Updated algorithms for managing frequent gastro-intestinal symptoms in infants
1UZ Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
Insights
This study provides consensus-based algorithms to help pediatricians manage common infant gastrointestinal (GI) symptoms like colic and constipation, reducing formula changes. These practical guidelines aid in diagnosing and treating frequent infant GI issues effectively.
Area of Science:
- Pediatrics
- Gastroenterology
- Infant Health
Background:
- Frequent gastrointestinal (GI) symptoms, including regurgitation, constipation, colic, and fussiness, are common in infants.
- These symptoms lead to frequent pediatrician visits and often result in unnecessary formula changes.
- There is a need for standardized, practical management strategies for infant GI issues.
Purpose of the Study:
- To provide pediatricians with consensus-based, simple algorithms for managing common infant GI symptoms.
- To assist general practitioners and pediatricians in the practical management of frequent infant GI complaints.
- To offer updated guidance based on recent literature and previously published algorithms.
Main Methods:
- Paediatric gastroenterologists developed practical algorithms based on consensus.
- Algorithms were informed by an updated literature review.
- The recommendations are based on algorithms published in 2013, with subsequent updates.
Main Results:
- Four practice recommendations (algorithms) were developed for managing common infant GI symptoms.
- These algorithms are designed for practical application by healthcare professionals.
- The guidelines aim to standardize the approach to infant GI manifestations.
Conclusions:
- The developed algorithms offer a consensus-based approach to managing frequent infant GI symptoms.
- These tools can help reduce unnecessary formula changes and improve patient care.
- The algorithms represent a consensus of expert opinion and literature, not a formal evidence-based guideline.
Abstract:
Regurgitation, constipation, excessive crying/fussiness, infantile colic and gassiness are frequent GI manifestations in young infants and result in numerous visits to paediatricians and in many cases in unnecessary change of formulas. The aim of this study was to offer paediatricians consensus based and simple algorithms for the management of the most frequent GI symptoms in infants. Paediatric gastroenterologists processed practical algorithms to assist general practitioners and general paediatricians. Four such practice recommendations were developed, based on the in 2013 published algorithms after an updated literature review. These algorithms cannot be considered as an 'evidence based guideline'. To date, these algorithms are the result of a consensus based on the available literature and the algorithms published in 2013.
Related Concept Videos
Drugs for Treatment of Diarrhea-Predominant IBS
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Irritable Bowel Syndrome III: Medical and Nursing Management
Gastrointestinal Motility Disorders
Drug Dosing: Infants and Children
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents


