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Dietary fructose intolerance in children and adolescents
  1. A Tsampalieros1,2,
  2. J Beauchamp2,
  3. M Boland1,2,
  4. D R Mack1,2
  1. 1
    Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada
  2. 2
    Children’s Hospital of Eastern Ontario, Ottawa, Ontario, Canada
  1. Dr D R Mack, Children’s Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario, Canada K1H 8L1; dmack{at}cheo.on.ca

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Children’s diets contain increased amounts of sweeteners such as fructose. Fructose is present in fruit, honey and some vegetables, and fructose corn syrup is increasingly being consumed as a sweetener in various products including soda-pop.1 Unabsorbed fructose may be fermented in the colon and creates an osmotic load, drawing fluid into the gut lumen and is the basis for recommendations that toddlers with chronic non-specific diarrhoea reduce their intake of apple juice. The abdominal pain, bloating and alteration of bowel habits associated with dietary fructose intolerance are under-recognised in adult patients diagnosed with irritable bowel syndrome.2 3 However, the production of …

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