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Functional Diarrhea in Children
Shaman Rajindrajith1,2, Wathsala Hathagoda3,4, Niranga Manjuri Devanarayana5
1Department of Pediatrics, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo-8, Sri Lanka. shamanrajindrajith4@gmail.com.
Insights
Functional diarrhea, a common childhood condition, affects all age groups and continents. Further research is needed to understand its mechanisms and treatments.
Area of Science:
- Pediatrics
- Pediatric Gastroenterology
Background:
- Functional diarrhea is a prevalent pediatric condition often misperceived as only affecting younger children.
- It is characterized by chronic loose stools with undigested food, without impacting growth.
- Epidemiological data indicate its global prevalence across all continents.
Purpose of the Study:
- To review the current literature on functional diarrhea in children.
- To highlight the need for updated understanding of its pathophysiology and treatment options.
Main Methods:
- Literature review of available studies on functional diarrhea.
- Analysis of epidemiological data and clinical features.
Main Results:
- Functional diarrhea affects children from late infancy through adolescence.
- The condition is globally prevalent, contrary to common belief.
- Existing knowledge on mechanisms and therapies remains limited and outdated.
Conclusions:
- Functional diarrhea requires a contemporary re-evaluation to advance understanding.
- Further research is essential to explore underlying mechanisms and develop effective therapeutic strategies.
Abstract:
Functional diarrhea in children is a disease that has been focused on by both general pediatricians as well as pediatric gastroenterologists across the world. Although it is seen across the pediatric age group from late infancy to adolescence, most still believe that functional diarrhea only occurs in younger children. Recent epidemiological studies have shown that functional diarrhea is prevalent in all subcontinents. The classic clinical features include chronic loose stools with undigested food particles without growth faltering. Although known for long years, pathophysiological mechanisms and therapeutic options are not well explored, and the existing literature is outdated. In this article, authors review the available literature on functional diarrhea, with a reminder that a fresh look is needed to broaden the horizons of understanding of this disease.
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