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You are here: Home / Autism / Gastrointestinal Disorders in Children with Autism

Gastrointestinal Disorders in Children with Autism

February 9, 2017 By Mona Dave

Autism or autism spectrum disorder (ASD) is a complex issue with brain development that can manifest as problems with verbal or nonverbal communication, repetitive behaviors, and difficulty with social interactions. ASD affects over three million people in the United States and has been identified in 1 out of 68 children.

Gastrointestinal disorders are very common in children with autism. In fact, children with autism are 3.5 times more likely to suffer from chronic constipation or chronic diarrhea than their developmentally normal peers. The exact cause of why this happens is not yet completely understood. Some experts have proposed that toxins produced from abnormal gut bacteria may trigger or worsen autism. Parents with children with autism need to have a heightened awareness that digestive issues may be contributing to their child’s discomfort or even behavior regression, especially in children who are non-verbal or have difficulty with expression.

Constipation

Chronic constipation is the most common gastrointestinal issue in children with autism. In developmentally normal children, chronic constipation usually presents as stool-withholding behavior. However, in children with autism, chronic constipation issues may not be so obvious. Chronic constipation may present as pressing the belly against objects, increased stimming, sluggishness, grinding the teeth, arching the back, or refusal to eat. Causes of chronic constipation may include a diet poor in fiber, slow intestinal motility, anatomical abnormalities, or a sensory issue. Further evaluation by a medical expert may be needed.

Diarrhea

Chronic diarrhea in children with autism is not normal and should be further investigated. Bouts of diarrhea in children with autism can be normal, but diarrhea lasting more than two weeks could indicate an intestinal infection, food allergies, malabsorption, immunodeficiency, or an inflammatory condition. Children with autism can have the same reasons to have chronic diarrhea as developmentally normal children, so common causes of chronic diarrhea should always be investigated before looking into rare disorders. Chronic diarrhea may also occur as a result of loose stool coming out around chronically hard stool trapped in the colon.

Other Conditions

Gastroesophageal reflux disease and eosinophilic esophagitis can affect children with autism and may be very difficult for a parent to recognize. Children with autism may make odd body postures, try to gag themselves, or even start to refuse to eat. Other children may start to have sleep disturbance if they are having symptoms at night. Some children may have texture issues with feeding or refuse to eat solid food. Such concerns should always be discussed with your child’s doctor.

Many parents with children with autism have reported their child does better on a gluten- or dairy-free diet. This may definitely be true, but there is currently limited data supporting this benefit. It is best to consult with your child’s physician before any special diets are started so proper testing can be done if needed.

If you would like more information about gastrointestinal (GI) digestive disorders and nutrition in children, please contact Dr. Mona Dave’s Plano Office or Southlake Office.

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Filed Under: Autism, Gastroenterology Tagged With: autism, gastroenterology, pediatrics

Digestive Health & Nutrition in Children

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Our offices are convienently located in Plano and Southlake, TX. We are dedicated to providing the highest quality of patient care. Dr. Dave and her staff work extremely hard to streamline the referral process, expedite appointment scheduling, and promptly respond to patient calls. Her practice offers a pure pediatric environment. A pediatric trained … Dr. Manisha "Mona" Dave

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Manisha “Mona” Harpavat Dave, MD Pediatric Gastroenterologist Digestive Health & Nutrition in Children Diplomate Certification in Pediatric Gastroenterology Diplomate, American Board of Pediatrics Awards and Honors          Scientific Research Plano Office 6300 W Parker Rd, Bldg 2, Suite 424 Plano, TX 75093 Phone: … Dr. Mona Dave

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Abdominal (belly) pain in children is a common condition and, while not generally a serious problem, one that can cause considerable discomfort. Approximately 30% of children visit a doctor due to abdominal pain by age 15, and 10-15% of school aged children report recurring abdominal pain. Because abdominal pain can have a wide variety of causes, diagnosis can often be … Belly Pain

Celiac Disease in Children

Celiac disease (CD, Celiac Sprue, Gluten Intolerance) in children tends to have digestive disorders that may result in growth problems. Celiac disease prevents the body from absorbing essential nutrients (nutrient malabsorption) resulting in diarrhea, weight loss, abdominal distention, failure to thrive and muscle wasting. Celiac disease in teenagers may not occur … Celiac Disease

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Manisha “Mona” Dave, MD
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