one or a combination of: functional dyspepsia, irritable bowel syndrome, abdominal migraine, or functional abdominal pain syndrome (see table below titled "Recommended Clinical Definitions of Long-Lasting Intermittent or Constant Abdominal Pain in Children").
		Functional abdominal pain generally can be diagnosed correctly by the primary care clinician in children 4 to 18 years of age with chronic abdominal pain when there are no alarm symptoms or signs, the physical examination is normal, and the stool sample tests are negative for occult blood, without the requirement of additional diagnostic evaluation.
		Abdominal pain without demonstrable evidence of a pathologic condition, such as an anatomic, metabolic, infectious, inflammatory, or neoplastic disorder; functional abdominal pain may present with symptoms typical of functional dyspepsia, irritable bowel syndrome, abdominal migraine, or functional abdominal pain syndrome.
	www.guideline.gov /summary/summary.aspx?view_id=1&doc_id=6630 (948 words)

	Chronic Abdominal Pain in Children
		Chronic abdominal pain is a common pediatric problem encountered by pediatricians and other medical caregivers.
		Functional abdominal pain, meaning pain without evidence of an underlying disease, is the most common cause of abdominal pain in children.
		For chronic abdominal pain not associated with organic disease, it is recommended that reasonable treatment goals be established, with the main aim being the return to normal function rather than the complete disappearance of pain.
	www.aap.org /advocacy/releases/mar05pain.htm (272 words)

	Clinical Trial: Treatment of Functional Abdominal Pain in Children: Evaluation of Relaxation/Guided Imagery and ...
		Functional abdominal pain is defined as pain unrelated to an identifiable organic gastrointestinal disorder.
		Functional bowl disorders are defined as variable combinations of gastrointestinal symptoms that are not readily explained by structural or biochemical abnormalities.
		Recurrent abdominal pain occurs in 10 to 30 percent of children and adolescents, and evidence suggests that many children with recurrent abdominal pain ultimately develop symptoms compatible with irritable bowel syndrome in adulthood.
	www.clinicaltrials.gov /show/NCT00010933 (840 words)

	eMedicine - Gynecologic Pain : Article by Dharmesh Kapoor, MD
		Pain is acyclical and not accompanied by vaginal bleeding.
		Myofascial pain may manifest as focal lower abdominal pain due to entrapment of the genitofemoral or ilioinguinal nerves, which is a sequela of Pfannenstiel incisions.
		Posthysterectomy syndrome is pain due to a low-grade cuff cellulitis, seroma or hematoma of the cuff, or neuralgia related to transection of the nerve tissue.
	www.emedicine.com /med/topic3341.htm (5698 words)

	Chronic Abdominal Pain in Children -- Subcommittee on Chronic Abdominal Pain 115 (3): e370 -- Pediatrics
		Upper gastrointestinal endoscopy in recurrent abdominal pain of childhood.
		The prevalence of recurrent abdominal pain in 11- to 16-year-old Malaysian schoolchildren.
		Psychosocial correlates of recurrent childhood pain: a comparison of pediatric patients with recurrent abdominal pain, organic illness, and psychiatric disorders.
	pediatrics.aappublications.org /cgi/content/full/115/3/e370 (6423 words)

	Letters to the Editor (Site not responding. Last check: 2007-10-08)
		Particularly in the case of abdominal pain, it can have a wide range of different etiologies, including irritable bowel syndrome as well as other chronic functional abdominal pain syndromes.
		Furthermore, all of our treated patients were free from pain and discomfort throughout the one year follow-up after the disappearance of the cyst, obviously indicating that the pain was caused by the cyst.
		Of course, had the cause of pain been irritable bowel syndrome or other chronic functional abdominal pain syndromes, as the critic of our study has suggested, this pain would certainly not disappear following treatment of renal cyst alone.
	www.sums.ac.ir /~ijms/9912/letters9912.html (912 words)

	Chronic Abdominal Pain in Children -- Subcommittee on Chronic Abdominal Pain 115 (3): 812 -- Pediatrics
		is the abdominal pain caused by an underlying organic disease.
		pain and abdominal pain attributable to organic disease.
		pain is the most common cause of chronic abdominal pain.
	pediatrics.aappublications.org /cgi/content/full/115/3/812 (1630 words)

	Abdominal pain - TheBestLinks.com - Arthritis, Appendix, Gastroenterology, Pediatrics, ... (Site not responding. Last check: 2007-10-08)
		Abdominal pain - TheBestLinks.com - Arthritis, Appendix, Gastroenterology, Pediatrics,...
		neurogenic pain: Tabes dorsalis, Herpes zoster, Lyme disease (Lyme radiculitis)
		functional pain, irritable bowel syndrome, school avoidance syndrome
	www.thebestlinks.com /Abdominal_pain.html (410 words)

	[No title] (Site not responding. Last check: 2007-10-08)
		It is important to remember that the pain associated with endometriosis is not correlated with the presence or amount of visible endometriotic tissue.
		Pain is due to infection or adhesions that exacerbate the baseline pain.
		The obligatory components are severe pain on vestibular touch or attempted vaginal entry, tenderness to pressure localized within the vulvar vestibule, and physical findings limited to vestibular erythema of various degrees.
	www.medceu.com /course-no-test.cfm?CID=1227 (4804 words)

	Support for women's health care problems
		I had a total abdominal hysterectomy at age 22 for abnormal uterine bleeding/dysfunctional uterine bleeding, chronic pelvic pain and a family history of reproductive and breast cancers.
		Finally I went to the doctor thinking it was all in my head but knowing the pain I'm in and he did a checkup and an internal (which hurt like hell) and sent me for a sonogram.He said that there was a definate something on my left ovary.
		I suffer from chronic back and leg pain and am working on finding solutions (medications and others) that will help me to have a healthy baby and manage the pain during pregnancy.
	www.wdxcyber.com /support.htm (3236 words)

	ABC of psychological medicine: Abdominal pain and functional gastrointestinal disorders -- Guthrie and Thompson 325 ... (Site not responding. Last check: 2007-10-08)
		ABC of psychological medicine: Abdominal pain and functional gastrointestinal disorders -- Guthrie and Thompson 325 (7366): 701 -- BMJ
		Various functional gastrointestinal pain syndromes have been defined, but there is substantial overlap between them.
		The diagram of a biopsychosocial model for functional abdominal pain is adapted from Drossman DA et al, Gut 1999;45(suppl):II25-30.
	bmj.bmjjournals.com /cgi/content/full/325/7366/701 (1774 words)

	Medicine Pain Ultram
		Dan Koehl 05:34, 18 Dec 2004 (UTC) It has been mostly the history kept by the Scandinavians themselves through their sagas that claim it was the Vikings that first came to ultram Canada.
		Many antidepressants also are used for the treatment of anxiety disorders, and tricyclic antidepressants are used in the treatment of chronic pain disorders such as Chronic Functional Abdominal Pain (CFAP), Myofacial Pain Syndrome, and post-herpetic neuralgia.
		Criminal law is solely the responsibility of the federal government, and medicine pain ultram crime and punishment is uniform throughout Canada.
	ultram.hostrim.com /medicine-pain-ultram.html (854 words)

	Chronic functional abdominal pain - Topic Powered by Groupee Community
		condition of abdominal pain that is chronic or frequently recurring; it is not associated
		block pain transmission from the abdomen to the brain.
		Treatments for CFAP are most effective when the patient and the doctor work as a team,
	www.ibsgroup.org /eve/ubb.x/a/tpc/f/71210261/m/55710974/inc/1 (980 words)

	Diagnosing and Treating Patients with Refractory Functional Gastrointestinal Disorders -- Drossman 123 (9): 688 -- ...
		abdominal pain [13,24], and the functional anorectal disorders
		in bowel function; or that is relieved by defecation or vomiting
		Altered pain perception and psychosocial features among women with gastrointestinal disorders and history of abuse: a preliminary model.
	www.annals.org /cgi/content/full/123/9/688 (5789 words)

	Description Ultram (Site not responding. Last check: 2007-10-08)
		Many antidepressants also are used for the treatment of anxiety disorders, and tricyclic antidepressants are used in the treatment of chronic pain disorders such as Chronic Functional Abdominal Pain (CFAP), Myofacial Pain Syndrome, and post-herpetic description ultram neuralgia.
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	ultram.funhosts.com /description-ultram.html (880 words)

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	zoloft.hostrim.com /zoloft/sexual-side-effects.html (1032 words)

	chronic fatigue syndrone, cfs, chronic functional abdominal pain, cfap, sleep, sleep disorders, insomnia, sleep apnea, ... (Site not responding. Last check: 2007-10-08)
		chronic fatigue syndrone, cfs, chronic functional abdominal pain, cfap, sleep, sleep disorders, insomnia, sleep apnea, restless leg syndrome, narcolepsy
		Therapies for Fatigue, musculoskeletal aches and pains, headache,
		Who is affected by Chronic Functional Abdominal Pain (CFAP)?
	www.patientsupport.net /fatigue-pain-insomnia.htm (226 words)

	Chronic Abdominal Pain in Children
		The American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition have issued a clinical and technical report, "
		Chronic Abdominal Pain in Children" in order to provide guidance in the evaluation and treatment of children with chronic abdominal pain.
		Neither anxiety, depression, behavior problems nor the presence of associated symptoms (such as nausea, headache and joint pain) can help discriminate between functional pain and pain from a disease.
	www.medicalnewstoday.com /medicalnews.php?newsid=21566 (254 words)

	UNC Center for Functional GI & Motility Disorders :: Public Education
		Functional Fecal Retention, Constipation, and Soiling in Children - Gerard A. Banez, PhD
		Using Relaxation in Coping with Functional GI Disorders - K. Jones
		Why are you treating me with antidepressants for my abdominal pain?
	www.med.unc.edu /medicine/fgidc/public_education_materials.htm (220 words)

	Abdominal Pain Treatment (Site not responding. Last check: 2007-10-08)
		Because the brain has such a strong influence on the sensation of pain, psychological treatments can relieve symptoms of chronic functional abdominal pain (CFAP) by sending signals that close the gate.
		It is important to understand that these medications are not just used to treat patients who have depression but also act as pain relievers (central analgesics) for treatment of chronic functional abdominal pain and many other painful conditions.
		Return to article on Chronic Functional Abdominal Pain
	www.aboutibs.org /Publications/CFAPTreatment.html (301 words)

	Rome Criteria (Site not responding. Last check: 2007-10-08)
		Functional Bowel Disorders and Chronic Functional Abdominal Pain
		Design of Treatment Trials for Functional GI Disorders
		Kenneth Klein, MD - Beckenham, Kent UK Peter Whorwell, MD - Manchester ENGLAND
	www.romecriteria.org /committees.html (170 words)

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