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

    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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