Psychological consequences of over-medicalization in a pediatric patient with functional gastrointestinal disorder: A case report

The prevalence of Functional Disorders (FD) in pediatric population is unknow; some studies show they could constitute the 25-50% of all visits in pediatric units (Malas et al 2017); for others, one out of three access could be linked to somatoform symptoms (Bujoreanu et al 2014). Most cases of FD show neurological or gastrointestinal symptoms (Malas et al 2017). ROMA IV criteria are used for the diagnosis of Functional Gastrointestinal Disorders (FGD), those can coexist with other diseases (Hyams et al. 2016) and psychiatric disorders, especially anxiety and mood disorders (Bujoreanu et al 2014). Doctors treating these conditions, may feel frustrated by not identifying specific causes; in addition, the patient and his family may feel underestimated, their compliance to treatment might be compromised (Malas et al 2017).