الفهرس 
IRRITABLE BOWEL SYNDROME OVERVIEWOnly 14 pages are availabe for public view
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Abstract
Background: Irritable bowel syndrome (IBS) is one of pediatric pain- dominant functional gastrointestinal disorder that has negative impact on child’s daily activities, education and health related quality of life, and can often persist into adulthood. Dietary approach consists of restricting foods with high fermentable oligo-, di-, and monosaccharides, and polyols (FODMAPs) can be used to decrease symptoms of IBS. Methods: 84 patients aged from 5 -15 years old were randomly assigned to two groups, 42 patients in low FODMAP diet group and 42 patients in standard diet group. The patients received the diet for 6 weeks and followed up weekly using visual analogue scale for pain severity assessment, PedsQL Gastrointestinal symptoms module scale for IBS and other gastrointestinal symptoms assessment ( child report), PedsQL life inventory Generic core score (child report) to assess physical and psychosocial functioning of the patients. Results: out of 84 patients 80patients continues the study, 39 in the low FODMAPs group and 40 in the standard group. VAS score decreased from 9.15 ± 0.71 to 0.90 ±0.79 in the low FODMAPs group, and from 8.90 ± 0.92 to 4.54 ±1.07 in the standard group, PedsQL gastrointestinal symptoms module scale increased from 71.04 ± 6.07 to 91.37 ±4.99 in the low FODMAPs group and from 72.34 ± 6.18 to 84.16 ±6.26 in the standard group, PedsQL life inventory generic core score increased from 90.27 ± 7.03 to 98.13 ±1.98 in low FODMAPs group and from 90.87 ± 6.44 to 96.18 ±3.37 in the standard diet group. Conclusion: Low FO”[’DMAPs dietary intervention in pediatrics for 6 weeks decreases abdominal pain severity, improves gastrointestinal symptoms and improves health related quality of life of the affected children.