Profile of Functional Constipation in Children at a Referral Hospital

Makhwana, Vikas Arvindbhai; Acharyya, Kakoli; Acharyya, Saugata

doi:10.1007/s13312-022-2492-7

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…According to the findings of the current study, the age groups with the fewest female children (13 children) and the most male children (166 children) were those between the ages of three and twelve. Similar studies for the same age range had previously been conducted [7][8] . In our study, the male to female ratio was 1:1.5, and these studies also noted that the male constipation ratio was higher in the age period of 1-3 years [9][10][11][12] .…”

Section: Discussionsupporting

confidence: 58%

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Outcome of Functional Constipation in Children Age 1 to 12 Year in Tertiary Care Hospital

Abbas,

Gul,

Nargis

et al. 2023

PJMHS

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Background: Both parents and children are bothered by constipation. Even then, it continues to go untreated, delaying medical intervention. It causes both physical and psychological morbidity. It has an impact on children's quality of life. The issue is exacerbated by delayed medical care. The young person could become less confident. Children may experience impaction of the faeces in 1%–3% of cases, which can result in faecal matter soiling. Aim: To investigate the outcomes of functional constipation in children between the ages of 1 and 12 in tertiary care facilities. Methodology: After receiving ethical approval from the committee, this cross-sectional study was conducted at Lady Reading Hospital in Peshawar from June 2021 to May 2022. The study included a total of 381 children’s. After obtaining parental assent, the ROME IV criteria was applied to the children who had functional constipation, and the children were treated according to the recommended recommendations and protocols. Result: 381 kids were enrolled in a study using the Rome IV criteria for constipation manifestation. The ratio was highest when passing 188 hard stools (49.34%) and lowest when passing 13 unpleasant stools (22.30%). Similar high ratio was observed in type-1 129(33.83%) of Bristol stool type. The ratio of males to females in the age range 3-6 year group was highest in the age group 6-12 year group, with 166 males and 63 females. The majority of restrooms (65.09%) were located outside door 248. Constipation-causing factors were shown to be highest in avoiding school lavatory use 181(47.50%) and lowest in opposing behavior 73(19.16%). History of food intake revealed a high ratio of 211(55.38%) from stores and a low ratio of 13(3.41%) from home-cooked meals. The hygienic care ratio was 178(46.71%) for not using water and soap and 19(4.98%) for using soap after using the loo.By exposing the concerns and their solutions for the health of their children, this will raise mothers' knowledge and be beneficial to society as a whole. Conclusion: All children need hygienic care and adequate education as a foundation. Dietary nutrition is crucial for growth. Children who are taken to the hospital may develop phobias and parents may experience problems. Children who are not properly treated for constipation are more likely to have serious psychological harm and bowel dysfunction. Keywords: Children, constipation, phobia, temper, education, food

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Section: Discussionsupporting

confidence: 58%

“…Similar findings from studies 19-20 were also reported. Fear was observed in 92 people (24.14%), which was fewer than in study 7 . students The Bristol stool type's type I 129(33.8%) had the greatest ratio.…”

Section: Discussioncontrasting

confidence: 53%

Outcome of Functional Constipation in Children Age 1 to 12 Year in Tertiary Care Hospital

Abbas,

Gul,

Nargis

et al. 2023

PJMHS

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“…The finding that 35.4% of the children needed disimpaction at presentation is within the rates between 26.9% and 70.1% reported in the literature. 20 , 21 Lactulose and PEG are the most commonly used initial therapies. In this study, compliance with treatment with PEG was significantly better than that with lactulose ( P =.0008), a finding contrary to the general belief that bad taste affects acceptability by some children.…”

Section: Discussionmentioning

confidence: 99%

Clinical profile of functional constipation in Saudi children

El Mouzan,

Kambal,

Alabdulkarim

et al. 2024

Ann Saudi Med

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BACKGROUND: Functional constipation (FC) is a common condition in children, and information on the clinical characteristics of FC in Saudi children is scarce. OBJECTIVE: Describe the clinical profile of FC in Saudi children. DESIGN: Retrospective SETTING: Hospital that provides primary, intermediate and tertiary care. PATIENTS AND METHODS: All children diagnosed with FC according to the Rome IV criteria were included and had at least one follow-up clinic visit. Demographic and clinical data collected from medical records included the age at onset, duration of constipation, clinical features, treatment modalities, and factors associated with clinical response. Descriptive statistics and Pearson's chi-squared test were used in the statistical analysis to see how categorical study variables were linked to clinical response. A P value of ≤.05 was used to report statistical significance. MAIN OUTCOME MEASURE: Compliance and clinical response to polyethylene glycol (PEG) compared with lactulose. SAMPLE SIZE: 370 children from 0.1 to 13 years of age. RESULTS: The median (IQR) age of onset was 4 (5) years and less than one year in 14%. The median (IQR) duration of constipation was 4 months (11) and less than two months in 93/370 (25%). Abdominal pain was the most commonly associated feature (44%). Screening for celiac disease and hypothyroidism was negative. A Fleet enema was the most common disimpaction method (54%) and PEG was the most common maintenance medication (63.4%). PEG was significantly better tolerated ( P =.0008) and more effective than lactulose ( P <.0001). Compliance was the only variable significantly associated with clinical response. CONCLUSIONS: PEG was better tolerated and more effective than lactulose in our study, a finding in agreement with the literature. Therefore, PEG should be the drug of choice in the initial management of FC in Saudi children. Prospective studies on the causes of noncompliance are needed to improve the response to treatment. LIMITATIONS: The limitations of retrospective design are missing data, recall bias, and hospital-based limitation, such as missing milder cases treated at the outpatient level. However, the sample size of 370 may have minimized these limitations.

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Prevalence and profile of functional constipation among children aged 1–12 years at a tertiary care center

Musali,

Damireddy

2023

MRIMS Journal of Health Sciences

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Background: Constipation not only bothers children but also their parents. Even then, it remains neglected and leads to delayed medical care. It leads to physical as well as psychological morbidity. It affects the quality of life of children. Lack of timely medical care compounds the problem. The child may lose his/her self-esteem. About 1%–3% of children may develop impaction of the feces and may lead to soiling with fecal matter. Objective: The objective was to study the prevalence and clinicopsychological profile of functional constipation (FC) among children aged 1–12 years. Materials and Methods: This was a hospital-based cross-sectional study carried out among 156 children aged 1–12 years attending the tertiary care center for 1 year. During the study, 911 children aged 1–12 years attended the hospital. We applied Rome IV criteria for the diagnosis of FC. Using these criteria, 156 children were found to have FC, and all of them were included in the present study. Results: The prevalence of FC among the children was 17.1%. It was more in the toddler group (43.6%) with a slight female preponderance (51.3%). It was more in urban resident children (69.2%) and children belonging to the low socioeconomic group (33.3%). Painful defecation was the most common presenting complaint (81.4%). Most of the children passed Bristol Type II stool <three times a week. Majority of children were taking low-fiber diet, had poor physical activity, and aversion to school. Conclusion: The prevalence FC among children was high at 17.1%. Low-fiber diet, poor physical activity, and aversion to school were common in children with FC.

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Profile of Functional Constipation in Children at a Referral Hospital

Cited by 3 publications

References 9 publications

Outcome of Functional Constipation in Children Age 1 to 12 Year in Tertiary Care Hospital

Outcome of Functional Constipation in Children Age 1 to 12 Year in Tertiary Care Hospital

Clinical profile of functional constipation in Saudi children

Prevalence and profile of functional constipation among children aged 1–12 years at a tertiary care center

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