Water Load Test in Children with Chronic Abdominal Pain or Obesity Compared with Nonobese Controls.

Abstract:

OBJECTIVE:Satiety is the perception of satisfied fullness and represents a summation of neural and hormonal influences. Satiety can be assessed by drink tests, including water load. The objective of our study was to confirm the difference in water load volume between nonobese control children and children with functional dyspepsia (FD), children with irritable bowel syndrome (IBS), and obese children. METHODS:A total of 158 children ages 6 to 13 years participated in the study. There were 43 children with FD, 25 with IBS, 44 obese children, and 46 nonobese age-matched control children. Subjects drank as much water as possible in 3 minutes or until their stomachs felt full. RESULTS:Children in the FD and IBS groups drank less water than did the nonobese controls; the obese children drank more water than did the nonobese controls. The water load test demonstrated high specificity but poor sensitivity in predicting children with FD. CONCLUSIONS:A water load test offers a simple, noninvasive research tool to measure satiety. Children with chronic abdominal pain drank less than nonobese control children; however, the water load test did not discriminate between FD and IBS. Obese children drank more water than the other groups, suggesting the possibility of an underlying abnormality in the perception of satiety.

journal_name

South Med J

journal_title

Southern medical journal

authors

Arrouk R,Karpinski A,Lavenbarg T,Belmont J,McCallum RW,Hyman P

doi

10.14423/SMJ.0000000000000612

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

168-171

issue

3

eissn

0038-4348

issn

1541-8243

pii

SMJ50341

journal_volume

110

pub_type

杂志文章
  • Current status and future role of health screening.

    abstract::To date, screening has largely failed to fulfill the hope that early detection would lead to more effective early treatment and to improved health status in the population served. The future role of screening can be much more positive but only if (1) screening is directed only at diseases and conditions for which earl...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: North AF Jr

    更新日期:1977-10-01 00:00:00

  • Total gastrectomy for gastric carcinoma.

    abstract::We retrospectively analyzed experience with total gastrectomy (TG) for gastric carcinoma in 23 patients. The TNM stage was I in one patient, II in one patient, III in eight patients, and IV in 13. Linitis plastica was found in ten patients. The operation was considered curative in only eight patients (35%). There were...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198908000-00011

    authors: Brando CR,Halpern NB,Aldrete JS

    更新日期:1989-08-01 00:00:00

  • Self-help and self-care in chronic illness.

    abstract::Some cultural and epidemiologic factors leading to a new emphasis on self-care in chronic illness are reviewed and current applications of self-care in medicine are illustrated with examples. Emotional and behavioral aspects of self-care programs are detailed with special attention to compliance, family involvement, a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198309000-00016

    authors: Grieco AL,Kopel KF

    更新日期:1983-09-01 00:00:00

  • A unique case of recurrent takotsubo cardiomyopathy.

    abstract::Takotsubo (stress induced) cardiomyopathy is also known as broken heart syndrome or transient left ventricular apical ballooning syndrome. The clinical presentation, which mimics acute myocardial infarction, is preceded by intense emotional or physical stress. Recurrence of apical ballooning syndrome seems to be rare....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181e631ce

    authors: Pathak H,Esses J,Pathak S,Frankel R,Hollander G

    更新日期:2010-08-01 00:00:00

  • Prospective study of pneumonia: unexpected incidence of legionellosis.

    abstract::In a prospective study of the etiology of pneumonia in patients hospitalized at a university hospital, all respiratory secretions were tested for routine pathogens as well as Legionella. A diagnosis was established in 60 of 87 patients studied. Of the 37 nosocomial infections, six were caused by L micdadei. Gram-negat...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198604000-00007

    authors: Rudin JE,Wing EJ

    更新日期:1986-04-01 00:00:00

  • Do brown recluse spider bites induce pyoderma gangrenosum?

    abstract::Brown recluse spider bites are usually self-limited skin lesions that infrequently progress to bullae, ulceration, and scarring. We treated a patient with a documented brown recluse bite who had recurring lesions resembling pyoderma gangrenosum (PG) that persisted for months. Three other patients referred to Vanderbil...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198503000-00012

    authors: Rees RS,Fields JP,King LE Jr

    更新日期:1985-03-01 00:00:00

  • Pediatric dyslipidemia: recommendations for clinical management.

    abstract::During the last 50 years, it has become evident that atherosclerosis originates in childhood. Although cardiovascular disease (CVD) events are rare in children, autopsy data and imaging studies have documented subclinical disease in association with measurable risk factors during childhood. When present at a young age...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000219

    authors: Wilson DP,McNeal C,Blackett P

    更新日期:2015-01-01 00:00:00

  • Prevalence of previously undiagnosed hypothyroidism in residents of a midwestern nursing home.

    abstract::Hypothyroidism in the elderly may be associated with nonspecific symptoms. To determine the prevalence of undiagnosed hypothyroidism in residents of a skilled nursing facility, we screened 434 male and 137 female residents, aged 60 years or older, for thyroid dysfunction. Overt hypothyroidism was found in three men an...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199011000-00006

    authors: Drinka PJ,Nolten WE

    更新日期:1990-11-01 00:00:00

  • Glycerol: an alternative to dexamethasone for patients receiving brain irradiation for metastatic disease.

    abstract::Forty-four patients with metastatic brain neoplasms received glycerol instead of corticosteroids during periods of brain irradiation. Headache, nausea, and vomiting were controlled in more than 90% of symptomatic patients, while paralysis, confusion, and papilledema improved in 55% to 80%. Patients with minimal or no ...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Bedikian AY,Valdivieso M,Heilbrun LK,Withers RH,Bodey GP,Freireich EJ

    更新日期:1980-09-01 00:00:00

  • Primary care quality: community health center and health maintenance organization.

    abstract:OBJECTIVE:This study compares the primary health care quality of community health centers (CHCs) and health maintenance organizations (HMOs) in South Carolina to elucidate the quality of CHC performance relative to mainstream settings such as the HMO. METHODS:Mail surveys were used to obtain data from 350 randomly sel...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000066811.53167.2E

    authors: Shi L,Starfield B,Xu J,Politzer R,Regan J

    更新日期:2003-08-01 00:00:00

  • Impact of minority physicians on health care.

    abstract:BACKGROUND:There is concern that anti-affirmative-action measures will negate gains made ill educating underrepresented minority physicians and that this underrepresentation may have a negative impact on access to health care for these same underrepresented groups. METHODS:A review of the literature was completed to e...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199811000-00003

    authors: Thurmond VB,Kirch DG

    更新日期:1998-11-01 00:00:00

  • Clonorchiasis: an update.

    abstract::The ability of Clonorchis sinensis to cause severe hepatobiliary disease is illustrated by the case we have reported, in which biliary obstruction and hepatic fibrosis resulted from the pathologic process associated with chronic clonorchiasis. Immunodiagnostic tests are currently limited, and diagnosis, as illustrated...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198707000-00030

    authors: Lin AC,Chapman SW,Turner HR,Wofford JD Jr

    更新日期:1987-07-01 00:00:00

  • Sleep apnea syndromes.

    abstract::The sleep apnea syndromes have been recognized clinically in the United States only within the past ten years. The true extent of the problem is not known, but it seems certain that these syndromes are much more common than was generally assumed five years ago. Every clinician should be aware of the signs and symptoms...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198201000-00011

    authors: Chaudhary BA,Speir WA Jr

    更新日期:1982-01-01 00:00:00

  • Sacral pressure sores: treatment with island gluteus maximus musculocutaneous flaps.

    abstract::We have used the island gluteus maximus musculocutaneous flap to cover sacral pressure sores. In this report, we describe the surgical anatomy, cadaveric dissections (n = 25), and postoperative follow-up (one to 40 months) in 13 clinical cases. Our results compare favorably with those of other previously reported seri...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Rees RS,Reilley AF,Nanney LB,Lynch JB

    更新日期:1985-10-01 00:00:00

  • Reflux, dyspepsia, and disorders of the foregut.

    abstract::Disorders of the foregut are an increasingly common cause of symptoms in Western populations. This review summarizes recent advances in the understanding and treatment of gastroesophageal reflux disease, dyspepsia and celiac disease. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000242808.91797.3d

    authors: Moss AC,Kelly CP

    更新日期:2007-03-01 00:00:00

  • Rocky Mountain spotted fever: gastrointestinal and laboratory manifestations.

    abstract::Sixty-six cases of serologically documented Rocky Mountain spotted fever (RMSF) from North Carolina are reviewed. Gastrointestinal manifestations were present in 80% of these patients. Because other common expressions of RMSF occasionally do not accompany severe gastrointestinal dysfunction, improper diagnosis and the...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197806000-00007

    authors: Middleton DB

    更新日期:1978-06-01 00:00:00

  • Metamorphosis of breast cancer.

    abstract::In two decades there has been a sweeping metamorphosis of the antiquated conception of breast cancer as a solitary mass of questionable operability, accompanied by numerous axillary lymph nodes and probably distant metastasis. An undreamed-of recognizable preclinical stage of breast cancer has drastically changed atti...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197811000-00004

    authors: Egan RL

    更新日期:1978-11-01 00:00:00

  • Pharmacologic management of obsessive-compulsive disorder.

    abstract::Obsessive-compulsive disorder (OCD) is an intriguing, difficult problem characterized by anxiety-producing intrusive thoughts and performance of anxiety-reducing rituals. Current evidence suggests that OCD may be associated with dysregulation of serotonin and dopamine neurotransmission. Numerous early studies involvin...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199403000-00003

    authors: Jackson CW,Morton WA,Lydiard RB

    更新日期:1994-03-01 00:00:00

  • Hypothyroidism with coexistent asthma: problems in management.

    abstract::This case study illustrates the relationship between hypothyroidism and bronchial asthma. As seen here, even slow and cautious restoration of the euthyroid state may lead to problems in the management of asthma. Thus routine or aggressive replacement therapy for thyroid hypofunction in the asthmatic population is not ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198403000-00037

    authors: Rowe MS,MacKechnie HL

    更新日期:1984-03-01 00:00:00

  • Altered sensorium, confusion, and vertical gaze paresis: the top of the basilar syndrome.

    abstract::The term "top of the basilar" has been used in reference to a group of signs and symptoms of midbrain, diencephalic, and posteroinferior hemispheric dysfunction. It has been attributed to ischemia in the territory of second- and third-order vessels that arise from the uppermost portion of the basilar artery. We report...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198807000-00009

    authors: Gomez CR,Hogan PA,Cruz-Rodriguez RF,Jumao-As AP

    更新日期:1988-07-01 00:00:00

  • Thrombolysis in acute pulmonary thromboembolism.

    abstract:: Acute pulmonary embolism (PE) is a common clinical condition with presentations that may vary from asymptomatic subsegmental emboli to massive vascular obstruction and shock with high risk of death. Identifying patients at highest risk for death is critical to select those who would benefit most from thrombolytic the...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e318268dbca

    authors: Vyas PA,Donato AA

    更新日期:2012-10-01 00:00:00

  • Cytomegalovirus hepatitis mimicking an acute exacerbation of chronic hepatitis B.

    abstract::We report the case of a 29-year-old woman who had acute cytomegalovirus hepatitis superimposed on previously unrecognized chronic hepatitis B infection. We then review the diagnostic approach to acute hepatitis and positive hepatitis B surface antigen. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199612000-00017

    authors: Zuschke CA,Herrera JL,Pettyjohn FS

    更新日期:1996-12-01 00:00:00

  • Terrorism and weapons of mass destruction: managing the behavioral reaction in primary care.

    abstract::Any terrorist attack using weapons of mass destruction will result in substantial psychological trauma and stress. Primary care and emergency clinics will likely see patients who have stress-related emotional or physical symptoms, or exacerbations of preexisting health concerns. Significant psychological and behaviora...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.SMJ.0000054783.69453.79

    authors: Lacy TJ,Benedek DM

    更新日期:2003-04-01 00:00:00

  • Management of chronic noncancer pain in the primary care setting.

    abstract::While opioids are regarded as the mainstay of chronic pain management, their use is controversial in the minds of many primary care physicians due to clinical concerns about dependence, abuse, and addiction and medicolegal concerns regarding state and federal regulatory authorities. For patients with moderate to moder...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e3180f626ff

    authors: Nicholson B,Passik SD

    更新日期:2007-10-01 00:00:00

  • Cantharidin: a valuable office treatment of molluscum contagiosum.

    abstract::Cantharidin in either a 0.9% or 0.7% solution is a safe and effective office treatment for molluscum contagiosum. It simplifies the treatment, especially of children, by being a quick, simple, and painless procedure, but it should be applied only by the physician. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Funt TR,Mehr KA

    更新日期:1979-08-01 00:00:00

  • Pneumococcal sepsis and meningitis in adults with sickle cell disease.

    abstract::Patients with sickle cell disease are predisposed to infection caused by Streptococcus pneumoniae. However, there has been only one published case of bacteremic pneumococcal meningitis in an adult with sickle cell anemia. We report here the cases of six adults with sickle cell disease, pneumococcal sepsis, and meningi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199009000-00005

    authors: Olopoenia L,Frederick W,Greaves W,Adams R,Addo FE,Castro O

    更新日期:1990-09-01 00:00:00

  • Successful medical management of neutropenic enterocolitis in adults with acute leukemia.

    abstract::Seven adults with acute leukemia had a clinical and radiologic diagnosis of neutropenic enterocolitis. Six of the seven patients had granulocyte counts less than 500/microliter. All seven patients responded to intensive medical therapy, including bowel rest, broad spectrum antibiotics, and white blood cell transfusion...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198710000-00008

    authors: O'Brien S,Kantarjian HM,Anaissie E,Dodd G,Bodey GP

    更新日期:1987-10-01 00:00:00

  • Radial and volar perilunate transscaphoid fracture dislocation.

    abstract::An unusual volar and radial perilunate transscaphoid fracture dislocation is reported. Treatment of perilunate transscaphoid fracture dislocations by closed reduction often produces a poor result. Early open reduction may be followed by a good result, but if open reduction is impossible, proximal row carpectomy is adv...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197507000-00025

    authors: Woodward AH,Neviaser RJ,Nisenfeld F

    更新日期:1975-07-01 00:00:00

  • Hypogammaglobulinemia in infants infected with human immunodeficiency virus.

    abstract::Two premature infants were infected with HIV via blood transfusions during the neonatal period. Although neither patient had serum antibody to HIV owing to severe hypogammaglobulinemia, HIV infection was confirmed by finding HIV antigen in the sera of both patients. These cases show that HIV infection can produce seve...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198904000-00005

    authors: Saulsbury FT

    更新日期:1989-04-01 00:00:00

  • Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky.

    abstract:OBJECTIVES:Adherence to National Comprehensive Cancer Network (NCCN) guidelines for ovarian cancer treatment improves patient outcomes. The aim of this study was to assess disparities associated with ovarian cancer treatment in the state of Kentucky and central Appalachia. METHODS:Data on patients diagnosed as having ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000821

    authors: Ore RM,Chen Q,DeSimone CP,Miller RW,Baldwin LA,van Nagell JR Jr,Huang B,Tucker TC,Johnson MS,Fredericks TI,Ueland FR

    更新日期:2018-06-01 00:00:00