Recommendations for Evaluation and Treatment of Common Gastrointestinal Problems in Children With ASDs

Author:

Buie Timothy123,Fuchs George J.4,Furuta Glenn T.56,Kooros Koorosh7,Levy Joseph8,Lewis Jeffery D.9,Wershil Barry K.10,Winter Harland13

Affiliation:

1. Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;

2. Learning and Development Disabilities Evaluation and Rehabilitation Services, Lexington, Massachusetts;

3. Division of Pediatric Gastroenterology and Nutrition, MassGeneral Hospital for Children, Boston, Massachusetts;

4. Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Arkansas for Medical Sciences, UAMS College of Medicine and Arkansas Children's Hospital, Little Rock, Arkansas;

5. Keck School of Medicine of USC, Los Angeles, California;

6. Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital Denver, Aurora, Colorado, Department of Pediatrics, National Jewish Health, Denver, Colorado; and Department of Pediatrics, University of Colorado Denver School of Medicine, Aurora, Colorado;

7. Division of Pediatric Gastroenterology and Nutrition, Golisano Children's Hospital at Strong, University of Rochester Medical Center, Rochester, New York;

8. Department of Pediatrics (Administration), NYU Lagone Medical Center, New York University School of Medicine, New York, New York;

9. Children's Center for Digestive Health Care, LLC, Atlanta, Georgia; and

10. Division of Gastroenterology, Hepatology and Nutrition, Children's Memorial Hospital, Northwestern University's Feinberg School of Medicine at Northwestern, Chicago, Illinois

Abstract

Children with autism spectrum disorders (ASDs) can benefit from adaptation of general pediatric guidelines for the diagnostic evaluation of abdominal pain, chronic constipation, and gastroesophageal reflux disease. These guidelines help health care providers determine when gastrointestinal symptoms are self-limited and when evaluation beyond a thorough medical history and physical examination should be considered. Children with ASDs who have gastrointestinal disorders may present with behavioral manifestations. Diagnostic and treatment recommendations for the general pediatric population are useful to consider until the development of evidence-based guidelines specifically for patients with ASDs. Pediatrics 2010;125:S19-S29

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

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