Gastrointestinal symptoms in infancy: A population-based prospective study

Iacono, Giuseppe; Merolla, Rocco; D’Amico, Domenico; Bonci, Enea; Cavataio, F.; Prima, Lidia Di; Scalici, C.; Indinnimeo, Luciana; Averna, Maurizio; Carroccio, Antonio

doi:10.1016/j.dld.2005.01.009

Cited by 168 publications

(169 citation statements)

References 16 publications

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“…In our study, 14.7% of infants presented with three or more associated disorders. Similarly, 12.6% of infants in the Italian study were found to have three or more associated FGID 7, whereas the incidence in the US study was lower at 5.2% 8. The results of our study, and those of previous reports, demonstrate the high incidence of multiple FGIDs in early infancy and highlight the fact that associated FGIDs are a major concern for parents and a leading motivation for paediatric consultations.…”

Section: Discussionsupporting

confidence: 69%

“…We also identified a significant association between shorter breastfeeding duration and multiple FGIDs. Gastrointestinal discomfort in infants often leads to changes in feeding regimes, notably changes from breastfeeding to bottle feeding 7. Although we found no differences between the single and multiple FGIDs with regard to the frequency of breastfeeding at birth, the onset of multiple FGIDs was related to an earlier cessation of breastfeeding (33 vs 43 days).…”

Section: Discussioncontrasting

confidence: 66%

“…FGIDs are generally described as separate entities, but there is evidence that these disorders occur in different combinations 6, 7, 8. Alterations in gut microbiota have been linked with several gastrointestinal findings, such as delayed gut maturation, infantile colic 9 or excess gas and bloating 10, providing a clear indication that these symptoms are interconnected.…”

Section: Introductionmentioning

confidence: 99%

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Multiple functional gastrointestinal disorders are frequent in formula‐fed infants and decrease their quality of life

et al. 2018

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AimThis prospective study evaluated the incidence of functional gastrointestinal disorders (FGIDs) during infancy, on their own or combined with other symptoms.MethodsWe asked 273 French paediatricians with a specific interest in FGIDs to provide feedback on 2757 infants aged zero to six months from March 2013 to January 2014. Gastrointestinal health status was assessed by two questionnaires at inclusion and at a four‐week follow‐up visit. FGIDs were assessed according to the Rome III criteria and quality of life (QoL) was monitored.ResultsCombined FGIDs were diagnosed in 2145 (78%) infants: 63% with two disorders and 15% with three or more disorders. The most frequently combined FGIDs were gas/bloating and colic (28%), colic and regurgitation (17.0%) and gas/bloating and regurgitation (8%). Compared to infants with a single FGID, combined FGID were associated with lower body weight (4.63 vs 4.79 kg, p = 0.009), shorter breastfeeding duration (33 vs 43 days, p < 0.001), a decreased QoL score (5.9 vs 6.5, p < 0.001), more frequent drug prescriptions (25% vs 13%, p < 0.001) and significantly greater improvements in QoL scores after four weeks (p = 0.003).ConclusionCombined FGIDs were extremely common in infants up to six months of age and had a negative impact on breastfeeding, weight gain and QoL.

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Section: Discussionsupporting

confidence: 69%

Section: Discussioncontrasting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

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Multiple functional gastrointestinal disorders are frequent in formula‐fed infants and decrease their quality of life

et al. 2018

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“…The diagnosis of a functional disorder virtually eliminates organic disease as a cause of the symptoms. From birth to 6 months of age, approximately one infant out of two shows at least one FGID or related signs and symptoms 1, 3. Regurgitation, infantile colic and functional constipation are the most common FGIDs in infancy, and it has been shown that more than one FGID often coexist in the same infant 3, 4.…”

Section: Functional Gastrointestinal Disorders In Early Lifementioning

confidence: 99%

“…From birth to 6 months of age, approximately one infant out of two shows at least one FGID or related signs and symptoms 1, 3. Regurgitation, infantile colic and functional constipation are the most common FGIDs in infancy, and it has been shown that more than one FGID often coexist in the same infant 3, 4. Functional diarrhoea, dyschezia, rumination syndrome and cyclic vomiting syndrome occur less frequently 1, 5.…”

Section: Functional Gastrointestinal Disorders In Early Lifementioning

confidence: 99%

Review shows that parental reassurance and nutritional advice help to optimise the management of functional gastrointestinal disorders in infants

et al. 2018

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AimRegurgitation, infantile colic and functional constipation are common functional gastrointestinal disorders (FGIDs) during infancy. Our aim was to carry out a concise review of the literature, evaluate the impact of these common FGIDs on infants and their families, and provide an overview of national and international guidelines and peer‐reviewed expert recommendations on their management.MethodsNational and international guidelines and peer‐reviewed expert recommendations on the management of regurgitation, infantile colic and functional constipation were examined and summarised.ResultsRegurgitation, infantile colic and functional constipation cause frequent parental concerns, lead to heavy personal and economic costs for families and impose a financial burden on public healthcare systems. Guidelines emphasise that the first‐line management of these common FGIDs should focus on parental education, reassurance and nutritional advice. Nutritional advice should stress the benefits of continuing breastfeeding, while special infant formulas may be considered for non‐breastfed infants with common FGIDs. Drug treatment is seldom required, with the exception of functional constipation.ConclusionBy providing complete and updated parental education, reassurance and nutritional advice, healthcare professionals can optimise the management of FGIDs and related symptoms and reduce the inappropriate use of medication or dietary interventions.

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Prophylactic Use of a Probiotic in the Prevention of Colic, Regurgitation, and Functional Constipation

et al. 2014

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Gastrointestinal symptoms in infancy: A population-based prospective study

Cited by 168 publications

References 16 publications

Multiple functional gastrointestinal disorders are frequent in formula‐fed infants and decrease their quality of life

Multiple functional gastrointestinal disorders are frequent in formula‐fed infants and decrease their quality of life

Review shows that parental reassurance and nutritional advice help to optimise the management of functional gastrointestinal disorders in infants

Prophylactic Use of a Probiotic in the Prevention of Colic, Regurgitation, and Functional Constipation

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