Categorization of Functional Fecal Soiling

Date of item is unknown.Date of publication 2000?Date of publication 2000?Functional fecal soiling has been categorized as “primary” (i.e., continuous from infancy) and “secondary” (i.e., onset after gaining control of fecal continence). The “primary” vs. “secondary” classification interferes with the problem of how to help a child overcome soiling

Heterogeneity of Diaper Dependency in Three to Six Year-old Children: Implications for Case Management

Date of item is unknown.Date of publication between 2000-2009Date of publication between 2000-2009A retrospective review of 395 charts of children referred for pediatric gastroenterologic evaluation of fecal soiling and other toileting difficulties revealed that thirty ( 8% ) of this series were children between 3 and 6 years of age who persisted in the use of diapers for urination and/or defecation. They could be categorized as those with permitted diaper dependency, whose parents were vague regarding use of the toilet and in their expectations for progress towards that goal, and those with contentious diaper dependency, whose parents' expectations and demands were abundantly clear, but met with stubborn resistance. Children with permitted diaper dependency are helped by clarification of the goals of age-appropriate toileting and strengthened demands for using the toilet instead of diapers. By contrast, increased pressure to give up diapers in children with contentious diaper dependency exacerbates parent-child conflict and may impede progress towards more mature toileting

Regurgitation, Rumination and the Rumination Syndromes

Item date is unknown.Date of publication unknownRumination exists in a wide range of ages, from infancy to adulthood, and is a broad spectrum of conditions ranging from short, benign and self-limited to severe and life threatening. The heterogeneity of patients in many reviews of large cohorts of ruminators contributes to uncertainty of diagnosis and management. Although retrospective chart surveys can have great value, what's needed, in my opinion, is more analytic “splitting” of case studies in addition to abstract “lumping” of large populations

Management of Adult Cyclic Vomiting Syndrome, Including the Use of Opiates

This paper was presented July 1994 at the International Scientific Symposium on Cyclic Vomiting Syndrome held at St. Bartholomew's Hospital, London England. It was also published in the Journal of Pediatric Gastroenterology and Nutrition supplement on Cyclic Vomiting SyndromeCyclic Vomiting Syndrome is a functional vomiting disorder characterized by recurrent, stereotypic episodes of overwhelming nausea and vomiting lasting hours or days, separated by intervals of relative wellness lasting weeks or months. Samuel Gee first described the condition in the English language literature in 1882. He reported a series of 9 children ranging in age from 4 to 8 years. For more than a century thereafter, CVS was viewed as a pediatric disorder with the result that it was nearly unknown by physicians practicing adult medicine. The fact that CVS is prevalent in adults has been recognized only in the past few years. There are no evidence‐based guidelines for the management of CVS in children or adults and it is my hope that this essay might contribute to further thought and clinical investigation that will lead to a way out of a therapeutic wilderness

Functional Vomiting Patterns and Disorders in Infants, Children, and Adolescents

Date of item is unknown.Date of publication unknownDate of publication unknownThis two page document lists functional vomiting patterns and disorders in infants, children, and adolescents

Infant Colic

Date of item unknown.Date of publication 2000?Date of publication 2000?The term “colic” implies abdominal pain of intestinal origin. However, it has never been proved that colicky crying is caused by pain in the abdomen or anywhere else. The previous edition of the Rome Criteria excluded infant colic from consideration as a functional gastrointestinal disorder. Nevertheless the abdominal pain attribution persists and pediatric gastroenterologists receive referrals of babies with refractory colic or infants who cry excessively due to unsuspected colic. Therefore, familiarity with the “colic syndrome” is necessary for the avoidance of diagnostic and therapeutic misadventures

Cyclic Vomiting Syndrome in Adults

The date of this item is unknown.Date of publication unknownDate of publication unknownThe past decade has seen a resurgence of interest in CVS, mostly as a result of the work of CVSA and its members. Unfortunately, the fact that CVS affects adults as well as children is still largely unknown

Case for the readable code

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