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Gluten and functional abdominal pain disorders in children
According to this 2018 review, there is still plenty of information missing on the association between food and gluten consumption with the incidence and persistence of functional gastrointestinal disorders (FGIDs) and functional abdominal pain disorders (FAPDs). The authors wanted to explore this relationship further since wheat or gluten has been shown to trigger gastrointestinal symptoms even in individuals without diagnosed celiac disease (CD). This tends to occur especially in children. More and more children are indicating signs of non-celiac gluten sensitivity (NCGS). The symptoms of functional abdominal pain disorders (FAPDs) can be very similar to that seen in celiac disease, making it difficult to tell if children with irritable bowel syndrome (IBS) are more likely to have celiac disease. But a gluten-free diet does not appear to improve abdominal, pain-associated FGID in children with celiac disease. With regards to non-celiac gluten sensitivity (NCGS), the threshold for gluten tolerance has not been fully determined and differs among patients. In conclusion, it is challenging to confirm whether gluten exclusion directly contributes to improvements in symptoms related to functional disorders. [NPID: pain, chronic pain, functional gastrointestinal disorders, functional abdominal pain disorders, gluten, celiac disease, gluten sensitivity, gluten-free diet, irritable bowel syndrome, children, abdominal pain]
Year: 2018
