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August 1986, Vol 140, No. 8 >
Article | August 1986

Recurrent Abdominal Pain and Dietary Fiber FREE

M. FJORD CHRISTENSEN, MD
Am J Dis Child. 1986;140(8):738-739. doi:10.1001/archpedi.1986.02140220020009.
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Sir.—In a double-blind, randomized, controlled trial, Feldman et al1 demonstrated that there were fewer pain attacks in children with simple recurrent abdominal pain who were given dietary fiber. This gives me the opportunity to mention a study on the same subject with quite another result.2 On the basis of the assumptions (1) that recurrent abdominal pain in children is parallel to irritable bowel syndrome in adults and (2) that bulk preparations have a possible beneficial effect in adults,3-5 an investigation was undertaken on 40 children between 3 and 15 years of age who had recurrent abdominal pain. The inclusion criterion was at least two attacks of recurrent abdominal pain over the last six weeks of sufficient severity to affect activity. Children with organic causes of pain were excluded. The study was carried out as a double-blind, randomized, controlled investigation on the effect of ispaghula husks (Vi-Siblin

REFERENCES

1 +
Feldman W, McGrath P, Hodgson C, et al:  The use of dietary fiber in the management of simple, childhood, idiopathic, recurrent, abdominal pain: Results in a prospective, double-blind, randomized, controlled trial . AJDC 1985;;139: 1216-1218.
2 +
Christensen MF:  Hjaelper fyld (bulk) praeparater på recidiverende mavesmerter hos børn? En kontrolleret undersøgelse . Ugeskr Laeger 1982;;144:714-715.
3 +
Manning AP, Heaton KW, Harvey RF:  Wheat fiber and irritable bowel syndrome . Lancet 1977;;2:417-418.
4 +
Ritchie JA, Truelove SC:  Treatment of irritable bowel syndrome with lorazepam, hyoscine butylbromide, and ispaghula husk . Br Med J 1979;;1:376-378.
5 +
Søltoft J, Gudmand-Høyer C, Krag B, et al:  A double-blind trial of the effect of wheat bran on symptoms of irritable bowel syndrome . Lancet 1976;;1:270-272.
6 +
Hislop IG:  Psychological significance of the irritable colon syndrome . Gut 1971;;12:452-457.
7 +
Svedlund J, Sjödin I:  A psychosomatic approach to treatment in the irritable bowel syndrome and peptic ulcer disease with aspects of the design of clinical trials . Scand J Gastroenterol 1985;;20( (suppl 109) ):147-151.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Feldman W, McGrath P, Hodgson C, et al:  The use of dietary fiber in the management of simple, childhood, idiopathic, recurrent, abdominal pain: Results in a prospective, double-blind, randomized, controlled trial . AJDC 1985;;139: 1216-1218.
2 +
Christensen MF:  Hjaelper fyld (bulk) praeparater på recidiverende mavesmerter hos børn? En kontrolleret undersøgelse . Ugeskr Laeger 1982;;144:714-715.
3 +
Manning AP, Heaton KW, Harvey RF:  Wheat fiber and irritable bowel syndrome . Lancet 1977;;2:417-418.
4 +
Ritchie JA, Truelove SC:  Treatment of irritable bowel syndrome with lorazepam, hyoscine butylbromide, and ispaghula husk . Br Med J 1979;;1:376-378.
5 +
Søltoft J, Gudmand-Høyer C, Krag B, et al:  A double-blind trial of the effect of wheat bran on symptoms of irritable bowel syndrome . Lancet 1976;;1:270-272.
6 +
Hislop IG:  Psychological significance of the irritable colon syndrome . Gut 1971;;12:452-457.
7 +
Svedlund J, Sjödin I:  A psychosomatic approach to treatment in the irritable bowel syndrome and peptic ulcer disease with aspects of the design of clinical trials . Scand J Gastroenterol 1985;;20( (suppl 109) ):147-151.

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