Constipation in children

Afzal, Nadeem; Tighe, Mark; Thomson, Mike

doi:10.1186/1824-7288-37-28

Cited by 55 publications

(46 citation statements)

References 64 publications

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“…These factors could also result in the long-term cessation of feces in the colon, reabsorption of liquids, and increase in size and hardiness of feces (26). Hence, constipation should be considered as a differential diagnosis in all children suffering from abdominal pain (27).…”

Section: Discussionmentioning

confidence: 99%

Investigation of Demographic and Clinical Characteristics of Children with Constipation Referring to the Pediatric Gastrointestinal Clinic, Shiraz in 2014 - 2016

et al. 2018

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Background: Constipation is one of the most common Gastrointestinal (GI) symptoms among children. The present study aimed to identify the demographic and clinical characteristics of the children suffering from constipation. Methods: This descriptive-analytical study was conducted on 987 children with constipation in Fars province from March 2015 to March 2016. The study data were collected in the pediatric GI clinic affiliated to Shiraz University of Medical Sciences and analyzed using descriptive statistics, including frequency, mean, and standard deviation (SD). Results: More than 40% of the cases who referred to the pediatric GI clinic were suffering from constipation. Totally, 987 [495 females (50.2%) and 492 males (49.8%)] out of the 1000 children with constipation met the inclusion criteria. The remaining 13 children were

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Section: Discussionmentioning

confidence: 99%

Investigation of Demographic and Clinical Characteristics of Children with Constipation Referring to the Pediatric Gastrointestinal Clinic, Shiraz in 2014 - 2016

et al. 2018

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“…Dışkı tutma davranışı, sert ve ağrılı bir dışkılama sonrası başlayan ve bir sonraki dışkılama sırasında oluşabilecek ağrı endişesi ile dışkı tutulması sonucunda daha sert dışkının birikmesi ile kısır döngü şeklinde devam eden bir durumdur. Farklı çalışmalarda %35 -60 oranında bildirilmiştir (11,13,15,16). Hastalarımızın %76.7'sinde ağrılı dışkılama, %69.3'ünde karın ağrısı ve %9.3 dışkı tutma davranışı görülmüş olup, literatür ile benzer sıklıkta bulunmuştur.…”

Section: Discussionunclassified

Should We Screen Children with Functional Constipation for Celiac Disease?

KIRSAÇLIOĞLU¹,

KULOĞLU²,

ÜSTÜNDAĞ³

et al. 2016

Turkish J Pediatr Dis

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ÖzETAmaç: Kabızlık yakınması ile getirilen çocuklarda organik nedenlerin dışlanması için tanısal testlere ihtiyaç duyulabilir. Kabızlık çölyak hastalığının ilk bulgusu olabilir. Çalışmada fonksiyonel kabızlık tanısı alan çocuklarda dışkılama özelliklerinin ve çölyak hastalığı sıklığının belirlenmesi amaçlandı. Gereç ve Yöntemler:Roma III ölçütlerine göre fonksiyonel kabızlığı olan 150 çocuk dosya taraması ile geriye dönük olarak değerlendirildi. Bulgular: Ortalama 6,5 ± 4,2 (1-17) yaşında olan, 150 çocuğun [74 kız (% 49.3)], ortanca 24 (1-198) aydır kabızlığı vardı. Ortalama kabızlık başlangıç yaşı 3,6 ± 3,7 yıldı. Ağrılı dışkılaması olanlar (ortalama 3.1 ± 3.4 yıl), diğerlerinden (ortalama 5 ± 4.3 yıl) daha küçüktü (p= 0.018). Büyük ve sert dışkılaması olanlar (ortalama 7.7 ± 4.3 yıl), çakıl taşı benzeri küçük ve sert yapanlara (ortalama 5.2 ± 4.2 yıl) ve her iki tipte de dışkılaması olanlara (ortalama 5 ± 3.5 yıl) göre daha büyüktü (sırasıyla p = 0.002, p = 0.003). Dışkı tutma davranışı olanlarda, ağrılı dışkılama, kanama ve dışkı kaçırma sıklığı daha yüksekti (sırasıyla p = 0.034, p = 0.001, p = 0.001). İdrar yolu enfeksiyonu öyküsü büyük çocuklarda ve kızlarda (36 kız, %67.9) daha sıktı (sırasıyla p = 0.008, p = 0.001). Olguların 1'inde (% 0.65) doku transglutaminaz IgA (+) olup ince bağırsak biyopsisi ile çölyak hastalığı tanısı aldı. Sonuç:Fonksiyonel kabızlığı olan çocuklarda çölyak hastalığı sıklığı yüksek bulunmamıştır. Anahtar Sözcükler: Çocukluk çağı, Çölyak hastalığı, KabızlıkABSTrAcT Objective: Diagnostic tests may be needed to exclude organic disease in children with constipation. Constipation may be the presenting symptom of celiac disease. We aimed to determine the characteristics of defecation and the prevalence of celiac disease in children with functional constipation. Material and Methods:The medical records of 150 children diagnosed with functional constipation according to Rome III criteria were evaluated retrospectively. Results:One-hundred and fifty children [74 girls (49.3%)], with a mean age of 6.5 ± 4.2 (1-17) years, had a history of constipation for a median duration of 24 (1-198) months. The mean presentation age of constipation was 3.6 ± 3.7 years. Children with painful defecation were younger than the others (3.1 ± 3.4 years, vs. 5 ± 4.3 years, respectively, p= 0.018). Children with large and firm stools (7.7 ± 4.3 years) were older than children with pebble stone like stools (5.2 ± 4.2 years) and children with both large and pebble stone like stools (5 ± 3.5 years) (p = 0.002, p = 0,003, respectively). Painful defecation, rectal bleeding and encopresis were more frequent in children with stool holding behaviour (p = 0.034, p = 0.001, p = 0.001, respectively). History of urinary tract infection was more frequent in older children and girls (36 girls, 67.9%) (p = 0.008, p = 0.001, respectively). One (0.65%) patient who had tissue transglutaminase IgA positivity was diagnosed as celiac disease with small bowel biopsy. Conclusion:Celiac disease was not found more frequent in children ...

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“…18 Only 5% of childhood constipation has an organic cause, and discussion of other causes can be found elsewhere. 19 Soiling is unlikely in Hirschsprung's disease. 11 In the UK retrospective review cited above, 4 17 patients had Hirschsprung's disease and all had presented with symptoms within the first four weeks.…”

Section: Clinicalmentioning

confidence: 99%

Hirschsprung's disease

Arshad

Powell

Tighe

2012

BMJ

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A Arshad paediatric specialist registrar 1 , C Powell general practitioner 2 , M P Tighe paediatric consultant 1 This is one of a series of occasional articles highlighting conditions that may be more common than many doctors realise or may be missed at first presentation. The series advisers are Anthony Harnden, university lecturer in general practice, Department of Primary Health Care, University of Oxford, and Richard Lehman, general practitioner, Banbury.To suggest a topic for this series, please email us at easilymissed@bmj.com.A 3 year old boy is brought to his general practitioner again by his worried mother. She is concerned that he remains constipated despite trying a third different laxative. Further history showed that he passed his first meconium only on day 5, and since then has been opening his bowels only weekly, with associated straining. His growth has fallen from the 25th to the 2nd centile for height and weight. On examination he has a distended abdomen with palpable stool throughout the abdomen.

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Constipation in children

Cited by 55 publications

References 64 publications

Investigation of Demographic and Clinical Characteristics of Children with Constipation Referring to the Pediatric Gastrointestinal Clinic, Shiraz in 2014 - 2016

Investigation of Demographic and Clinical Characteristics of Children with Constipation Referring to the Pediatric Gastrointestinal Clinic, Shiraz in 2014 - 2016

Should We Screen Children with Functional Constipation for Celiac Disease?

Hirschsprung's disease

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