The clinical course of functional gastrointesrinal disorders accompanied by abdominal pain in children in martinal low

Abstract

Functional gastrointestinal disorders (FGID) in children, according to their biopsychosocial model, occur as a result of the complex interaction of biological, psychoemotional and psychosocial factors through the gut-brain axis. Among school-age children, the most common are FGIDs accompanied by abdominal pain. For the third year, children in our country have been at the epicentre of martial law events due to russia's full-scale invasion of Ukraine, which is the most potent stress factor for them that contributes to the occurrence of FGID and/or negatively affects their clinical course. The aim of the study was to investigate the peculiarities of the clinical course of FGID accompanied by abdominal pain in children under martial law. One hundred two children aged 6-17 years with functional dyspepsia and irritable bowel syndrome were examined. The study examined the features of pain and dyspeptic syndromes and the level of anxiety in children with these diseases. The clinical and anamnestic method was used to study the features of the clinical course of FGID accompanied by abdominal pain in children. The SCARED scale was used to determine the potential risks of development and the presence of emotional disorders associated with anxiety. Conclusions. The obtained data revealed the heterogeneity of the clinical picture in functional dyspepsia and irritable bowel syndrome in children under martial law, an increased level of anxiety, which should determine the treatment tactics for such patients.