This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

An Unappreciated Cause of Chronic Diarrhea

Jeffrey S. Hyams, MD; Alan M. Leichtner, MD

Am J Dis Child. 1985;139(5):503-505.

Abstract
• Chronic nonspecific diarrhea (CNSD) remains a common pediatric problem. Previous reports have suggested disordered small intestinal motility, food intolerances, dietary fat restriction, and excessive fluid consumption as possible contributory factors. We have recently encountered a subset of children with CNSD in whom nonexcessive apple juice intake seemed to cause their diarrhea. In five subjects, ingestion of 240 mL of apple juice disclosed evidence of significant carbohydrate malabsorption by breath-hydrogen testing and resulted in diarrhea. Withdrawal of apple juice from the diets of these subjects was curative in all cases. Before em barking on an expensive and time-consuming evaluation for CNSD in otherwise healthy children, a brief restriction of apple juice intake may be warranted.

(AJDC 1985;139:503-505)

Author Affiliations
From the Department of Pediatrics, Hartford (Conn) Hospital, and the University of Connecticut Health Center, Farmington.

Footnotes
Reprint requests to Division of Pediatric Gastroenterology, Hartford Hospital, 80 Seymour St, Hartford, CT 06115-0729 (Dr Hyams).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Irritable Bowel Syndrome and Nonspecific Diarrhea in Infancy and Childhood Relationship with Juice Carbohydrate Malabsorption
Moukarzel et al.
CLIN PEDIATR 2002;41:145-150.
ABSTRACT  

The Use and Misuse of Fruit Juice in Pediatrics
Committee on Nutrition
Pediatrics 2001;107:1210-1213.
ABSTRACT | FULL TEXT  

Carbohydrate Absorption From Fruit Juices in Infants
Lifschitz
Pediatrics 2000;105:e4-e4.
ABSTRACT | FULL TEXT  

A Review of Bowel and Bladder Control Development in Children: How Gastrointestinal and Urologic Conditions Relate to Problems in Toilet Training
Issenman et al.
Pediatrics 1999;103:1346-1352.
FULL TEXT  

Toddler diarrhoea: more a nutritional disorder than a disease
HOEKSTRA
Arch. Dis. Child. 1998;79:2-5.
FULL TEXT