Stories about: Center for Motility and Functional Gastrointestinal Disorders

Functional abdominal pain: ‘The pain is real’

A guide for PCPs to functional abdominal pain

As physicians, we are trained on the classic medical model. A patient has a symptom, we do a test, we find a disease, we give a therapy, and the issue goes away. Unfortunately, chronic diseases like functional abdominal pain do not fit neatly into this model.

The majority of the hundreds of thousands of children a year who experience abdominal pain will improve with time. But for some children, their pain becomes chronic and debilitating. According to the Rome IV guidelines, once a child has experienced eight weeks of abdominal pain, we have to consider functional abdominal pain. …Read More

Clinical Consult: Miralax and other options for treating constipation

pediatric constipation Miralax alternatives

Functional constipation continues to be a common childhood problem, affecting 3 percent of children worldwide. While not a serious medical condition, functional constipation causes painful bowel movements, abdominal pain, fecal incontinence, and individual and family stress.

To ease the discomfort of chronic childhood constipation, pediatricians often recommend the over-the-counter laxative Miralax (polyethylene glycol 3350.)

The odorless, tasteless powder is typically mixed with 8 ounces of water and prescribed to children once or twice daily. Common side effects include loose bowel movements and sometimes diarrhea, bloating or nausea. These side effects typically improve when dosing is adjusted.

Miralax has lately become a topic of discussion—and scrutiny—among pediatricians, parents and the media because the Food and Drug Administration has not approved it for use in children.

…Read More

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