PREVALÊNCIA DOS TRANSTORNOS GASTRINTESTINAIS EM LACTENTES MENORES DE 6 MESES E SUA RELAÇÃO COM O DIAGNÓSTICO DE ALERGIA À PROTEÍNA DO LEITE DE VACA (APLV)

Abstract

Functional Gastrointestinal Disorders (FGIDs) in Breastfed children are good and transitorial disorders, but may cause distress and concern to parents and babies´ caregivers. Characterized by a set of chronic or recurrent symptoms that vary with age. There is no origin in structural, anatomical or biochemical changes, and does not hinder babies growth and development. The most common issues are colic, regurgitation, dyschezia and functional constipation. There are criteria to characterize each of these situations, which are called the ROMA IV criteria (experts meeting in Rome, in 1994 and, until today, with 3 reviews of these criteria). Cow's milk protein is considered the dietary component most often associated with food allergy in pediatrics, Data on the prevalence of CMPA are scarce, but there are reports of the incidence of CMPA by children in the very first years of life, ranging from 0.3% to 7.5%. The present study aims to determine the prevalence of functional gastrointestinal disorders in children younger than 6 months; analyze the onset of symptoms of Gastrointestinal Disorders and those that may be related to the diagnosis of APLV and determine the importance of using the CoMiSS Score for the diagnosis of APLV. It will be carried out in childcare consultations at the Pediatrics outpatient clinic of Hospital Universitário Lauro Wanderlei,in order to establish its differentiation with the Functional Gastrointestinal Disorders (FGIDs) in Breastfed children and thereby institute a proposal approach based on recent international recommendations for the best and most appropriate management on the diagnosis and treatment of these children.