Lusine Ambartsumyan - Pediatric Constipation: What to Do When You Get Stuck

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Ann Ming Yeh about non-pharmacological treatment for children and adolescents with chronic abdominal pain and nausea, including lifestyle modification, herbal supplements, and acupuncture. Dr. Yeh is a pediatric gastroenterologist at Lucile Packard Children's Hospital and Clinical Professor at Stanford University.Learning Objectives:Understand the definition of integrative health.Recognize herbal supplements that can help children with chronic abdominal pain and nausea.Recognize the role of acupuncture for children with chronic abdominal pain and nausea.Links:Natural Medicine Database: https://naturalmedicines.therapeuticresearch.com/CHOP Integrative Health Resources: https://www.chop.edu/centers-programs/integrative-health/resources National Pediatric Hypnosis Training Institute (NPHTI): https://www.nphti.org/Helms Medical Institute: https://hmieducation.com/Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Jason Silverman and Jennifer Lee sit down with Dr. Nikhil Pai on the early life development of the gut microbiome and its impacts on pediatric health and disease. Dr. Pai is an Associate Professor of Pediatrics at the Perelman School of Medicine and a pediatric gastroenterologist at the Children’s Hospital of Philadelphia. Learning objectives:To understand the early life influences on microbiome development.To review the influence of our microbiome on various aspects of health and specific diseases.To review various modalities for influencing the microbiome including prebiotics, probiotics, antibiotics and more. Links:Season 2 Episode 24: Stacy Kahn - Fecal Microbiota TransplantationSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In our first ever Spanish episode, guest hosts Dr. Jose Garza and Dr. Rosalyn Diaz talk to Dr. Marina Orsi about cow's milk protein intolerance -- and the upcoming World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition in Buenos Aires, Argentina!Bienvenidos al primer episodio de Bowel Sounds en español. En este episodio, los anfitriones, Dr. José Garza y Dra. Rosalyn Díaz, conversan con la Dra. Marina Orsi sobre intolerancia a las proteínas de la leche de vaca en los lactantes. Discutiremos la presentación más común de esta condición, estrategias de evaluación y tratamiento, además de qué hacer si la intervención inicial falla. Aprovecharemos para entusiasmarlos a todos e invitarlos al World Congress en Argentina este próximo mes de diciembre.La Dra. Marina Orsi, es jefa del Servicio de Gastroenterología-Hepatología y Trasplante Hepato-intestinal Pediátrico del Hospital Italiano de Buenos Aire, y actual presidenta de FISPGHAN, Federación Internacional de Sociedades de Hepatología, Gastroenterología y Nutrición Pediátrica. Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Temara Hajjat and Jason Silverman debrief Dr. Sandeep Gupta on his NASPGHAN Research Year in Review talk. Dr. Gupta is a Professor of Pediatrics at the University of Alabama Birmingham and the North American Editor of JPGN and JPGN Reports.  Learning Objectives:Review impactful clinical research papers in eosinophilic gastrointestinal disorders, celiac disease, and inflammatory bowel disease from 2024Review impactful clinical research papers in hepatology from 2024 Review impactful clinical research papers in nutrition and obesity medicine from 2024Links: Dr. Sandeep Gupta's slides - please refer to these slides for more information on papers mentioned in this episodeDevelopment of Fibro-PeN, a clinical prediction model for moderate-to-severe fibrosis in children with nonalcoholic fatty liver disease. CHALF Score: A Novel Tool to Rapidly Risk Stratify Children in Need of Liver Transplant Evaluation Druing Acute Liver FailureSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

We're kicking off Season 6 of our little podcast with a very special guest -- the one and only Margaret Stallings, Executive Director of NASPGHAN!  With her upcoming retirement, we ask her to look back on her time with our beloved society and tell us about how she started working for NASPGHAN, the friendships she has made along the way, what it has been like working with so many of the pioneers in our field, and what makes our society special.From all of NASPGHAN, thank you Margaret for everything you have done to build our society into what it is today.See you all at #NASPGHAN24 in Hollywood, Florida!Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Temara Hajjat and Peter Lu  talk to Dr. Marisa Stahl about the benefits, value, and controversy of mass screening for celiac disease and Type 1 Diabetes of children from 1-17 years old regardless of their symptoms.  Dr. Stahl is a pediatric gastroenterologist and an Assistant Professor at the University of Colorado School of Medicine.  Learning Objectives:Understanding the value of mass screening of children for celiac disease and type 1 diabetes.Understand the interpretation of the ASK study https://www.askhealth.org/.Recognize the approach of Islet Autoantibody testing for kids with celiac disease.References:ASK study results:  Mass Screening for Celiac Disease: The Autoimmunity Screening for Kids Study. 1 year outcomes for the ASK study: One-Year Outcomes Among Children Identified With Celiac Disease Through a Mass Screening ProgramFor patients interested in participating in ASK, here is the link: https://www.askhealth.org/for-parents (at-home and lab kits are available, so screening can be done anywhere in the United States).For providers wanting more information on islet autoimmunity and type 1 diabetes screening: https://www.asktheexperts.org/for-providersThe upcoming Celiac Disease Screening Symposium:  Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Lusine Ambartsumyan about caring for children with refractory functional constipation. We discuss the evaluation and treatment of both children and infants with constipation that continues despite usual treatment with education, behavioral strategies, and stool softeners/laxatives.Dr. Ambartsumyan is a pediatric gastroenterologist and Director of Gastrointestinal Motility at Seattle Children's as well as Associate Professor at the University of Washington School of Medicine.  She is an internationally-recognized expert on pediatric constipation.Learning Objectives:Understand the importance of and proper technique for the physical examination of a child or infant with refractory constipation.Understand the indications for anorectal and colonic manometry testing in children with refractory constipation.Recognize the treatment options available for refractory constipation in children.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this special JPGN episode, hosts Drs. Jason Silverman and Jennifer Lee talk to Dr. Nicola Jones about the newly released Updated joint ESPGHAN/NASPGHAN guidelines for management of Helicobacter pylori infection in children and adolescents.  Dr. Jones is a Senior Scientist in the Cell Biology Program, a staff physician in the Division of Gastroenterology, Hepatology and Nutrition at SickKids and a Professor of Paediatrics and Physiology at the University of Toronto. Her research focuses on understanding the mechanisms responsible for gastrointestinal inflammatory diseases including Helicobacter pylori and inflammatory bowel disease. Learning Objectives:Understand the indications and recommended methods for testing for  H pylori in children and adolescents.Outline the recommendations for treatment regimens and follow-up testing for the eradication of H pylori in children and adolescents. Understand where the new guidelines differ from previous guidance.Links:- Updated guidelines (open access!)Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this special Bowel Sounds and Nutrition Pearls collaboration episode, hosts Dr. Jennifer Lee and clinical dietitian Jennifer Smith talk to Dr. Jennie David about body image children with GI disorders.   This podcast delves into body image, connecting it to weight stigma and its impact on patients of all genders, especially those with pediatric GI conditions. It examines how social media influences body image and offers tips for discussing these concerns neutrally in clinical settings. The episode also provides practical advice for navigating sensitive topics like weight and eating disorders.Dr. Jennie David is a pediatric psychologist who specializes in Inflammatory Bowel Disease at Nationwide Children’s Hospital. Her clinical work and research centers on body image, medical decision-making, and perioperative IBD care. Learning Objectives: Understand the Concept of Body Image and Its Impact  Identify the Influence of Social Media and chronic GI diseases on Body Image  Develop Strategies for Discussing Body Image in Clinical Settings Links:Strings, S. (2019). Fearing the Black body: The racial origins of fat phobia. New York University Press Kite, L., & Kite, L. (2020). More than a body: Your body is an instrument, not an ornament. Houghton Mifflin Harcourt. David JG et al. Assessing the prevalence of and risk factors for disordered eating attitudes and behaviors in adolescents with inflammatory bowel disease. Inflam Bowel Dis. 2022;28(1):143-145.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Kara Margolis about caring for autistic children with GI disorders. We discuss the relationship between autism and the GI tract, how GI disorders can present differently in autistic children, and ways to improve our clinical care for autistic children with GI disorders.Dr. Margolis is a pediatric gastroenterologist at NYU Langone Health, Associate Professor at the NYU Grossman School of Medicine, and Director of the NYU Pain Research Center. She is one of the leading physician scientists in the study of children with disorders of gut-brain interaction and their relationship with autism spectrum disorder.Learning Objectives:Recognize the relationship between autism spectrum disorder and the gastrointestinal tract.Understand ways to improve our clinical care for autistic children with GI disorders.Understand the current evidence (or lack of) for probiotic supplements and dietary treatment for autistic children with GI disorders.Links:Hung, L. Y., & Margolis, K. G. (2024). Autism spectrum disorders and the gastrointestinal tract: insights into mechanisms and clinical relevance. Nature reviews. Gastroenterology & hepatology, 21(3), 142–163.Buie, T., & Margolis, K. (2024). Considerations for treating autistic individuals in gastroenterology clinics. The lancet. Gastroenterology & hepatology, 9(8), 684–686.Colliderscope Podcast Episode: Kara Margolis on the Importance of Kindness in the LabSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.