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GID’s are common disorders characterized by Persistent and Recurrent Gastrointestinal Symptoms (GI) as a result of Abnormal Functioning of GI tract But Not by structural (tumor or masses) and Biochemical Abnormalities.
Primary Features of FGID’s:
Affected Motility of GIT Tract
Increased Sensation
Impaired Gut-Brain Axis
Regurgitation , Colic and Constipation are most common Functional Gastrointestinal Disorders (FGID) during First Year of Infant Life
Regurgitation means the backward movement of stomach contents up the esophagus into the mouth. It includes oftenly the release of the material from the mouth, It is effortless and non-projectile as in infants who "spit up.
Gastroesophageal reflux (GER) episodes occur when stomach contents move backwards up into the esophagus with or without Regurgitation or Vomiting
infants with uncomplicated recurrent regurgitation Parental Education, Reassurance and Anticipatory Guidance is suggested along with Thickened Formula or Anti-Regurgitation Formula
Infants with Recurrent regurgitation and poor weight gain, 2 week trial of hydrolyzed, Thickened Formula or Increase caloric density is suggested
Treatment Options in Neonates and Infants :
Give Small and frequent feeds
Not to force feed and quantity of food fed should be as per the capacity of stomach to avoid gastric distension
Allow enough time to evacuate air during and after feed, babies can naturally swallow air during feeding
Avoid too much concentrated feed as it may delay gastric emptying.
Triple Action Strategy for Infant Regurgitation
Starch: Thickening agent increases the viscosity of formula thus reduces the quantity of reflux and number of regurgitation episodes.
Partially Hydrolyzed Whey Proteins: Improves gastric emptying rate.
Partially Hydrolyzed Whey Proteins: Improves gastric emptying rate.
Melite AR: provide all benefits against regurgitation, colic,
