Staying Healthy
Preventive care is key to avoiding long-term health problems.
digestive issues
Gastrointestinal problems occur two to three times more often in autistic people than in the general population.
Gastroesophageal Reflux Disease (GERD) is common in both autistic children and adults, and can affect appetite, sleep, and behavior.
Reflux is the backward flow of acid from the stomach into the esophagus. GERD is when the closure of the lower esophagus becomes weak from recurring acid reflux. Symptoms include heartburn, regurgitation, chest pain, dry cough, shortness of breath, or trouble swallowing. Persistent GERD can lead to more serious health conditions like esophagitis.
Dr. Timothy Buie, a pediatric gastroenterologist at Boston Children’s Hospital whose research and practice focuses largely on autistic patients with digestive issues, notes that non-verbal autistic people sometimes exhibit behaviors that indicate GERD, reflux, or other digestive issues. In this video, Dr. Buie explains some of the behaviors that may indicate digestive upset:
If frequent heartburn or reflux is suspected it should be brought to the attention of a PCP. They may recommend over the counter remedies such as antacids, famotidine, or omeprazole. Regardless, any condition that persists should be referred to a gastroenterologist for proper assessment, diagnosis and treatment.
Autistic adults requiring treatment for GERD may need to have an endoscopy, which is a process in which a gastroenterologist examines the digestive tract by inserting a tube with a tiny light and a camera down the throat. Because medical procedures of this kind can be particularly stressful for autistic people, patients and caregivers should discuss accommodations for making the procedure as tolerable as possible with the gastroenterologist and hospital staff. [link to accommodations article]
Diet can contribute to the occurrence of increase stomach acid. To reduce the occurrence and uncomfortable symptoms of reflux/GERD, autistic adults will want to limit certain foods, including:
mint
orange/grapefruit juice
tomatoes
onions
chocolate
fried/spicy foods
carbonated drinks
Foods and ingredients that can help:
banana
rice
oatmeal
melon
ginger
salmon
sweet potatoes
carrots
beets
Lifestyle changes to consider:
avoid eating near bedtime
drink plenty of water
eat several small meals instead of three large ones
placing a bolster under a mattress or using extra pillows to keep the head raised, which lessens the chance of acid rising to irritate the esophagus during sleep
For autistic adults in day programs or who live in residential placements, communication about dietary health can assist in managing GI conditions. Our Dietary Plan Tool is one way of helping caregivers and staff understand and contribute to positive health across the lifespan.
A tool for communicating with schools and providers about dietary needs and interventions.
Download ResourceAAHR has more informaation on conditions often seen in autistic adults, advice for care givers, tips for maintaining good health, and more.
Preventive care is key to avoiding long-term health problems.
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