toddlers-diarre (LH Indholdsside)

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    <Content>
      <HtmlField Name="PageContent"><![CDATA[<h2>Diagnose</h2>
<h3>Diagnostiske kriterier<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61" data-value-piped="Guarino A, Lo Vecchio A, Berni Canani R|Chronic diarrhoea in children.|Best Pract Res Clin Gastroenterol|2012|26|649-61|23384809" data-url="reference-link" data-pubmedid="23384809" title="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61"><sup>2</sup></a><sup>,</sup><a href=" " data-type="book-reference" data-value="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023" data-value-piped="Martin MG, Thiagaraj Jr.|Overview of the causes of chronic diarrhoea in children in ressource-rich settings|www.uptodate.com|Wolters Kluwer|2023" data-url="reference-link" title="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023"><sup>3</sup></a></h3>
<ul>
    <li>Overvej andre &aring;rsager til kronisk diarr&eacute;, som dog alle er sj&aelig;ldne</li>
    <li>Infekti&oslash;se, herunder s&aelig;rligt fokus p&aring;&nbsp;<a href="~/link.aspx?_id=87345BA88A634B8EA3D8C5BE7A0F4299&amp;_z=z">Clostridium difficile</a>&nbsp;og&nbsp;<a href="~/link.aspx?_id=7ED5E663FE8A454BAC60B810FDB6D571&amp;_z=z">Giardia Lamblia</a></li>
    <li>Allergisk betinget diarr&eacute;, f.eks.&nbsp;<a href="~/link.aspx?_id=C481FB351ED042C9A135AF8AE1DE2747&amp;_z=z">allergi overfor kom&aelig;lksprotein</a></li>
    <li><a href="~/link.aspx?_id=935A845E8C8643229D937C40DCE2A30F&amp;_z=z">C&oslash;liaki</a>&nbsp;</li>
    <li>Post gastroenteritissyndrom</li>
    <li><a href="~/link.aspx?_id=6F049EF2DEE24D36BF754C81BA2AF16F&amp;_z=z">Laktosemalabsorption</a></li>
    <li>Inflammatorisk tarmsygdom</li>
    <li><a href="~/link.aspx?_id=61A2A44E813A469CA54B2ACCC559ED2B&amp;_z=z">Colon irritabile</a>&nbsp;hos st&oslash;rre b&oslash;rn</li>
    <li>Medf&oslash;dte alvorlige diarr&eacute;sygdomme med differentieret patofysiologi vil oftest vise sig allerede i neonatalperioden og er ikke reelt en differentialdiagnose</li>
</ul>
<h3>Sygehistorie<a href=" " data-type="journal-reference" data-value="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61" data-value-piped="Guarino A, Lo Vecchio A, Berni Canani R|Chronic diarrhoea in children.|Best Pract Res Clin Gastroenterol|2012|26|649-61|23384809" data-url="reference-link" data-pubmedid="23384809" title="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61"><sup>2</sup></a><sup>,</sup><a href=" " data-type="book-reference" data-value="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023" data-value-piped="Martin MG, Thiagaraj Jr|Overview of the causes of chronic diarrhoea in children in ressource-rich settings|www.uptodate.com|Wolters Kluwer|2023" data-url="reference-link" title="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023"><sup>3</sup></a></h3>
<ul>
    <li>Barnets alder</li>
    <li>Varighed af symptomer</li>
    <li>V&aelig;gttab, v&aelig;gt&oslash;gning eller er barnet i god trivsel?</li>
    <li>Aff&oslash;ringens hyppighed, form og udseende (antal, natlige, vandigt, blod, pus, fedt, farve)</li>
    <li>Mavesmerter</li>
    <li>Kostanamnese</li>
    <li>Evt. ledsagesymptomer</li>
    <li>Famili&aelig;re dispositioner til tarmsygdomme</li>
</ul>
<h3>Kliniske fund<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61" data-value-piped="Guarino A, Lo Vecchio A, Berni Canani R|Chronic diarrhoea in children.|Best Pract Res Clin Gastroenterol|2012|26|649-61|23384809" data-url="reference-link" data-pubmedid="23384809" title="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61"><sup>2</sup></a></h3>
<ul>
    <li>Langvarig diarr&eacute;</li>
    <li>Typisk tynd og vandig aff&oslash;ring/diarr&eacute; uford&oslash;jede f&oslash;derester og evt. pus/mucus</li>
    <li>Normal unders&oslash;gelse af abdomen - sj&aelig;ldent/aldrig mavesmerter</li>
    <li>God almen tilstand&nbsp;</li>
    <li>Normal trivsel (v&aelig;gt og h&oslash;jde)</li>
</ul>
<h3>Supplerende unders&oslash;gelser i almen praksis</h3>
<ul>
    <li>Evt. unders&oslash;gelse af f&aelig;ces for Cl. difficile og/eller Giardia lamblia</li>
    <li>Makroskopisk inspektion af f&aelig;ces</li>
    <li>Aff&oslash;rings- og mavepinedagbog</li>
    <li>F&aelig;ces dyrkning for patogene tarmbakterier</li>
</ul>
<h3>Andre unders&oslash;gelser hos specialist</h3>
<ul>
    <li>Ved usikkerhed om diagnosen:&nbsp;
    <ul>
        <li>Almindelige blodpr&oslash;ver (Hb, albumin, CRP, MCV, ferritin)</li>
        <li>C&oslash;liakiantistoffer, RAST for m&aelig;lk, gentest for laktosemalabsorption (skoleb&oslash;rn)</li>
        <li>F&aelig;ces calprotectin</li>
    </ul>
    </li>
</ul>
<h3>Differentialdiagnoser</h3>
<ul>
    <li>Andre &aring;rsager til langvarig diarr&eacute; - se ovenfor</li>
</ul>
<h2>Behandling<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61" data-value-piped="Guarino A, Lo Vecchio A, Berni Canani R|Chronic diarrhoea in children.|Best Pract Res Clin Gastroenterol|2012|26|649-61|23384809" data-url="reference-link" data-pubmedid="23384809" title="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61"><sup>2</sup></a><sup>,</sup><a href=" " data-type="book-reference" data-value="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023" data-value-piped="Martin MG, Thiagaraj Jr|Overview of the causes of chronic diarrhoea in children in ressource-rich settings|www.uptodate.com|Wolters Kluwer|2023" data-url="reference-link" title="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023"><sup>3</sup></a></h2>
<h3>Behandlingsm&aring;l</h3>
<ul>
    <li>Accept af symptomer</li>
    <li>Optimalt symptomfrihed</li>
</ul>
<h3>Generelt om behandlingen</h3>
<ul>
    <li>Overvejende er det v&aelig;sentligste, at for&aelig;ldre og n&aelig;rmilj&oslash; accepterer tilstanden i den periode, det st&aring;r p&aring;</li>
    <li>Symptomerne bedres eller svinder spontant, typisk omkring skolealder</li>
    <li>Hos nogle har det en effekt at reducere indtaget af frugtjuice og frugtsukker og sorbitol</li>
    <li>Hos nogle har det en effekt at &oslash;ge indholdet af fedt i kosten til 35-50 % af det samlede kalorieindtag</li>
</ul>
<h3>H&aring;ndtering i almen praksis</h3>
<ul>
    <li>B&oslash;r normalt kunne h&aring;ndteres i almen praksis uden st&oslash;rre udredning. Henvis ved usikkerhed ved diagnosen fx d&aring;rlig trivsel og nogle gange ogs&aring; hvis der er s&aelig;rlig for&aelig;ldrebekymring.</li>
</ul>
<h3>R&aring;d til patienten</h3>
<ul>
    <li>Fors&oslash;gsvis elimination eller &oslash;gning af visse komponenter i kost
    <ul>
        <li>Hos nogle har det en effekt at reducere indtaget af frugtjuice, frugtsukker og sorbitol</li>
        <li>Hos nogle har det en effekt at &oslash;ge indholdet af fedt i kosten til 35-50 % af det samlede kalorieindtag</li>
    </ul>
    </li>
    <li>Undg&aring; overspisning</li>
</ul>
<h3>Medicinsk behandling</h3>
<ul>
    <li>Ingen</li>
</ul>
<h3>Anden behandling</h3>
<ul>
    <li>Fors&oslash;gsvis elimination af frugtjuice og frugtsukker</li>
    <li>Fors&oslash;gsvis &oslash;gning af fedtindhold i kost</li>
</ul>
<h3>Forebyggende behandling</h3>
<ul>
    <li>Ingen</li>
    <li> Der er ikke evidens for, at probiotika har effekt p&aring; symptomatologi</li>
</ul>
<h2>Henvisning</h2>
<ul>
    <li>Ved mistanke om p&aring;virket trivsel og almen tilstand</li>
    <li>Ved tiltagende diarr&eacute; eller blodig diarr&eacute;</li>
    <li>Ved behov for supplerende invasive og non-invasive unders&oslash;gelser</li>
</ul>
<h2>Opf&oslash;lgning</h2>
<h3>Plan</h3>
<ul>
    <li>Ved usikkerhed om diagnosen: Opf&oslash;lgning hos egen l&aelig;ge</li>
</ul>
<h3>Hvad b&oslash;r man kontrollere?</h3>
<ul>
    <li>Som minimum: M&aring;ling af v&aelig;gt og h&oslash;jde samt evt. inspektion af aff&oslash;ring</li>
</ul>
<h2>Sygdomsforl&oslash;b, komplikationer og prognose<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61" data-value-piped="Guarino A, Lo Vecchio A, Berni Canani R|Chronic diarrhoea in children.|Best Pract Res Clin Gastroenterol|2012|26|649-61|23384809" data-url="reference-link" data-pubmedid="23384809" title="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61"><sup>2</sup></a><sup>,</sup><a href=" " data-type="book-reference" data-value="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023" data-value-piped="Martin MG, Thiagaraj Jr|Overview of the causes of chronic diarrhoea in children in ressource-rich settings|www.uptodate.com|Wolters Kluwer|2023" data-url="reference-link" title="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023"><sup>3</sup></a></h2>
<h3>Sygdomsforl&oslash;b</h3>
<ul>
    <li>Spontan remission omkring 5-6 &aring;rs alder</li>
</ul>
<h3>Komplikationer</h3>
<ul>
    <li>Ingen</li>
</ul>
<h3>Prognose</h3>
<ul>
    <li>God</li>
</ul>
<h2>Baggrundsoplysninger</h2>
<h3>Definition<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61" data-value-piped="Guarino A, Lo Vecchio A, Berni Canani R|Chronic diarrhoea in children.|Best Pract Res Clin Gastroenterol|2012|26|649-61|23384809" data-url="reference-link" data-pubmedid="23384809" title="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61"><sup>2</sup></a><sup>,</sup><a href=" " data-type="book-reference" data-value="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023" data-value-piped="Martin MG, Thiagaraj Jr|Overview of the causes of chronic diarrhoea in children in ressource-rich settings|www.uptodate.com|Wolters Kluwer|2023" data-url="reference-link" title="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023"><sup>3</sup></a>&nbsp;</h3>
<ul>
    <li>Toddler's diarr&eacute; er synonym med diagnoserne funktionel diarr&eacute; eller kronisk non-specifik diarr&eacute;</li>
    <li>Funktionel diarr&eacute; hos b&oslash;rn og unge defineres ud fra de internationale Rom IV kriterier</li>
    <li>Funktionel diarr&eacute; viser sig i f&oslash;rskolealderen som Toddler's diarr&eacute;</li>
    <li>Toddler's diarr&eacute; er godartet og ses relativt hyppigt hos b&oslash;rn i f&oslash;rskolealderen</li>
    <li>Tilstanden ses hos b&oslash;rn &frac12;-5 &aring;r gamle i normal trivsel og defineres ved mere end 3 daglige smertefri uformede afff&oslash;ringer i minimum 4 uger</li>
    <li>Tilstanden skal ikke behandles men bedres radikalt eller forsvinder oftest spontant omkring skolealder</li>
</ul>
<h3>Forekomst</h3>
<ul>
    <li>Hyppigste &aring;rsag til kronisk diarr&eacute; (diarr&eacute; &gt; 14 dage) hos &oslash;vrigt raske b&oslash;rn i i-lande<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a></li>
    <li>28 % af alle b&oslash;rn med kronisk diarr&eacute; p&aring; terti&aelig;rt niveau havde funktionel diarr&eacute;<a href=" " data-type="journal-reference" data-value="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61" data-value-piped="Guarino A, Lo Vecchio A, Berni Canani R|Chronic diarrhoea in children.|Best Pract Res Clin Gastroenterol|2012|26|649-61|23384809" data-url="reference-link" data-pubmedid="23384809" title="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61"><sup>2</sup></a></li>
    <li>Overordnet forekomst: 6-7 % af b&oslash;rn mindre end 5 &aring;r<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a></li>
    <li>
    2,4 % af b&oslash;rn under 1 &aring;r havde funktionel diarr&eacute;<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a></li>
    <li>6,4 % af b&oslash;rn mellem 1 og 3 &aring;r havde funktionel diarr&eacute;<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a></li>
</ul>
<h3>&AElig;tiologi og patogenese<a href=" " data-type="journal-reference" data-value="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: " data-value-piped="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S|Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.|Gastroenterology|2016|||27144631" data-url="reference-link" data-pubmedid="27144631" title="Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S, Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology 2016;: "><sup>1</sup></a><sup>,</sup><a href=" " data-type="journal-reference" data-value="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61" data-value-piped="Guarino A, Lo Vecchio A, Berni Canani R|Chronic diarrhoea in children.|Best Pract Res Clin Gastroenterol|2012|26|649-61|23384809" data-url="reference-link" data-pubmedid="23384809" title="Guarino A, Lo Vecchio A, Berni Canani R, Chronic diarrhoea in children. Best Pract Res Clin Gastroenterol 2012;26: 649-61"><sup>2</sup></a><sup>,</sup><a href=" " data-type="book-reference" data-value="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023" data-value-piped="Martin MG, Thiagaraj Jr|Overview of the causes of chronic diarrhoea in children in ressource-rich settings|www.uptodate.com|Wolters Kluwer|2023" data-url="reference-link" title="Martin MG, Thiagaraj Jr. Overview of the causes of chronic diarrhoea in children in ressource-rich settings. www.uptodate.com: Wolters Kluwer; 2023"><sup>3</sup></a> </h3>
<ul>
    <li>&Aring;rsagen er overvejende ukendt</li>
    <li>Hos nogle raske f&oslash;rskoleb&oslash;rn ses en meget kort tarmpassagetid pga. umoden tarm med mangel p&aring; normal tarmmotilitet</li>
    <li>Sammenh&aelig;ng med kost; overspisning, indtag af meget frugtjuice, fruktose, sorbitol - reduceret indtag af fedt</li>
</ul>
<h3>Disponerende faktorer</h3>
<ul>
    <li>Der er ikke kendte disponerende faktorer</li>
</ul>
<h3>ICPC-2</h3>
<p>[ICPC]</p>
<h3>ICD-10/SKS-koder</h3>
<p>[ICD10]</p>
<h2>Patientinformation</h2>
<h3>Hvad du b&oslash;r informere patienten om</h3>
<ul>
    <li>At tilstanden er godartet og spontant bedres eller g&aring;r over ved skolealder</li>
</ul>
<h3>Hvad findes af skriftlig information</h3>
<ul>
    <li><a href="~/link.aspx?_id=3FAF086E0EC046D993383A9919C41922&amp;_z=z">Sm&aring;barnsdiarr&eacute;
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</ul>
<h2>Link til vejledninger</h2>
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<h3>Diagnose</h3>
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    <li>God almen tilstand</li>
    <li>God trivsel</li>
</ul>
<h3>Behandling</h3>
<ul>
    <li>Accept af symptomer som er forbig&aring;ende (oph&oslash;rer typisk ved skolealder)</li>
    <li>Evt. reduktion af indtag af frugtsukker</li>
    <li>Evt. &oslash;gning af fedtindtag</li>
</ul>
<h3>Henvisning</h3>
<ul>
    <li>De fleste kan klares i almen praksis</li>
    <li>Ved p&aring;virket almen tilstand eller vigende trivsel</li>
    <li>Ved bekymring/for&aelig;ldrebekymring</li>
</ul>
<h2>Seneste v&aelig;sentlige &aelig;ndringer</h2>
<ul>
    <li>Der er intet v&aelig;sentligt nyt</li>
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