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We thank Dr Wiel et al for their thoughtful comments on our report. To clarify, our study aimed to identify comorbidities in pediatric patients with functional nausea and evaluate the diagnostic yield of the GI tests they underwent. Our cohort was not a group of patients diagnosed with a somatic symptom disorder (SSD). We found these youth are often subjected to invasive diagnostic or surgical procedures performed based on “soft” indications putting them at risk for iatrogenic problems. Co-existing psychiatric symptoms were common in these patients.

Source: The Journal of Pediatrics - December 6, 2020 Category: Pediatrics Authors: Sally E. Tarbell, John E. Fortunato Tags: Letters to the Editor Source Type: research