Management of constipation in children and adolescents with autism spectrum disorders
Abstract
OBJECTIVES: To develop a practical, readily applied algorithm for primary health care providers to identify, evaluate, and manage constipation in children with autism spectrum disorders (ASDs). METHODS: The Gastroenterology Committee of the Autism Speaks Autism Treatment Network (ATN), a multisite consortium of centers dedicated to improving standards of medical care for children with ASDs, guided the development of the constipation algorithm through expert opinion and literature review. The algorithm was finalized based on results of field testing by nongastrointestinal, ATN autism medical specialists at 4 ATN sites. A systematic review and grading of the literature pertaining to constipation and children with ASDs was also performed. RESULTS: Consensus among the ATN Gastroenterology Committee identified that in children with ASDs, (1) subtle or atypical symptoms might indicate the presence of constipation; (2) screening, identification, and treatment through a deliberate approach for underlying causes of constipation is appropriate; (3) diagnostic-therapeutic intervention can be provided when constipation is documented; and (4) careful follow-up after any intervention be performed to evaluate effectiveness and tolerance of the therapy. Literature review revealed limited evidence for the clinical evaluation or treatment strategies of children with ASD and constipation. CONCLUSIONS: Constipation and its underlying etiology have the potential to be effectively identified and managed using a systematic approach. Lack of evidence on this topic in the literature emphasizes the need for research.
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Previous studies assessing GI symptoms in ASD versus NT children suffer from methodological differences in assessing GI symptoms.
“Review of previous studies suggest that GI symptoms are more common in ASD children than in NT children, but these studies suffer from methodological differences in assessing GI symptoms [28–31].”
From Comparison of Fecal Microbiota in Children with Autism Spectrum Disorders and Neurotypical Siblings in the Simons Simplex Collection (2015) · cites this paper as [30]
Most occurrences of GI dysfunction in children with ASD are the result of functional causes, rather than being of anatomic or known physiologic origin.
“Most occurrences of GI dysfunction in children with ASD are the result of functional causes, rather than being of anatomic or known physiologic origin.1, 3, 6”
From Distinct Microbiome-Neuroimmune Signatures Correlate With Functional Abdominal Pain in Children With Autism Spectrum Disorder (2017) · cites this paper as [6]
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- Authors
- Furuta, G. T., Williams, K., Kooros, K., Kaul, A., Panzer, R., Coury, D. L., & Fuchs, G.
- Affiliations
- Children's Hospital Colorado (US)
- Vanderbilt University Medical Center (US)
- Children's Medical Center (US)
- Cincinnati Children's Hospital Medical Center (US)
- Massachusetts General Hospital (US)
- Nationwide Children's Hospital (US)
- Arkansas Children's Hospital (US)
- Corresponding author
- Fuchs, George
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2012-11-01
- Volume
- 130
- Issue
- Supplement_2
- Pages
- S98-S105
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2161993486
- Cited by
- 88
- References
- 10
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 3 · 2022: 8 · 2021: 5 · 2020: 11 · 2019: 6 · 2018: 8 · 2017: 3 · 2016: 13 · 2015: 5 · 2014: 4 · 2013: 6
- FWCI
- 4.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Society for Developmental and Behavioral Pediatrics
- Medical Center, University of Rochester
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- constipation, autism spectrum disorder, children, adolescents, clinical algorithms, constipation treatment, primary care, diagnostic assessment, treatment follow-up
- MeSH terms
- Adolescent, Algorithms, Child, Child Development Disorders, Pervasive, Constipation, Female, Humans, Male, Prospective Studies
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