Title

FGIDs in Children Are Associated With Many Nonpsychiatric Comorbidities: The Tip of an Iceberg?

Authors

Authors

G. Chelimsky; S. Safder;T. Chelimsky

Comments

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Abbreviated Journal Title

J. Pediatr. Gastroenterol. Nutr.

Keywords

comorbidities; functional gastrointestinal disorders; migraines; orthostatic symptoms; SLEEP-DEPRIVATION; PAIN; Gastroenterology & Hepatology; Nutrition & Dietetics; Pediatrics

Abstract

Functional gastrointestinal disorders (FGIDs) are common. The poor health-related quality of life in FGIDs is a combination of gastrointestinal symptoms and comorbid conditions. We determined by using the Ohio Dysautonomia questionnaire the medical comorbidities in 38 children with FGID. Almost all of the subjects had a comorbid disorder, with orthostatic symptoms in 89%, fainted > 3 x /lifetime in 17%, headaches with migrainous features in 40%, other types of chronic pain in 50%, and fatigue lasting >6 months in approximately 33%. These findings constitute a critical first step in changing the paradigm of our approach to FGID as a broader systemic disorder, not one limited to the gastrointestinal tract.

Journal Title

Journal of Pediatric Gastroenterology and Nutrition

Volume

54

Issue/Number

5

Publication Date

1-1-2012

Document Type

Article

Language

English

First Page

690

Last Page

691

WOS Identifier

WOS:000302868000023

ISSN

0277-2116

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