Functional gastrointestinal disorders. How to manage them without medication

Area of Science:

• Pediatrics
• Gastroenterology
• Infant Health

Background:

• Functional gastrointestinal disorders (FGIDs) present significant discomfort in infants and distress for parents.
• Diagnosis relies on clinical criteria and ruling out organic causes through case history and physical examination.

Purpose of the Study:

• To update management strategies for common FGIDs in infants under one year.
• Focuses on colic, regurgitation, dyschezia, and constipation.
• Aims to prevent unnecessary diagnostic tests and treatments.

Main Methods:

• Review of current pathophysiological insights into infant FGIDs.
• Clinical diagnostic criteria for FGIDs.
• Evidence-based management approaches.

Main Results:

• FGIDs lack structural or biochemical abnormalities.
• Effective management strategies for colic, regurgitation, dyschezia, and constipation are presented.
• Emphasis on avoiding over-testing and over-medication.

Conclusions:

• Updated management strategies for infant FGIDs are crucial.
• Understanding pathophysiology aids in appropriate treatment.
• This guidance helps clinicians manage common FGIDs effectively.