Children's Mercy

Winter 2014

Safe & Sound is a magazine published by Children’s Mercy Hospital & Clinics in Kansas City. This quarterly publication features health and safety news from pediatric care experts at Children's Mercy.

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Say Goodbye When children have stomach pain, everything from attending school to spending time with friends is affected. Through the Abdominal Pain Program, Children's Mercy is committed to helping children with stomach pain live healthier, active lives. At some point, your child has probably complained of a tummy ache, and in most cases, stomach pain is caused by nothing more than gas or the occasional 24-hour virus. For some children, though, stomach pain becomes chronic and erodes their ability to participate in day-to-day activities, which can signal something more serious. UNDERSTANDING FUNCTIONAL GI DISORDERS While stomach pain can indicate serious illness, the majority of children who are evaluated in the Abdominal Pain Program at Children's Mercy have a functional gastrointestinal disorder, such as irritable bowel syndrome or functional dyspepsia. Functional GI disorders can be especially difficult to diagnose and treat because there is no clear physical disease responsible for the child's pain. Diagnosis of these disorders often relies on the presence of symptoms, including chronic abdominal pain, nausea, diarrhea or constipation. Without clear physical disease to target, treatment also becomes more complex. "Because functional GI disorders are so difficult to treat, these children's lives are often affected long term," says Craig Friesen, MD, Division Director, Gastroenterology, and Co-Director, Abdominal Pain Program at Children's Mercy and Professor of Pediatrics at the UMKC School of Medicine. "Children missing school or activities due to stomach pain is a major red flag and indicates that, even if we do not find evidence of disease, they need treatment beyond what is currently being done." Did You Know? According to the International Foundation for Functional Gastrointestinal Disorders, 10 TO 15 PERCENT OF CHILDREN have abdominal pain that affects school and activities at least three times during every three-month period. 4 Safe & Sound Winter 2014

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