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J Pediatr Gastroenterol Nutr. 2017 Aug;65(2):165-167. doi: 10.1097/MPG.0000000000001466.

Clinical Presentation of Acute Gastroenteritis in Children With Functional Abdominal Pain Disorders.

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*Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, Columbus, OH †Department of Pediatrics, Emma Kinderziekenhuis, Academic Medical Centre, Amsterdam, the Netherlands ‡Division of Pediatric Gastroenterology Hepatology and Nutrition, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL §Division of Emergency Medicine, Nationwide Children's Hospital, Columbus, OH.


Visceral hypersensitivity and abnormal coping are common in children with functional abdominal pain disorders (FAPDs). Thus, it would be expected that children with visceral hypersensitivity would report more pain if their gut is acutely inflamed. The aim of the study was to compare clinical symptoms and somatization of children with and without FAPDs at time of an episode of acute gastroenteritis. Seventy children with acute gastroenteritis and their parents completed the Rome III Diagnostic Questionnaire for Pediatric Functional GI Disorders and the Children's Somatization Inventory. Twenty-one percent of children were diagnosed with an FAPD. Children with FAPDs showed significantly more nongastrointestinal somatic symptoms than children without FAPDs. There were no significant differences in abdominal pain, nausea, vomiting, or school absenteeism between both groups at time of consultation.

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