scholarly journals Herbal Therapies in Functional Gastrointestinal Disorders: A Narrative Review and Clinical Implication

2020 ◽  
Vol 11 ◽  
Author(s):  
Yong Sung Kim ◽  
Jung-Wook Kim ◽  
Na-Yeon Ha ◽  
Jinsung Kim ◽  
Han Seung Ryu
Keyword(s):  
Clinical Implication ◽  
Functional Gastrointestinal Disorders ◽  
Narrative Review ◽  
Gastrointestinal Disorders ◽  
Herbal Therapies

Infantile functional gastrointestinal disorders and maternal psychological status: a narrative review

2021 ◽  
Vol 17 ◽  
Author(s):  
Raffaella Panza ◽  
Maria Elisabetta Baldassarre ◽  
Antonio Di Mauro ◽  
Alessandra Cervinara ◽  
Manuela Capozza ◽  
...  
Keyword(s):  
Attachment Style ◽  
Functional Gastrointestinal Disorders ◽  
Psychological Disorders ◽  
Narrative Review ◽  
Psychological Status ◽  
Gastrointestinal Disorders ◽  
Scientific Databases ◽  
Targeted Interventions ◽  
Pregnancy And Postpartum ◽  
Open Question

Background: Functional gastrointestinal disorders are often extremely distressing for the infant and parents, leading to infant discomfort and crying, parental anxiety, repeated healthcare consultations, and escalating healthcare costs. Aim: In this narrative review we analyzed the relationship between maternal psychological status during pregnancy and postpartum and the main infantile functional gastrointestinal disorders. Materials and methods: The narrative reviewwas conducted searching scientific databases for articles reporting on infantile functional gastrointestinal disorders in association with maternal depressive or anxiety disorders.Results: seven studies were suitable. Discussion: Maternal psychological disorders may be correlated to infantile functional gastrointestinal disorders. Whether it is the excessive crying that favors the onset of maternal psychological disorders or, in contrast, an altered attachment style due to the maternal status that facilitates the onset of functional gastrointestinal disorders in the infant is still an open question. Recent findings revealed that both anxious and depressed mothers are more likely to have an adverse gut microbiome. Conclusions: A healthy interaction of the mother-baby dyad is advantageous in ensuring mental and physical development of the offspring. Gynecologists, general practitioners and pediatricians should be alert for an early identification of mothers at risk with the aim to initiate timely targeted interventions. Further research on the role of microbiota and the possible therapeutic approaches with probiotics is required.

scholarly journals Use of Evidence-Based Herbal Medicines for Patients with Functional Gastrointestinal Disorders: A Conceptional Framework for Risk-Benefit Assessment and Regulatory Approaches

2019 ◽  
Vol 38 (4) ◽  
pp. 269-279
Author(s):  
Gerald Holtmann ◽  
Dietmar Schrenk ◽  
Ahmed Madisch ◽  
Hans D. Allescher ◽  
Gudrun Ulrich-Merzenich ◽  
...  
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Herbal Medicines ◽  
Care Utilization ◽  
Gastrointestinal Disorders ◽  
Regulatory Requirements ◽  
Complementary Medicines ◽  
Regulatory Frameworks ◽  
Pubmed Search ◽  
Therapeutic Measures ◽  
Herbal Therapies

Background: Herbal or complementary medicines are frequently used for the treatment of patients with functional gastrointestinal disorders (FGID). Regulatory requirements for herbal therapies are inconsistent and, in many jurisdictions, herbal therapies are either self-, minimally- or unregulated. Aim: To provide guidance for the appropriate and safe use of herbal medicines in patients with FGID patients with special consideration of the regulatory frameworks. Methods: A PubMed search of the literature was performed; relevant articles were included. Results: Similar to chemically defined therapies herbal medicines can cause adverse events. Thus, a risk-benefit appraisal should be undertaken for these therapies. While there is no disease specific mortality in FGID patients, patients with FGID who fail to respond to “empiric” chemically defined therapies undergo diagnostic and therapeutic measures that can be associated with appreciable morbidity and mortality. Thus, effective herbal treatments that subsequently reduce health-care utilization, reduce risks related to diagnostic or therapeutic measures that are initiated if no improvement of symptoms occurs. This “protective” effect of effective treatments for FGID needs to be taken in consideration when the risks and benefits of treatments are determined. In addition, standards that mirror regulations for chemically defined treatments should apply and the components of the respective preparations should undergo ongoing toxicological testing and rigorous quality assurance measures (including pharmacovigilance) applied. Conclusions: Some herbal therapies offer significant benefits for patients with FGID. To ensure the safety of these treatments, the regulatory requirements should mirror requirements for chemically defined treatments.

Families' Perceived Acceptability of Anxiety-Focused CBT for Functional Gastrointestinal Disorders

2012 ◽  
Author(s):  
Erica D. Sood ◽  
Jennifer Shroff Pendley ◽  
Alicia O. Fisher ◽  
Prateek Wali ◽  
Fernando Del Rosario
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Disorders

Functional gastrointestinal disorders in infancy: impact on infants and family health

2020 ◽  
pp. 36-41
Author(s):  
Yvan Vandenplas ◽  
◽  
Bruno Hauser ◽  
Silvia Salvatore ◽  
◽  
...  
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Family Health ◽  
Gastrointestinal Disorders

Цель. Функциональные гастроинтестинальные расстройства (ФГИР), такие как колики, запоры и регургитация, встречаются практически у 1/2 младенцев. Целью данной публикации является предоставление врачами современного обзора данных по влиянию ФГИР на здоровье семьи и ребенка, а также практических рекомендаций по ведению данных пациентов. Материалы и методы. Проанализированы руководства и экспертные рекомендации. Результаты. ФГИР являются частой причиной беспокойства родителей и ухудшения качества жизни ребенка и членов семьи. Кроме того, они опре-деляют существенные финансовые затраты родителей, страховых компаний и системы здравоохранения в целом. Первичной задачей ведения мла-денцев с ФГИР является уменьшение выраженности симптомов у ребенка и улучшение качества жизни семьи. В тех случаях, когда тактика ведения не ограничивается успокоением родителей, адекватная диетотерапия может быть рекомендована как эффективный и наиболее безопасный метод. Заключение. К основным задачам специалистов в области здравоохранения при ведении детей с ФГИР относятся успокоение родителей, опре-деление оптимальной тактики диетотерапии и ограничение необоснованного использования медикаментов. Ключевые слова: запор, функциональные гастроинтестинальные расстройства, младенец, младенческие колики, питание, регургитация, рефлюкс. Для цитирования: Vandenplas Y., Hauser B., Salvatore S. Функциональные гастроинтестинальные расстройства: влияние на здоровье ребенка и семьи. Педиатрия. Consilium Medicum. 2020; 1: 36–41. DOI: 10.26442/26586630.2020.1.190721

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