SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXII, Nr. 4, An 2013
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexată BDI  |  IDB Indexed

DOAJ
Ebsco Host - Medline
DOI - Crossref

HIGHLIGHTS

Publicarea de articole științifice

Stimați cititori, vă reamintim că autorii primi ai articolelor științifice pot acumula 80 de credite EMC în urma publicării. Dacă un articol are mai mulți autori, cele 80 de credite [...]

PREMIU NAȚIONAL AUTORI

RJP și SRPed oferă anual Premiul Național pentru Știință și Cercetare - pentru autorii celor mai bune articole științifice publicate [...]

Plagiatul – în actualitate

Tema plagiatului este tot mai mult discutată în ultima vreme. Apariția unor programe performante de căutare și identificare a similitudinilor între texte [...]

NONORGANIC PAIN AND VISCERAL HYPERALGESIA IN CHILDHOOD

, and

ABSTRACT

Visceral pain is different from the somatic one: visceral receptors have different functional engagement, the nociception degree differ from one organ to another, the few visceral afferent fibers are predominantly unmyelinised and have an extensive divergence in the central nervous system; the responses involve autonomic activation. The matrix of abdominal visceral pain, functional at birth, is overburdened by mechanical, chemical, osmotic impulses; overlapping infections or inflammation, by the released mediators create the conditions for acquiring the peripheral and central “sensibility” and the “pain memory”; behavioral and emotional factors can aggravate the visceral pain matrix hyperreactivity. In this pathogenic context it defines nonorganic pain and its severe form, visceral hyperalgesia. Genetic peculiarities influence the pain sensitivity. Based on the biopsychosocial model of functional disorders, Rome III criteria tagged the abdominal functional pain and the irritable bowel syndrome as a positive diagnosis and not a diagnosis of exclusion. Nonorganic pain, often associated with recurrent abdominal pain is among the most common medical problems encountered in pediatrics. Most patients with mild pain have a good evolution over time; a small percentage present serious and sometimes disabling symptoms. Pediatricians frequently have difficulties in delineation the diagnosis of nonorganic pain and that, sometimes, involves treatment failure. The authors present the epidemiological data, the pathophysiological mechanisms involved, the clinical approach and the therapeutic options on nonorganic pain and visceral hyperalgesia in children.

Key words: functional abdominal pain, visceral hyperalgesia, child

Full text | PDF

Leave a Reply