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Management of Pediatric Functional Abdominal Pain
Pediatric functional abdominal pain (FAP) is a common condition characterized by chronic, recurrent pain without identifiable organic cause. Management focuses on a biopsychosocial approach. Reassurance and education are essential to alleviate parental and patient anxiety. Dietary modifications, such as a low-FODMAP diet, can help in some cases. Pharmacological treatments, including antispasmodics or low-dose tricyclic antidepressants, may be used for severe cases. Psychological interventions, such as cognitive-behavioral therapy (CBT) and gut-directed hypnotherapy, address underlying stress and anxiety. Encouraging regular physical activity and maintaining a supportive environment are also key. Multidisciplinary care improves outcomes in complex or refractory cases.
About the Speaker
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Dr. Pandu Chouhan
Consultant Pediatric Gastroenterology, KIMS Hospital, Hyderabad
Dr. Pandu Chouhan, an accomplished pediatric gastroenterologist, completed his MBBS and internship at Osmania Medical College, Hyderabad, and earned his MD in Pediatrics from AIIMS, New Delhi (2015–2018). He also completed a Fellowship in Gastrointestinal Endoscopy (2021, WLH, New Delhi) and gained 18 months of specialized experience in Pediatric Gastroenterology at AIIMS, where he served as a Senior Resident (2018–2021). With over six years of experience, including a tenure as Assistant Professor at Rajshree Medical Research Institute (2021–2022), Dr. Chouhan has performed over 100 upper GI endoscopies, 50 EVLs, 30 liver biopsies in children, and multiple sigmoidoscopies, proctoscopies, capsule endoscopies, and therapeutic paracentesis procedures.
Upcoming Case Discussions
Endometriosis- Updates
Endometriosis is a chronic gynecological condition where endometrial-like tissue grows outside the uterus, causing pelvic pain, dysmenorrhea, dyspareunia, and infertility. The ectopic tissue responds to hormonal changes, leading to inflammation, adhesions, and scarring. Diagnosis is based on clinical symptoms, imaging (ultrasound, MRI), and confirmed by laparoscopy with biopsy. Treatment includes NSAIDs, hormonal therapy (OCPs, progestins, GnRH analogs), and surgical excision for severe cases. Fertility treatments like IVF may be needed. While not curable, early diagnosis and management can relieve symptoms and improve quality of life.
Case-Based Approach to Managing GI Malignancies
A Case-Based Approach to managing gastrointestinal (GI) malignancies involves applying a personalized, patient-centered strategy using specific case details to guide treatment decisions. It emphasizes a multidisciplinary team approach, where oncologists, surgeons, pathologists, and radiologists collaborate to determine the best course of action based on tumor type, stage, and patient factors. This method allows for tailored treatment plans, integrating surgery, chemotherapy, radiotherapy, and targeted therapies to optimize outcomes. By discussing individual cases, this approach also aids in identifying potential challenges and refining management protocols to improve patient care.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Cardiac Rehabilitation
Cardiac rehabilitation is a structured program designed to improve cardiovascular health after heart-related conditions such as heart attacks, heart failure, or surgeries like bypass or stenting. It includes supervised exercise, heart-healthy lifestyle education, nutrition counseling, stress management, and medication guidance. The goal is to enhance heart function, reduce the risk of future heart problems, and improve overall well-being. A multidisciplinary team, including doctors, physiotherapists, and dietitians, tailors the program to each patient’s needs. Regular participation in cardiac rehab lowers mortality rates, prevents hospital readmissions, and promotes long-term cardiovascular health, making it an essential part of heart disease recovery.
Role of Telemedicine in Modern Healthcare
Telemedicine plays a crucial role in modern healthcare by enabling remote consultations, reducing the need for in-person visits, and improving access to medical expertise. It enhances patient care through real-time diagnosis, chronic disease management, and mental health support. By integrating AI and digital health technologies, telemedicine streamlines workflows and optimizes healthcare delivery. It is especially beneficial in rural and underserved areas, bridging gaps in specialist care. As technology advances, telemedicine continues to revolutionize healthcare, making it more efficient, accessible, and patient-centered.