Childhood Constipation: Is There New Light in The Tunnel?

Benninga, M. A.; Voskuijl, W. P.; Taminiau, J. A. J. M.

doi:10.1002/j.1536-4801.2004.tb00890.x

Cited by 19 publications

(2 citation statements)

References 202 publications

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“…Another Italian study showed a similar prevalence of FC (16.1%) in children aged between 13 and 48 months [ 15 ]. Overall, FC can be defined as a common problem in children with up to 25% of visits to pediatric gastroenterologists and 3% of all general pediatric outpatient visits are due to FC [ 16 ].…”

Section: What Is the Incidence?mentioning

confidence: 99%

“…Stool retention behavior could be the consequence of previous painful or hard stool, which is worsened by an anal fissures history, or anxiety of toileting due to unpleasant toilets outside, or voluntary withholding due to lack of interest [ 1 ]. Changes in routine or diet, weaning, stressful events, entering kindergarten, intercurrent illnesses and even school can contribute to the problem [ 16 ]. As for socio-demographic factors, the data regarding the association between sex and constipation are conflicting.…”

Section: What Is the Etiology?mentioning

confidence: 99%

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The ten “hard” questions in pediatric functional constipation

Fedele,

Fioretti,

Scarpato

et al. 2024

Ital J Pediatr

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Functional constipation is a common problem in childhood and has a great impact on social, physical, and emotional functioning of affected children and their caregivers. No organic cause of the constipation can be found in approximately 95% of children, defining the “so-called” chronic functional constipation. Its prevalence has been reported to range from 0.7 to 29.6%, with a median of 12%. The diagnosis of functional constipation is exclusively clinical based on the pediatric diagnostic Rome criteria for functional gastrointestinal disorders and does not routinely require laboratory and/or radiological investigations. In case of alarm signs and symptoms that may suggest organic diseases, further investigations can be required. The therapeutic management is based on non-pharmacological and pharmacological approaches. Education, demystification of constipation and reward-based toilet training represent the cornerstones of nonpharmacological management. Disimpaction, maintenance treatment and weaning of medication are all elements of pharmacological treatment. Osmotic laxatives, mainly polyethylene glycol (PEG), are considered the first-choice laxative for both disimpaction and maintenance treatment. The aim of this review is to provide pediatric gastroenterologists with a practical tool to support the clinical and therapeutic management of children and adolescents affected by chronic functional constipation.

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Section: What Is the Incidence?mentioning

confidence: 99%

Section: What Is the Etiology?mentioning

confidence: 99%