Journal article

Dietary exclusion of fructose and lactose after positive breath tests improved rapid-transit constipation in children

Kasturi Waingankar, Christoper Lai, Vishal Punwani, Jeremy Wong, John M Hutson, Bridget R Southwell

JGH OPEN | WILEY | Published : 2018


Aims: Exclusion of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) from the diet is effective in alleviating symptoms of irritable bowel syndrome (IBS) in adults. Rapid-transit constipation (RTC) is a recently discovered subset of chronic constipation and has been linked to food intolerance. The aim of this study was to audit the effect of specific FODMAP elimination diets in children with RTC. Methods: This was an audit of children presenting to a tertiary children's hospital surgeon with refractory chronic constipation who had rapid transit in the proximal colon on nuclear imaging; had hydrogen/methane breath tests for fructose, lactose, and/or sorbitol ..

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