Nausea is the only symptom associated with delayed gastric emptying in pediatric functional dyspepsia patients

ObjectivesFunctional dyspepsia (FD) is a heterogeneous functional gastrointestinal disorder (FGID) with a highly prevalent symptom complex. The aim of our study is to investigate the relation between symptoms of FD and results of gastric emptying (GE) breath test in children. MethodsThis study included patients (6-17 years old) presented at the general gastroenterology outpatient clinic with dyspeptic symptoms (Rome IV criteria) and underwent careful history taking with clinical examination. A GE breath test with a C-13-octanoic acid labeled (250 kcal) solid meal was performed and dyspepsia symptom scores, clarified using pictograms for postprandial fullness, bloating, belching, nausea, vomiting, epigastric pain and burning, were obtained every 15 min ranging from 0 to 4 for a total of 240 min. The severity of the complaints (overall and individual symptoms) as displayed by the symptom questionnaire was compared between normal and delayed GE groups. The relationship between GE time and the severity of FD symptoms was assessed using Mann-Whitney test. ResultsThirty nine FD patients (55% girls; mean age: 11.9 +/- 3.3 years) participated in the study. Of these, 43% had delayed GE. The overall symptom severity in patients with delayed GE was similar to the symptoms of patients with a normal GE rate (149.5 +/- 12.7 points vs. 123.9 +/- 9.0; p = 0.19). Individual symptoms scores showed only nausea to be significantly increased in the group with delayed GE (21.5 +/- 1.9 points vs. 33.2 +/- 4.6; p = 0.048, p < 0.1). ConclusionEspecially in children with nausea as presenting symptom of FD, a low threshold should be withheld to perform a GE breath test.

Automated summary

The study aimed to investigate the relationship between symptoms of functional dyspepsia (FD) and results of gastric emptying (GE) breath test in children. The results showed that patients with delayed GE had similar overall symptom severity compared to patients with normal GE rates, but nausea symptom was significantly increased in the group with delayed GE. Therefore, a low threshold should be withheld to perform a GE breath test in children with nausea as a presenting symptom of FD.