Combined approach to functional constipation in children

Clinical findings, child and mother psychosocial status in functional constipation

“…Parental attitudes regarding child rearing are associated with FC in children (24). Amendola et al (25) reported that two-thirds of children with constipation lacked autonomy, lived under parental authority, and had a "peripheral" father with a mother-child symbiotic relationship. Kılıçaslan et al (14) confirmed these findings by identifying high levels of mother-reported strict discipline and overprotective parenting.…”

O Que Residentes De Pediatria Sabem Sobre Os Fatores Psicológicos Na Constipação?

“…In the present study, the gaps and contradictions in the Residents' knowledge of such a common symptom are striking, particularly with respect to its multifactorial causes (Amendola et al, 2003;Farnam, et al, 2009;Motta et al, 2010;Poenaru et al, 1997;Silva, 2009;van den Berg et al, 2006), as well as the importance of multidisciplinary treatment in cases of FC, as already established in the literature (Altaf & Sood, 2008;Amendola et al, 2003;Nehra et al, 2000;Poenaru et al, 1997). In a systematic review, prevalence rates of constipation in 34 groups of different populations in Europe and Oceania ranged from 0.7% in a pediatric population in Italy to 81.0% in a population of elderly, hospitalized male patients.…”

“…Aspects such as a family history of constipation, an unstable parental relationship, genetic factors, diet, psychological and psychiatric factors, social habits, cultural and social beliefs, the parent-child relationship, stressful events in the family, routine activities and toilet habits, have often been found to be associated with FC (Amendola, De Angelis, Dall'oglio, Di Abriola & Di Lorenzo, 2003;Farnam et al, 2009;Poenaru et al, 1997;van den Berg et al, 2006), including stubbornness in general and stubbornness with respect to using the toilet (Burket et al, 2006). Some children with constipation were toilet-trained at an early age and are afraid of sitting on the toilet because they associate evacuation with a painful experience (Motta, Silva & Castro, 2010;Rasquin et al, 2006;Silva, 2009).…”

“…It's crucial the healthcare professional be aware of the fact that physical and psychological issues often overlap. Studies highlight the importance of a multidisciplinary approach that includes the gastroenterologist, the psychologist, the physiotherapist, the nutritionist and sometimes the surgeon to ensure optimal therapeutic management of these patients (Amendola et al, 2003;Nehra, Bruce, Rath-Harvey, Pemberton & Camilleri, 2000;Peppas, Alexiou, Mourtzoukou & Falagas, 2008;Poenaru et al, 1997). This form of management reduces the need for surgery and medication and avoids the abusive use of laxatives, resulting in a good prognosis and ensuring that the individual needs of each child are met (Rogers, 2003).…”

Comparing the Efffects of Sennoside and Lactulose for Childhood Constipation

“…Yapılan çalışmaların bazılarında erkek çocuklarında, bazılarında ise kız çocuklarında kabızlık daha sık izlenmiştir (5,14) . Ancak her iki cinste de kabızlığın eşit sıklıkta izlendiği çalışmalar daha fazladır (1) . Ülke-mizde yapılan çalışmalarda kabızlığın başlama yaşı çoğunlukla 1 yaş olarak belirtilmektedir (7) .…”