Food intolerance in children (non-allergenic food hypersensitivity)
Clair is a 12-year-old girl who has been under the care of outpatient paediatrics for 2 years. She initially presented with a combination of lower abdominal pain and epigastric pain with a clear history of heartburn. She had been investigated at that time – full blood count (FBC), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), liver function tests (LFTs), amylase, Helicobacter pylori antigen test, coeliac screen, stool reducing substances, stool for infection (including bacteria, ova, cysts and parasites) – all of which were negative. She was initially managed for gastritis and mild constipation with good effect, but is now presenting to the emergency department in apparent severe abdominal pain every few weeks. This has led at one extreme to her almost having surgery ...MedWorm Supporter Message: Find a vast selection of gluten free food and GF cookbooks at the Sensible Celiac.
http://www.paediatricsandchildhealthjournal.co.uk/article/PIIS1751722209000882/abstract?rss=yes
