Recommendations for evaluation and treatment of common gastrointestinal problems in children with ASDs.
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.
Buie
Timothy
T
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts 02114, USA. tbuie@partners.org
Fuchs
George J
GJ
Furuta
Glenn T
GT
Kooros
Koorosh
K
Levy
Joseph
J
Lewis
Jeffery D
JD
Wershil
Barry K
BK
Winter
Harland
H
D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology; D000465:Algorithms; D002648:Child; D002659:Child Development Disorders, Pervasive / Q000150:complications*; D002908:Chronic Disease; D003248:Constipation / Q000175:diagnosis* / Q000628:therapy*; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology / Q000628:therapy*; D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D028361:Mitochondrial Diseases / Q000150:complications / Q000175:diagnosis; D010808:Physical Examination