Functional Pain Abdomen

Criteria (all must be present)

• 1) Episodic or continuous abdominal pain that does not occur solely during physiologic events (e.g. eating, menses)
• 2) Insufficient criteria for irritable bowel syndrome, functional dyspepsia, or abdominal migraine
• 3) After appropriate evaluation, the abdominal pain cannot be fully explained by another medical condition

Patients with any of the following alarm features must be evaluated clinically for other diagnoses even though functional abdominal pain may be present:

• 1) Family history of inflammatory bowel disease, celiac disease, or peptic ulcer disease.
• 2) Persistent right upper or right lower quadrant pain.
• 3) Dysphagia.
• 4) Odynophagia.
• 5) Persistent vomiting.
• 6) Gastrointestinal blood loss.
• 7) Nocturnal diarrhea.
• 8) Arthritis.
• 9) Perirectal disease.
• 10) Involuntary weight loss.
• 11) Deceleration of linear growth.
• 12) Delayed puberty.
• 13) Unexplained fever.