Functional gastro-intestinal disorder algorithms focus on early recognition, parental reassurance and nutritional strategies

Up to 50% of infants present with symptoms of regurgitation, infantile colic and/or constipation during the first 12 months of life. Although they are often classed as functional disorders, there is an overlap with cows' milk allergy. We present practical algorithms for the management of such d...

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Bibliographic Details
Published in:Acta Paediatrica 2016-03, Vol.105 (3), p.244-252
Main Authors: Vandenplas, Yvan, Benninga, Marc, Broekaert, Ilse, Falconer, Jackie, Gottrand, Frederic, Guarino, Alfredo, Lifschitz, Carlos, Lionetti, Paolo, Orel, Rok, Papadopoulou, Alexandra, Ribes-Koninckx, Carmen, Ruemmele, Frank M., Salvatore, Silvia, Shamir, Raanan, Schäppi, Michela, Staiano, Annamaria, Szajewska, Hania, Thapar, Nikhil, Wilschanski, Michael
Format: Article
Language:English
Subjects:
Algorithms
Colic
Colic - diagnosis
Colic - diet therapy
Constipation
Constipation - diagnosis
Constipation - diet therapy
Cows' milk allergy
Functional disorder
Gastrointestinal Diseases - diagnosis
Gastrointestinal Diseases - diet therapy
Humans
Infant
Milk
Milk Hypersensitivity - diagnosis
Milk Hypersensitivity - drug therapy
Parenting - psychology
Regurgitation
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Summary:Up to 50% of infants present with symptoms of regurgitation, infantile colic and/or constipation during the first 12 months of life. Although they are often classed as functional disorders, there is an overlap with cows' milk allergy. We present practical algorithms for the management of such disorders, based on existing evidence and general consensus, with a particular focus on primary health care. Management consists of early recognition of warning signs of organic disease, parental reassurance and nutritional strategies. Conclusion The proposed algorithms aim to help healthcare providers manage frequent gastrointestinal and cows' milk‐related symptoms in infants safely and effectively.
ISSN:0803-5253
1651-2227
DOI:10.1111/apa.13270