{"id":41184,"date":"2024-07-24T12:47:01","date_gmt":"2024-07-24T10:47:01","guid":{"rendered":"https:\/\/www.servidigest.com\/dolor-abdominal-funcional\/"},"modified":"2025-03-12T10:56:19","modified_gmt":"2025-03-12T09:56:19","slug":"dolor-abdominal-funcional","status":"publish","type":"post","link":"https:\/\/www.servidigest.com\/ca\/dolor-abdominal-funcional\/","title":{"rendered":"Dolor Abdominal Funcional"},"content":{"rendered":"\n

El dolor abdominal funcional<\/strong> \u00e9s un motiu freq\u00fcent a les consultes d’Aparell Digestiu. Es defineix com aquell dolor abdominal que es produeix en abs\u00e8ncia d’una malaltia org\u00e0nica, metab\u00f2lica o infecciosa<\/strong> que el causi.<\/p>\n\n\n

Pot presentar-se de forma a\u00efllada, denominat s\u00edndrome de dolor abdominal mediat centralment (SDAMC)<\/strong>, o com a part d’un altre trastorn funcional digestiu com el s\u00edndrome de l’intest\u00ed irritable (SII)<\/strong> o la dispepsia funcional<\/strong>.<\/p>\n\n\n

Aquest dolor generalment \u00e9s d’origen visceral, sent de car\u00e0cter dif\u00fas, continu o gaireb\u00e9 continu i no sempre relacionat amb l’est\u00edmul que el origina. No sol modificar-se amb els \u00e0pats ni amb la defecaci\u00f3.<\/p>\n\n\n

Existeix un estat d’hipersensibilitat visceral provocant una simptomatologia que pot arribar a afectar la qualitat de vida del pacient. S’ha descrit una afectaci\u00f3 de l’eix intest\u00ed-cervell, mecanisme tamb\u00e9 present en altres malalties funcionals digestives.<\/p>\n\n\n

Aquest trastorn constitueix un repte diagn\u00f2stic, ja que les proves sol\u00b7licitades solen ser normals i es pot confondre amb altres malalties<\/strong> fora de l’aparell digestiu com l’aparell ginecol\u00f2gic i urinari.<\/p>\n\n\n

\u00c9s fonamental realitzar una bona anamnesi, una completa exploraci\u00f3 f\u00edsica del pacient, aix\u00ed com la realitzaci\u00f3 de proves digestives per descartar altres malalties org\u00e0niques causants del dolor.<\/p>\n\n\n

Un cop establert el diagn\u00f2stic, el tractament de primera l\u00ednia es basa a seguir h\u00e0bits de vida saludables<\/strong>, activitat f\u00edsica<\/strong>, una alimentaci\u00f3 equilibrada<\/strong> i evitar situacions que afavoreixin l’estr\u00e8s<\/strong>.<\/p>\n\n\n

Tamb\u00e9 existeix tractament farmacol\u00f2gic<\/strong> efectiu com espasmol\u00edtics, neuromoduladors i gabapentinoides. Es pot plantejar la realitzaci\u00f3 de ter\u00e0pies cognitivo-conductuals.<\/p>\n\n\n

Criteris diagn\u00f2stics Roma IV del s\u00edndrome de dolor abdominal mediat centralment (SDAMC)<\/strong><\/h3>\n\n\n

Compliment dels criteris durant els \u00faltims 3 mesos amb inici dels s\u00edmptomes almenys 6 mesos abans del diagn\u00f2stic. Ha d’incloure tot el seg\u00fcent:<\/p>\n\n\n

    \n
  1. Dolor abdominal continu o gaireb\u00e9 continu.<\/li>\n\n\n
  2. Relaci\u00f3 nul\u00b7la o ocasional del dolor amb esdeveniments fisiol\u00f2gics (p. ex., menjar, defecar o menstruar), encara que pot haver-hi algun grau de disfunci\u00f3 gastrointestinal.<\/li>\n\n\n
  3. El dolor limita algun aspecte del funcionament diari (alteracions en la feina, la intimitat, la vida social i d’oci, la vida familiar i la cura d’un mateix o d’altres persones).<\/li>\n\n\n
  4. El dolor no \u00e9s fingit.<\/li>\n\n\n
  5. El dolor no s’explica per un altre trastorn gastrointestinal estructural o funcional o una altra afecci\u00f3 m\u00e8dica.<\/li>\n<\/ol>\n\n\n

    El SDAMC sol associar-se a comorbiditat psiqui\u00e0trica, per\u00f2 no existeix un perfil espec\u00edfic que es pugui utilitzar per al diagn\u00f2stic.<\/p>\n\n\n

    A Cl\u00ednica ServiDigest disposem d’un equip multidisciplinari expert en el diagn\u00f2stic i tractament del Dolor Abdominal Funcional.<\/strong><\/p>\n\n\n

    Dra. Lissette Batista P\u00e9rez<\/strong>
    Especialista en Aparell Digestiu de Cl\u00ednica ServiDigest
    Col\u00b7legiada n\u00ba 47355 del Col\u00b7legi Oficial de Metges de Barcelona<\/p>\n","protected":false},"excerpt":{"rendered":"

    El dolor abdominal funcional \u00e9s un motiu freq\u00fcent a les consultes d’Aparell Digestiu. Es defineix com aquell dolor abdominal que es produeix en abs\u00e8ncia d’una malaltia org\u00e0nica, metab\u00f2lica o infecciosa que el causi. Pot presentar-se […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":41180,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[828,58],"tags":[30,975,971,976,972,982,974,983],"class_list":{"0":"post-41184","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articles-medics","8":"category-articulos","9":"tag-aparell-digestiu","10":"tag-dispepsia-funcional","11":"tag-dolor-abdominal-funcional","12":"tag-sdamc","13":"tag-sindrome-de-dolor-abdominal-mediado-centralmente","14":"tag-sindrome-de-dolor-abdominal-mediat-centralment","15":"tag-sindrome-de-intestino-irritable","16":"tag-sindrome-de-lintesti-irritable"},"yoast_head":"\nDolor Abdominal Funcional - Cl\u00ednica ServiDigest<\/title>\n<meta name=\"description\" content=\"El dolor abdominal funcional \u00e9s un trastorn com\u00fa sense causa org\u00e0nica. 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