Children with autism spectrum disorder (ASD) are at higher risk of medical issues and are more prone to gastrointestinal (GI) disorders, which can worsen the symptoms of ASD, significantly affecting their health, learning, and development, and impacting their behavior.
Gastrointestinal health in children with ASD has become an important area of research, with researchers looking at common digestive problems, possible contributing factors, challenges around diagnosis, and how managing these problems may affect children’s overall wellbeing.
A 2023 review published in the World Journal of Clinical Pediatrics took a closer look at this relationship. Published on September 9, 2023, the review examined gastrointestinal disorders in children with ASD, including their potential causes, diagnosis, treatment, and their effects on areas such as behavior, sleep, learning, and quality of life.
The review, Role of gastrointestinal health in managing children with autism spectrum disorder, explored why identifying and managing GI problems may be an important part of supporting children with ASD.
GI Issues in Children With ASD
GI issues may include:
- Food intolerances
- Constipation
- Irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD)
The causes of GI disorders can include gut dysbiosis, immune dysfunction, food sensitivities, digestive enzyme deficiencies, and sensory processing differences. Selective eating habits can also lead to unbalanced diets and bring on or exacerbate GI problems.
Diagnosing GI issues in ASD can be difficult as there are often communication issues and there is a lack of clinical guidelines in this area.
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Signs Parents Can Look For
As a parent, you are most likely to notice changes or behaviors in your child that are possibly linked with a GI issue. These include, but are not limited to:
- Showing unusual postures, such as hanging over the side of furniture or walking with a bent posture
- Sleep problems and nightmares
- Food intolerances, including new food reactions or sensitivities. These will often show up as tummy upsets, skin rashes or feelings of nausea
- Aggressive behaviours
- Attention issues
Treating GI disorders has been shown to improve ASD symptoms.
Managing GI Issues
When pursuing any testing with your healthcare practitioners, ensure they look for coeliac disease or gluten sensitivity. Whilst coeliac disease is not more common in ASD, there is an overlap. Work with your healthcare practitioner if considering removing any food groups from your child’s diet, to ensure no further nutrient depletion occurs.
Understanding the nuances of diet and GI health in your child is key to improving outcomes. Dietary management of GI symptoms can improve digestion, nutrient absorption, and appetite by reducing physical discomfort and pain and relieving GI symptoms. This can then improve sleep, boost energy levels, and contribute to overall well-being, leading to a better quality of life and improved family dynamics.
About Lynn Joels
Lynn has a passion for the health and wellbeing of children, with it being at the heart of her professional life for over 20 years. A fully qualified pediatric naturopath and healthcare professional, she has always worked with the goal of improving the lives of the children and families she has the privilege of supporting.
Learn more about Lynn, her work, and her approach to children’s health and wellbeing on her website
Read More: Nearly 40% of Kids With Autism Are Missing This Key Nutrient
Sources
- Al-Beltagi M, et al. World J Clin Pediatr. 2023;12(4):171-196.
Disclaimer: This information is not intended to be a substitute for professional medical advice, diagnosis or treatment and is for information only. Always seek the advice of your physician or another qualified health provider with any questions about your medical condition and/or current medication. Do not disregard professional medical advice or delay seeking advice or treatment because of something you have read here.