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CAPÍTULO 45  DOLOR ABDOMINAL RECIDIVANTE EN PEDIATRÍA     499


                  ■ Estilo de vida
                    • Nutrición                                          Una cucharadita de psilio en 240 ml de
                                                        B B  1              agua fría cada 24 a 8 h.
                      Evitar alimentos que tengan sorbitol y
                        jarabe de maíz rico en fructosa o que            Se aumenta la ingesta de agua junto con el
                        son una fuente de carbohidratos                     incremento de la fibra.
                        refinados ya que no se digieren bien.                                              B B  1
                                                                       • Conducta.
                      Probar durante 2 a 4 semanas con todos
                        los productos lácteos eliminados si hay          Fomentar la asistencia a la escuela y otras
                        antecedentes indicativos de intolerancia            actividades habituales.
                        a la lactosa o se identifican alimentos a
                        través de pruebas de IgG (v. cap. 86,            Ofrecer estrategias para superar el refuerzo
                        «Reacciones adversas a alimentos                    de la conducta relacionada con la
                        y dieta de exclusión»).                             enfermedad, tanto en la escuela como
                                                                            en el hogar.
                    • Fibra
                                                        B B  1           Mejorar el sueño restaurador.
                      Se aumenta la fibra por lo menos 10 g/día
                        mediante la adición de frutas, verduras,
                        leguminosas y granos integrales.





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