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Irritable bowel syndrome (IBS) in children manifests as abdominal pain and constipation (cIBS), diarrhea (dIBS), or alternating constipation and diarrhea (aIBS). To describe changes in pediatric IBS symptoms over time, researchers surveyed 83 Italian children (mean age, 11 years) at the time of IBS diagnosis and after 24 months.
Thirty-four children had cIBS, 26 had dIBS, and 23 had aIBS. Initial symptom scores were low (score 1 or 2) in 58 children and high (3 or 4) in 25. Thirty-six children were treated symptomatically with either polyethylene glycol, probiotics, or trimebutine.
Spontaneous resolution of symptoms occurred in 48 patients (58%) and did not differ by IBS subtype (c, d, or a), sex, or age. Though differences were not statistic…