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Functional gastro‐intestinal disorder algorithms focus on early recognition, parental reassurance and nutritional strategies
Author(s) -
Vandenplas Yvan,
Benninga Marc,
Broekaert Ilse,
Falconer Jackie,
Gottrand Frederic,
Guarino Alfredo,
Lifschitz Carlos,
Lionetti Paolo,
Orel Rok,
Papadopoulou Alexandra,
RibesKoninckx Carmen,
Ruemmele Frank M.,
Salvatore Silvia,
Shamir Raanan,
Schäppi Michela,
Staiano Annamaria,
Szajewska Hania,
Thapar Nikhil,
Wilschanski Michael
Publication year - 2016
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13270
Subject(s) - medicine , constipation , regurgitation (circulation) , warning signs , disease , focus (optics) , intensive care medicine , algorithm , pediatrics , psychiatry , gastroenterology , transport engineering , computer science , engineering , physics , optics
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.