GI dystonia - Gastrointenstinal dystonia in paediatric palliative care APPM guideline
Defining gastrointenstinal dystonia as:
"Clinical manifestations of distress (pain behaviour, hypertonicity, retching, vomiting, vagal phenomenon, abdominal distension) attributable to the gastro-intestinal tract, durectly and indrectly related to feeding and bowel habit, where confounding systems distress have been addressed or excluded".
Offeres general principles of communication, assessment and considerations, and a handy summary management algorithm (image is the 'management' section, please refer to full guidance).