Gastrointestinal transit time, frequency of defecation, and anorectal manometry in healthy and constipated children

Corazziari, Enrico; Cucchiara, Salvatore; Staiano, Annamaria; Romaniello, Gianfranco; Tamburrini, O; Torsoli, A; Auricchio, Salvatore

doi:10.1016/s0022-3476(85)80660-0

Cited by 103 publications

(77 citation statements)

References 10 publications

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“…Day to day variation in stool frequency and consistency may depend on the child's diet [21][22][23] . For the most part children with RAP and Controls described their stools similarly (Table 3).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Pain and Stooling in Children With Recurrent Abdominal Pain

Shulman¹,

Eakin

Jarrett

et al. 2007

J. pediatr. gastroenterol. nutr.

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Objective-To collect symptom data longitudinally from children with recurrent abdominal pain (RAP) and Control (asymptomatic) children.Methods-Children with RAP (n = 77) and Controls (n = 33) ages 7-10 yrs. completed daily diaries for two weeks tracking pain frequency and severity, how often the pain interfered with activities, and stooling pattern.Results-RAP children reported a greater number of pain episodes and greater pain severity than Control children. Pain commonly was reported to be in the periumbilical area and occurred evenly across the day in both groups. However, the pain interfered with activity more often in the RAP group. There was a positive relation between pain and interference with activities. Both groups reported stool changes but there were no differences between groups in stool character (e.g., hard, mushy, etc.). For both groups the presence of watery stool was related positively to pain. Of children with RAP, 65% could be categorized as having irritable bowel syndrome (IBS) whereas 35% were classifiable as having functional abdominal pain (FAP) according to the pediatric Rome II criteria.Conclusions-To our knowledge this is the first longitudinal report of symptoms in children with RAP compared with Controls. These data demonstrate that there is considerable overlap between children with RAP and Control children on a number of items commonly obtained in the history (e.g., pain location, timing, and stooling pattern). A majority of children with RAP could be characterized as having IBS. The relationship between pain reports and interference with activities substantiates the need to deal specifically with the abdominal pain to decrease disability. The relationship between pain and watery stools requires further study.

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Section: Discussionmentioning

confidence: 99%

Characteristics of Pain and Stooling in Children With Recurrent Abdominal Pain

Shulman¹,

Eakin

Jarrett

et al. 2007

J. pediatr. gastroenterol. nutr.

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“…Impaction can occur anywhere in the colon. Normal colonic transit time from caecum to rectum occurs in 24-100 h in adults and within 48 h in healthy children (Lewis & Rudolph, 1997) or between 19 and 33 h in 5-y-old children (Corazziari, 1985). Impaction typical symptoms are anorexia, nausea, vomiting, abdominal pain and abdominal tenderness, and distension.…”

Section: Symptomsmentioning

confidence: 99%

“…Evaluation of TGITT in the adult population shows an upper value of 96 h and does not exceed 33 h in normal children (Corazziari et al, 1985). However, constipation in the elderly is not merely due to delayed transit and neurogenic deficits of sacral spinal cord function but also due to abnormalities in rectal motor and sensory function (Varma et al, 1988).…”

Section: Systemic and Local Functional Factorsmentioning

confidence: 99%

“…It is considered that bowel movements occur from three times per day to three times per week in 96% of children 3-4 y of age as well as between 94 and 98% in adults (Weaver, 1988). No difference in bowel movements is found between sexes, but movement frequency is higher in children younger than 3 y than in older children (Corazziari et al, 1985). By the age of four, an adult pattern of bowel movement is achieved (Weaver, 1988).…”

Section: Introductionmentioning

confidence: 99%

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Mild dehydration: a risk factor of constipation?

Arnaud

2003

Eur J Clin Nutr

110

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Constipation defined as changes in the frequency, volume, weight, consistency and ease of passage of the stool occurs in any age group. The most important factors known to promote constipation are reduced physical activity and inadequate dietary intake of fibres, carbohydrates and fluids. Fluid losses induced by diarrhoea and febrile illness alter water balance and promote constipation. When children increase their water consumption above their usual intake, no change in stool frequency and consistency was observed. The improvement of constipation by increasing water intake, therefore, may be effective in children only when voluntary fluid consumption is lower-than-normal for the child's age and activity level. In the elderly, low fluid intake, which may be indicative of hypohydration, was a cause of constipation and a significant relationship between liquid deprivation from 2500 to 500 ml per day and constipation was reported. Dehydration is also observed when saline laxatives are used for the treatment of constipation if fluid replacement is not maintained and may affect the efficacy of the treatment. While sulphate in drinking water does not appear to have a significant laxative effect, fluid intake and magnesium sulphate-rich mineral waters were shown to improve constipation in healthy infants. In conclusion, fluid loss and fluid restriction and thus de-or hypohydration increase constipation. It is thus important to maintain euhydration as a prevention of constipation.

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“…A 28% prevalence among school children has been reported in Brazil (3). Stool frequency may be normal in constipated patients (4) who may present normal or prolonged transit time in the colon and/or rectosigmoid (5)(6)(7). In general, increased intake of dietary fiber is recommended as treatment for functional constipation of adults and children (2,8,9).…”

Section: Introductionmentioning

confidence: 99%

Dietary fiber intake, stool frequency and colonic transit time in chronic functional constipation in children

Guimarães

Goulart

Penna

2001

Braz J Med Biol Res

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The objective of the present study was to evaluate associations between fiber intake, colonic transit time and stool frequency. Thirtyeight patients aged 4 to 14 years were submitted to alimentary evaluation and to measurement of colonic transit time. The median fiber intake of the total sample was age + 10.3 g/day. Only 18.4% of the subjects presented a daily dietary fiber intake below the levels recommended by the American Health Foundation. In this group, the median left colonic transit time was shorter than in the group with higher dietary fiber intake (11 vs 17 h, P = 0.067). The correlation between stool frequency and colonic transit time was negative and weak for left colon (r = -0.3, P = 0.04), and negative and moderate for rectosigmoid and total colon (r = -0.5, P<0.001 and r = -0.5, P<0.001, respectively). The stool frequency was lower in the group with slow transit time (0.8 vs 2.3 per week, P = 0.014). In conclusion, most patients with chronic functional constipation had adequate dietary fiber intake. The negative correlation between stool frequency and colonic transit time increased progressively from proximal segments to distal segments of the colon. Patients with normal and prolonged colonic transit time differ in terms of stool frequency.

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Gastrointestinal transit time, frequency of defecation, and anorectal manometry in healthy and constipated children

Cited by 103 publications

References 10 publications

Characteristics of Pain and Stooling in Children With Recurrent Abdominal Pain

Characteristics of Pain and Stooling in Children With Recurrent Abdominal Pain

Mild dehydration: a risk factor of constipation?

Dietary fiber intake, stool frequency and colonic transit time in chronic functional constipation in children

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