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Patient Education Handouts

Gastrointestinal Problems—Autism Toolkit

Pediatric Patient Education (2021)

Published: January 2021

... to find out more about severe constipation. Some children do not digest milk well and benefit from trying a milk-free diet or enzyme replacement to help digest “milk sugar” (lactose). This is a common problem. Rarely, children will have an immune response to gluten (celiac disease) and need to avoid wheat...

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Constipation

... such as celiac disease, or endocrine abnormalities such as hypothyroidism 2a. History Thorough history gathering is an invaluable tool for eliciting the potential causes of a patient’s constipation. As previously mentioned, the definition of constipation may vary by demographics, so it is important to tailor...)

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Journal Articles

Complementary and Allergenic Food Introduction in Infants: An Umbrella Review

Victoria X. Soriano, PhD, Daniela Ciciulla, MDiet, Grace Gell, BSc, Yichao Wang, PhD, Rachel L. Peters, PhD ...

Pediatrics (2023) 151 (2): e2022058380.

Published: January 2023

... at introduction of gluten was not associated with celiac disease (high certainty evidence; 3 of 4 reviews). Low certainty evidence indicated that introducing solids before 4 months may increase the risk of childhood obesity, but not growth. There was insufficient evidence regarding an association between any food...

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Food Allergies

.... Keywords: complementary foods ; allergy ; atopic march ; anaphylaxis ; hives ; celiac disease ; hypersensitivity 1a. Rate of Food Allergies Up to 8% of children in the United States have one or more food allergies. Although variable accuracy in self-reporting can make it difficult to estimate...)

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Cow’s Milk Protein Allergy

... intestinal mucosal damage and villous atrophy like celiac disease. 3c4. Non-IgE-Mediated: CM Protein For patients with high suspicion of non-IgE-mediated CMPA, CM protein should be eliminated from the diet. For breastfed infants, CM protein containing foods should be eliminated from the maternal diet (see...)

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Focus on Allergies - Special Module

... allergy. Moderate certainty evidence suggested age of complementary food introduction was not associated with eczema. Age at introduction of gluten was not associated with celiac disease (high certainty evidence; 3 of 4 reviews). Low certainty evidence indicated that introducing solids before 4 months may...)

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2 Year (24 Month) Well Visit

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Journal Articles

Failure to Thrive or Growth Faltering: Medical, Developmental/Behavioral, Nutritional, and Social Dimensions

Margot N. Tang, MD, MPH, Soukaina Adolphe, MD, Stephen R. Rogers, MD, Deborah A. Frank, MD

Pediatr Rev (2021) 42 (11): 590–603.

Published: November 2021

... (although not always) accompany poor growth and feeding disorders, and iron and zinc deficiencies suppress appetite. (8)(11)(27)(28)(29) (30) Malabsorption may be secondary to GI pathology, such as celiac disease, inflammatory bowel disease, pancreatic insufficiency, or cholestasis. Enteric pathogens...

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Iron Deficiency and Iron Deficiency Anemia

... the acidity of the stomach environment, decreasing conversion of ferric iron to ferrous iron, thus decreasing absorption of iron Conditions that impair the small intestinal mucosa, thus limiting absorption, including celiac disease, inflammatory bowel disease, and duodenal ulcers The great enhancer of iron...)

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Oral Health

.... The USDA systematic review concluded, on the basis of limited case-control evidence, that breastfeeding is associated with a lower risk of celiac disease.⁴⁷ A meta-analysis of 35 studies reported that any breastfeeding is associated with a reduced risk of Crohn’s disease and ulcerative...)

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Well Care for Formerly Preterm Infants

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Autism Spectrum Disorder

... affect GI symptoms include resistance to change (feeding and constipation), comorbid anxiety (pain, feeding, and motility disorders),³⁸⁹ and altered sensory perception (pain, feeding, and constipation). At present, there is no evidence of an association of ASD with celiac disease, specific...)

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2 Month Well Visit

... as part of a varied diet. (27) With the increased awareness of celiac disease, there have been numerous studies of whether infant nutrition plays a role in the onset of celiac disease. Research has focused on timing of introduction, amount of introduction, and whether ingesting small amounts...)

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4 Month Well Visit

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6 Month Well Visit

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Journal Articles

The Role of Diet, Nutrition, and Exercise in Preventing Disease

Neal S. LeLeiko, MD, PhD, Sally Dorfzaun, MS, RD, CDN, Joseph Picoraro, MD

Pediatr Rev (2022) 43 (6): 298–308.

Published: June 2022

... products. A gluten-free diet is essential and is the only treatment for people with celiac disease, but whomever is on such a diet should seek expert dietary guidance from a registered dietitian (RD) or an RD nutritionist (see later herein). The term organic on a food label requires...

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3 Year Well Visit

... the general population. Many gluten-free products contain high amounts of sugars and food additives and are highly processed as well as more expensive than similar gluten-containing products. A gluten-free diet is essential and is the only treatment for people with celiac disease, but whomever...)

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