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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
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
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.
Rising Cardiac Arrests in Young Entrepreneurs
The increasing cases of cardiac arrests among young entrepreneurs are becoming a serious health concern. Intense stress, long working hours, unhealthy eating habits, and lack of physical activity are major contributors to heart-related issues in this group. This often leads to neglecting personal health, resulting in irregular sleep patterns and chronic fatigue. Additionally, skipping regular medical check-ups can leave underlying heart conditions undetected. Emphasizing stress management, healthy lifestyle choices, and routine health screenings is crucial to reducing this growing risk
Medical Management of Endometriosis
Medical management of endometriosis typically involves the use of hormonal therapies such as birth control pills, progestins, or GnRH agonists to reduce estrogen levels and suppress the growth of endometrial tissue. Pain management with NSAIDs, as well as targeted treatments like aromatase inhibitors or the use of intrauterine devices (IUDs), can help alleviate symptoms. In some cases, additional treatments like surgery may be considered for severe cases or when fertility is a concern.
Analytical Skills in Problem Solving
Today’s session on analytical tools and techniques in healthcare can provide valuable insights into how data-driven approaches enhance decision-making and problem-solving. Sharing personal or professional experiences where analytical skills were effectively used to address challenges can offer practical understanding and inspire learners. These skills are crucial in healthcare for accurate patient diagnosis, effective treatment planning, and efficient resource allocation. By applying analytical methods, healthcare professionals can improve patient outcomes, streamline operations, and make informed, evidence-based decisions that contribute to overall healthcare efficiency and quality.