Precipitants of Constipation During Early Childhood (original) (raw)
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Outcome of Functional Constipation in Children Age 1 to 12 Year in Tertiary Care Hospital
Pakistan Journal of Medical and Health Sciences, 2023
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.
Clinical, psychological and maternal characteristics in early functional constipation
Background: This cross-sectional study investigated the clinical features of functional constipation (FC) at preschool age, as well as emotional and behavioral characteristics of the children, psychological symptom level and parental attitudes of the mothers, and compared these with that of non-referred typically developing controls with normal intestinal habits. Methods: Participants included 65 children with FC (mean age, 43.6 ± 15.4 months; range, 25-72 months), 59 healthy controls (mean age, 46.9 ± 14.5 months; range, 25-72 months) and the mothers of the children. The Childhood Behavior Checklist, Symptom Checklist 90 and Parental Attitude Research Instrument were filled in by the mothers. Results: Participants with FC had higher problem scores than the comparison children in a variety of emotional and behavioral parameters. Approximately half exhibited internalizing and one-third had externalizing problems in the clinical range. The mothers of the patient group had higher levels of psychological distress, overprotective parenting and strict discipline. On multiple logistic regression analysis child psychopathology, maternal education level and maternal distress were independently associated with FC. Conclusion: Behavior problems are common in children with FC from an early age. Low level of education and high psychological distress of the mothers seem to be important risk factors for constipation and should be assessed carefully in the management of these cases.
BMJ paediatrics open, 2018
Constipation and soiling are common in childhood. This study examines the comorbidity between childhood constipation and soiling and early childhood risk factors for these problems. The sample comprised 8435 participants from the Avon Longitudinal Study of Parents and Children with maternally reported measures of constipation (six time points between 4 and 10 years) and soiling (five time points between 4 and 9 years). We used latent class analysis to extract longitudinal patterns of constipation and soiling. We examined whether the latent classes are differentially associated with maternally reported risk factors in early childhood (stool consistency, breast feeding, socioeconomic background, gestation, birth weight, developmental level and age at initiation of toilet training) using multinomial logistic regression models. We extracted four latent classes: 'normative' (74.5%: very low probability of constipation or soiling), 'constipation alone' (13.2%), 'soilin...
Toilet training and less fiber consumption as risk factors of constipation in preschool children
International journal of health sciences
This study aimed to determine the prevalence and risk factors for children with constipation. This research was an analytic cross-sectional study. The sampling method was cluster sampling. The research was conducted at some kindergartens in Denpasar, Bali from October to November 2019. Data were obtained based on questionnaires distributed to parents and anthropometric examinations. Constipation was defined according to The Rome IV criteria. There were 215 children included in the study and 43 (20%) children had constipation. Children who started toilet training before the age of 1.5 years or after 2 years had 2,73 times the risk of developing constipation (p = 0.019; 95% CI 1.18-6.3). Children with less fiber consumption in a day had the risk of experiencing constipation 7.25 times (p = 0.001; 95% CI 3.38-15.5). Other risk factors such as sex, physical activity, screen contact, water consumption, nutritional status, birth weight, and mother education did not statistically relate to...
Predisposing Factors for Chronic Constipation in Children – 2-YEAR Clinical Study
Romanian Journal of Pediatrics, 2014
In the last decade constipation has become a current problem addressed in the pediatric gastroenterology departments. Objectives. We propose a study to establish the prevalence of constipation and the correlations between diet and the socio-familial environment in children aged from 1 to 17 years old, hospitalized in the Gastroenterology Department, "Saint Mary" Emergency Hospital for Children of Iasi, between 1 January 2012 and 1 January 2014 Results. The study group consisted of 994 patients, representing 9.6% of all hospitalized children. Regarding the prevalence of constipation, we did not notice a signifi cant difference between the sexes, the ratio F/M was 1.3/1, but we found a signifi cantly higher proportion of patients from urban areas 68% (676) versus 32% (318) from rural areas. In terms of social and family environment: 34% (338) of children live with grandparents, 13.9% (139) come from single-parent families, 6.7% (67) are in the care of a foster parent and 2.6...
Evaluation of bowel function in healthy children: untreated constipation is common
Acta paediatrica (Oslo, Norway : 1992), 2018
We evaluated bowel function in healthy children with regard to gender and age. The study was carried out in 2016 at a tertiary children's hospital. Healthy children aged 3.5 years to 15 years who were admitted to the hospital, siblings to patients or offspring of staff members were included. Validated self-report questionnaires and internally developed questions regarding obstructive outlet- and gas-related symptoms were used. A total of 310 participants (50% girls) were included, which corresponded to a 94% answer frequency. Respondents were divided into a younger age group (3.5 years to seven years), consisting of 135 children, and an older age group (eight years to 15 years), consisting of 175 children. Younger children reported more foul odours than older children (50% vs. 29%, p = 0.001) and more obstructive symptoms (21% vs. 10%, p = 0.01). There was no difference between the age groups regarding constipation (19% vs 16%, NS). Overall, 55% of those with constipation had no...
Clinical findings, child and mother psychosocial status in functional constipation
The Turkish Journal of Gastroenterology
INTRODUCTION Constipation is a major health problem in childhood and is responsible for 3% of the general pediatric clinical cases and 25% gastroenterology cases. Constipation in childhood is usually not dependent on an organic cause; over 90% of cases are due to functional reasons (1,2). The global prevalence of functional constipation (FC) in children is estimated as 3% (3). Children with FC may deteriorate with regard to emotional, social, physical, and psychological states (4-6). The continuing constipation may affect the child's psychosocial development, parent-child relationship, relations with friends and siblings, and success in school (7-8). In addition, the child's hard temperament, mother's distress, and relation problems between parents and the child can result in the initiation and continuation of constipation (4-6). Parents have an impact on the
Constipation in Children: Novel Insight Into Epidemiology, Pathophysiology and Management
Journal of Neurogastroenterology and Motility, 2011
Constipation in children is a common health problem affecting 0.7% to 29.6% children across the world. Exact etiology for developing symptoms is not clear in children and the majority is considered to have functional constipation. Alteration of rectal and pelvic floor function through the brain-gut axis seems to play a crucial role in the etiology. The diagnosis is often a symptom-based clinical process. Recently developed Rome III diagnostic criteria looks promising, both in clinical and research fields. Laboratory investigations such as barium enema, colonoscopy, anorectal manometry and colonic transit studies are rarely indicated except in those who do not respond to standard management. Treatment of childhood constipation involves several facets including education and demystification, toilet training, rational use of laxatives for disimpaction and maintenance and regular follow-up. Surgical options should be considered only when medical therapy fails in long standing constipation. Since most of the management strategies of childhood constipation are not evidence-based, high-quality randomized controlled trials are required to assess the efficacy of currently available or newly emerging therapeutic options. Contrary to the common belief that children outgrow constipation as they grow up, a sizable percentage continue to have symptoms beyond puberty. (J Neurogastroenterol Motil 2011;17:35-47)