Pediatr Gastroenterol Hepatol Nutr.  2019 May;22(3):207-216. 10.5223/pghn.2019.22.3.207.

Functional Gastrointestinal Disorders in Infancy: Impact on the Health of the Infant and Family

• Vandenplas Y
• Hauser B
• Salvatore

• KMID: 2444846
• DOI: http://doi.org/10.5223/pghn.2019.22.3.207

Abstract

Functional gastrointestinal disorders (FGIDs) such as infantile colic, constipation and colic occur in almost half of the infants. The aim of this paper is to provide a critical and updated review on the management of FGIDs and their impact on the health of the infant and family to health care physicians. Guidelines and expert recommendations were reviewed. FGIDs are a frequent cause of parental concern, impairment in quality of life of infants and relatives, and impose a financial burden to families, health care, and insurance. Therefore, primary management of the FGIDs should be focused on improving the infants' symptoms and quality of life of the family. If more than parental reassurance is needed, available evidence recommends nutritional advice as it is an effective strategy and most of the time devoid of adverse effects. The role of healthcare providers in reassuring parents and proposing the correct behavior and nutritional intervention by avoiding inappropriate use of medication, is essential in the management of FGIDs.

Keyword

Constipation; Functional gastrointestinal disorders; Infant; Infantile colic; Nutrition therapy; Gastro-esophageal Reflux

MeSH Terms

Colic
Constipation
Delivery of Health Care
Gastroesophageal Reflux
Gastrointestinal Diseases*
Health Personnel
Humans
Infant*
Insurance
Nutrition Therapy
Parents
Quality of Life

Figure

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  Fig. 1 Management of regurgitation. GERD: gastroesophageal reflux disease, GI: gastroenterologist.

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  Fig. 2 Management of infantile colic. CM: cow's milk; BF: breastfeeding; eHF: extensively hydrolyzed formula; FF: formula feeding; CMFD: cow milk free diet; pHF: partially hydrolyzed formula.

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  Fig. 3 Management of infant constipation. PEG: polyethylene glycol; CMPA: cow's milk protein allergy; suppo: suppository; Ped GI: pediatric gastroenterologist.

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