Table 4

Causes of gastrointestinal intolerance

CauseExamples
NSAIDs, non-steroidal anti-inflammatory drugs; PPIs, proton pump inhibitors.
Feed delivery site and rateHigh rate, post pyloric feeding
Feed typeLow fibre feeds
Drug relatedLaxatives, antibiotics, NSAIDs, PPIs, antiarrthymics, antihypertensives, drugs containing magnesium and sorbitol fillers, etc.
InfectiveContaminated feeds, small bowel overgrowth, Clostridium difficile
Lactase deficiencyPrimary and secondary
Fat malabsorptionPancreatic dysfunction, liver disease, coeliac disease.