Gastrointestinal Conditions in Children With Severe Feeding Difficulties

Gastrointestinal Conditions in Children With Severe Feeding Difficulties

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Feeding aversion in children may progress to severe feeding difficulties.While oral-motor and sensory issues are usually the leading causes, organic etiologies should be considered.This study aimed to assess the prevalence of gastrointestinal conditions in children with severe feeding difficulties.We conducted a retrospective study of 93 children requiring an intensive feeding program.The medical records, radiologic and diagnostic tests, use of gastric tube feedings, preexisting medical conditions, and medications were reviewed.

Fifty-two percent (52%) had esophagitis, benify toyota 26.2% gastritis, and 40.7% lactase deficiency in upper endoscopy.In those who underwent an upper endoscopy, 26% of patients that were also tested for small intestinal sara stedy price bacterial overgrowth were found to be positive.Allergy testing was abnormal in 56.

6% of those tested, while 27.5% and 75% had abnormal gastric emptying times and pH impedance results, respectively.Constipation was present in 76.3%.Thirteen of 32 were weaned off tube feedings.

We conclude that gastrointestinal conditions are common in children with feeding disorders and should be investigated prior to feeding therapy.