Characterization of irritable bowel syndrome and constipation in children with allergic diseases |
| |
Authors: | Carlo Caffarelli Alessandra Coscia Francesco Baldi Adriana Borghi Lucetta Capra Salvatore Cazzato Luciana Migliozzi Lisa Pecorari Andrea Valenti Giovanni Cavagni |
| |
Institution: | (1) Dipartimento dell’Età Evolutiva, Clinica Pediatrica, Università di Parma, Via Gramsci 14, 43100 Parma, Italy;(2) Dipartimento di Matematica, Università di Parma, Parma, Italy;(3) U.O. Pediatria, AUSL di Bologna, Imola, Italy;(4) U.O. di Pediatria, AUSL Modena, Sassuolo, Italy;(5) U.O. Pediatria e Adolescentologia, Azienda Ospedaliera Universitaria Arcispedale S.Anna, Ferrara, Italy;(6) Dipartimento di Pediatria, Policlinico S.Orsola-Malpighi, Università di Bologna, Bologna, Italy;(7) U.O. Pediatria, AUSL Ancona, Senigallia, Italy;(8) Ambulatorio Allergologico, Ospedale Civile, Università di Ferrara, Bondeno, Italy;(9) U.O. Pediatria, Presidio Ospedaliero di Lugo, AUSL Ravenna, Ravenna, Italy |
| |
Abstract: | Allergy is believed to play a role in the pathogenesis of irritable bowel syndrome (IBS) and constipation. We investigated
whether allergic patients are more prone to constipation or IBS. In a multicenter study, two groups of outpatient children
aged 3–13 years were included. In group 1, children with allergic symptoms were enrolled. Group 2 consisted of nonallergic
children. In both groups, the assessment of IBS and constipation was carried out using a questionnaire based on the Rome criteria
for functional gastrointestinal disorders. All children were examined and underwent skin prick tests (SPT) to foods and aeroallergens.
The allergic group (n = 196) and controls (n = 127) were comparable with respect to sex, age, and anthropometric parameters. IBS was found in 6.6% of the allergic children
and in 6.3% of the controls (p = 0.581). The frequency of constipation was similar in the two groups. In allergic children, positive SPTs to food and self-reported
reactions to food were associated with IBS. Our results show that evaluation of constipation comorbidity is not required in
allergic children. In allergic children with positive SPT to foods attention may be paid to IBS symptoms. |
| |
Keywords: | Abdominal pain Constipation Allergy Childhood |
本文献已被 PubMed SpringerLink 等数据库收录! |
|