Autism and belly pain: A complex relationship

Belly pain is a common symptom in people with autism, affecting up to 70% of the autistic population. This complex relationship, which is still being studied by experts, can have several causes, from gastrointestinal problems to communication difficulties and sensory sensitivity.

Gastrointestinal problems:

Constipation is the most prevalent gastrointestinal problem in people with autism, present in around 40% of cases. Other common problems include diarrhea, gastroesophageal reflux, and food sensitivities.

Communication difficulties:

Difficulty communicating physiological needs, such as the need to have a bowel movement, can lead to constipation or fecal incontinence.

Sensory sensitivity:

Sensitivity to specific textures, smells or sounds can influence eating and bowel movements, leading to food refusal and fecal retention.

Comorbidities:

Comorbidities such as anxiety and depression, common in people with autism, can also contribute to digestive problems.

Diagnosis and treatment:

It is essential to consult a doctor to identify the cause of abdominal pain and fecal incontinence in people with autism. Treatment depends on the specific cause and may include:

  • Medications:  for constipation, diarrhea or gastroesophageal reflux.
  • Physiotherapy:  to strengthen the pelvic floor muscles and improve bowel control.
  • Occupational therapy:  to develop communication and self-care skills.
  • Dietary changes:  to reduce food sensitivity and improve digestion.

Multidisciplinary approach:

A multidisciplinary team, made up of doctors, psychologists, physiotherapists, nutritionists and other professionals, is essential for complete and effective treatment.

Remember if:

  • Belly pain is not a normal symptom and should be investigated by a doctor.
  • Individualized treatment is essential to improve the quality of life of people with autism.
  • Seeking professional help and support from family and friends is essential to dealing with the challenges of autism.

Additional Information:


By understanding the relationship between autism and abdominal pain, we can offer better support to people with this disorder and ensure a healthier, fuller life.

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