Prevalence of atopy in children with chronic constipation

Simeone, Domenico; Miele, Erasmo; Boccia, Gabriella; Marino, Antonio; Troncone, Riccardo; Staiano, Annamaria

doi:10.1136/adc.2007.133512

Cited by 41 publications

(48 citation statements)

References 21 publications

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“…There are no studies regarding this variable on functional constipation. Cow's milk intolerance can lead on to constipation according to Iacono et al, [19], but Simeone et al, found no relation between cow's milk and constipation [20]. In our present study also there was no significant difference among those who had cow's milk and those who did not.…”

Section: Discussioncontrasting

confidence: 38%

Normal Bowel Pattern in Children and Dietary and Other Precipitating Factors in Functional Constipation

Sujatha

Velayutham

Deivamani

et al. 2015

JCDR

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Section: Discussioncontrasting

confidence: 38%

Normal Bowel Pattern in Children and Dietary and Other Precipitating Factors in Functional Constipation

Sujatha

Velayutham

Deivamani

et al. 2015

JCDR

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“…Moreover, evidence of increased eosinophil and mast cell infiltration at rectal biopsy, which improves after a restricted diet [11,12], is suggestive of the causal association between CMA and constipation. The study of Simeone et al [24] and other published studies do not agree with this hypothesis, but they are few and the populations of observed children are poor.…”

Section: Discussioncontrasting

confidence: 46%

Constipation and Cow's Milk Allergy: A Review of the Literature

Sopo

Arena²,

Greco³

et al. 2014

Int Arch Allergy Immunol

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The causal association between cow's milk allergy (CMA) and constipation is not well established. Some guidelines describe constipation as a possible symptom of CMA, while others do not mention it. We conducted a literature review and found 10 prospective clinical trials. In all of them, an oral food challenge was performed, and 2 of them were randomized. These studies reported that a cow's milk (CM) protein-free diet has a beneficial effect on constipation, with a rate of successful outcomes ranging from 28 to 78%. The hypothetic pathogenic mechanism lies in increased anal pressure at rest, probably caused by allergic inflammation of the internal sphincter area due to mucosal eosinophil and mast cell infiltration. Eighty percent of patients reach tolerance within 1 year after the diagnosis of CMA-related constipation. We believe that a CM-free diet for 2-4 weeks should be proposed for children with chronic functional constipation, even if it is not severe or resistant to laxatives.

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“…Studies of children with refractory constipation fail to demonstrate any improvement after a period of elimination of milk from the diet. This suggests that constipation is not caused by cow's milk ingestion, and there is no clinical support for eliminating it from the diet [25].…”

Section: Therapymentioning

confidence: 96%

Recent advances in chronic constipation

Walia

Mahajan

Steffen

2009

Current Opinion in Pediatrics

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The recent literature on chronic constipation has provided some new knowledge providing a more evidence-based approach to treating these patients. We review the scope of this problem and the estimated cost of treating constipation. The availability of long-term outcome data enhances our understanding of the natural history of this problem. Newer pharmacological approaches provide optimism for treatment for this common problem.

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Prevalence of atopy in children with chronic constipation

Abstract: In our study group, prevalence of atopy among children with CC is similar to that in the general population. The level of refraction of CC does not seem to be related to cow's milk allergy.

Cited by 41 publications

References 21 publications

Normal Bowel Pattern in Children and Dietary and Other Precipitating Factors in Functional Constipation

Normal Bowel Pattern in Children and Dietary and Other Precipitating Factors in Functional Constipation

Constipation and Cow's Milk Allergy: A Review of the Literature

Recent advances in chronic constipation

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