What is the recommended approach for managing an 11-year-old with functional abdominal pain?

For managing an 11-year-old with functional abdominal pain, the recommended approach focuses on stress reduction and encouraging participation in usual activities. This method is grounded in the understanding that functional abdominal pain, often linked to psychosomatic factors, may improve when the child feels supported and able to engage in their normal routine.

Encouraging a child to participate in normal activities can help alleviate anxiety related to pain and can promote a sense of normalcy. By maintaining their social interactions and activities, it often diminishes their focus on pain and assists in reducing any associated stress. Moreover, stress management techniques, which can include relaxation strategies or mindfulness, can be beneficial in helping the child cope with pain better.

The other approaches, such as strict dietary changes or increased exercise, may not directly address the underlying issues typically associated with functional abdominal pain. While medication for anxiety could be appropriate for some cases, it is typically considered a secondary option if non-pharmacological strategies alone are insufficient. Therefore, the holistic view that prioritizes mental well-being through engagement and support is paramount in managing functional abdominal pain in children.