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High prevalence of nausea in children with pain-associated functional gastrointestinal disorders: are Rome criteria applicable?
J Pediatr Gastroenterol Nutr. 2013 Sep; 57(3):311-5.JP

Abstract

OBJECTIVES

The aim of the study was to determine the prevalence of nausea in pediatric patients with pain-associated functional gastrointestinal disorders (FGIDs), examine the effect on social and school functioning, and examine the applicability of pediatric Rome III criteria.

METHODS

A total of 221 pediatric patients (6-18 years of age) with chronic abdominal pain prospectively completed a demographic, history, and gastrointestinal symptom questionnaire adapted from the Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS). The 6-item, revised Pediatric Migraine Disability Assessment Score tool was used to assess the effect of symptoms on school, home, and social disability. Rome III criteria were applied to all subjects.

RESULTS

A total of 183 patients with pain and nausea for a minimum of 2 months were identified. Ninety-six patients were studied after excluding those with vomiting and/or organic disease. Among these, 53% had nausea at least 2 times per week and 28% experienced daily nausea. Frequency of nausea was significantly correlated with poor school and social functioning, and uniquely predicted social disability beyond pain. Although 87% met adult Rome criteria for functional dyspepsia, only 29% met corresponding pediatric Rome criteria. Additionally, 22% met the criteria for irritable bowel syndrome (IBS)-diarrhea, 13% for IBS-constipation, 13% for abdominal migraine, and 31% were classified as having functional abdominal pain. Pediatric IBS-diarrhea and IBS-constipation overlapped in 5% of patients.

CONCLUSIONS

Nausea is a prevalent symptom in patients with pain-associated FGIDs and correlates with poor school and social functioning. There is substantial overlap among FGIDs in children with nausea.

Authors+Show Affiliations

Department of Pediatrics, Division of Gastroenterology, Center for Pediatric Neurogastroenterology, Motility, and Autonomic Disorders, Medical College of Wisconsin, Milwaukee, WI 53226, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23591912

Citation

Kovacic, Katja, et al. "High Prevalence of Nausea in Children With Pain-associated Functional Gastrointestinal Disorders: Are Rome Criteria Applicable?" Journal of Pediatric Gastroenterology and Nutrition, vol. 57, no. 3, 2013, pp. 311-5.
Kovacic K, Williams S, Li BU, et al. High prevalence of nausea in children with pain-associated functional gastrointestinal disorders: are Rome criteria applicable? J Pediatr Gastroenterol Nutr. 2013;57(3):311-5.
Kovacic, K., Williams, S., Li, B. U., Chelimsky, G., & Miranda, A. (2013). High prevalence of nausea in children with pain-associated functional gastrointestinal disorders: are Rome criteria applicable? Journal of Pediatric Gastroenterology and Nutrition, 57(3), 311-5. https://doi.org/10.1097/MPG.0b013e3182964203
Kovacic K, et al. High Prevalence of Nausea in Children With Pain-associated Functional Gastrointestinal Disorders: Are Rome Criteria Applicable. J Pediatr Gastroenterol Nutr. 2013;57(3):311-5. PubMed PMID: 23591912.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - High prevalence of nausea in children with pain-associated functional gastrointestinal disorders: are Rome criteria applicable? AU - Kovacic,Katja, AU - Williams,Sara, AU - Li,B U K, AU - Chelimsky,Gisela, AU - Miranda,Adrian, PY - 2013/4/18/entrez PY - 2013/4/18/pubmed PY - 2014/3/19/medline SP - 311 EP - 5 JF - Journal of pediatric gastroenterology and nutrition JO - J. Pediatr. Gastroenterol. Nutr. VL - 57 IS - 3 N2 - OBJECTIVES: The aim of the study was to determine the prevalence of nausea in pediatric patients with pain-associated functional gastrointestinal disorders (FGIDs), examine the effect on social and school functioning, and examine the applicability of pediatric Rome III criteria. METHODS: A total of 221 pediatric patients (6-18 years of age) with chronic abdominal pain prospectively completed a demographic, history, and gastrointestinal symptom questionnaire adapted from the Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS). The 6-item, revised Pediatric Migraine Disability Assessment Score tool was used to assess the effect of symptoms on school, home, and social disability. Rome III criteria were applied to all subjects. RESULTS: A total of 183 patients with pain and nausea for a minimum of 2 months were identified. Ninety-six patients were studied after excluding those with vomiting and/or organic disease. Among these, 53% had nausea at least 2 times per week and 28% experienced daily nausea. Frequency of nausea was significantly correlated with poor school and social functioning, and uniquely predicted social disability beyond pain. Although 87% met adult Rome criteria for functional dyspepsia, only 29% met corresponding pediatric Rome criteria. Additionally, 22% met the criteria for irritable bowel syndrome (IBS)-diarrhea, 13% for IBS-constipation, 13% for abdominal migraine, and 31% were classified as having functional abdominal pain. Pediatric IBS-diarrhea and IBS-constipation overlapped in 5% of patients. CONCLUSIONS: Nausea is a prevalent symptom in patients with pain-associated FGIDs and correlates with poor school and social functioning. There is substantial overlap among FGIDs in children with nausea. SN - 1536-4801 UR - https://www.unboundmedicine.com/medline/citation/23591912/High_prevalence_of_nausea_in_children_with_pain_associated_functional_gastrointestinal_disorders:_are_Rome_criteria_applicable L2 - http://dx.doi.org/10.1097/MPG.0b013e3182964203 DB - PRIME DP - Unbound Medicine ER -