Constipation in Infants and Children: Evaluation and Treatment

Baker, Susan S.; Liptak, Gregory S.; Colletti, Richard B.; Croffie, Joseph M.; Lorenzo, Carlo Di; Ector, Walton L.; Nurko, Samuel

doi:10.1097/00005176-199911000-00029

Cited by 373 publications

(187 citation statements)

References 59 publications

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“…Constipation is a common disorder in childhood which accounts for 25% of the visits to pediatric gastroenterology clinics and 3% of referrals to teaching hospital clinics (1,2). The pathophysiology of constipation in children is not completely understood.…”

Section: Introductionmentioning

confidence: 99%

Dietary fiber, energy intake and nutritional status during the treatment of children with chronic constipation

Speridião

Tahan

Fagundes-Neto

et al. 2003

Braz J Med Biol Res

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The present prospective study was carried out to determine dietary fiber and energy intake and nutritional status of children during the treatment of chronic constipation. Twenty-five patients aged 2 to 12 years with chronic constipation were submitted to clinical evaluation, assessment of dietary patterns, and anthropometry before and after 45 and 90 days of treatment. The treatment of chronic constipation included rectal disimpaction, ingestion of mineral oil and diet therapy. The standardized diet prescribed consisted of regular food without a fiber supplement and met the nutrient requirements according to the recommended daily allowance. The fiber content was 9.0 to 11.9 g for patients aged less than 6 years and 12.0 to 18.0 g for patients older than 6 years. Sixteen patients completed the 90-day follow-up and all presented clinical improvement. The anthropometric variables did not change, except midarm circumference and triceps skinfold thickness which were significantly increased. Statistically significant increases were also found in percent calorie intake adequacy in terms of recommended daily allowance (55.5 to 76.5% on day 45 and to 68.5% on day 90; P = 0.047). Percent adequacy of minimum recommended daily intake of dietary fiber (age + 5 g) increased during treatment (from 46.8 to 52.8% on day 45 and to 56.3% on day 90; P = 0.009). Food and dietary fiber intake and triceps skinfold thickness increased during follow-up. We conclude that the therapeutic program provided a good clinical outcome.

show abstract

Section: Introductionmentioning

confidence: 99%

Dietary fiber, energy intake and nutritional status during the treatment of children with chronic constipation

Speridião

Tahan

Fagundes-Neto

et al. 2003

Braz J Med Biol Res

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show abstract

“…It is associated with several adverse outcomes throughout life. Constipation generally is defined by the hard nature of the stool, the pain associated with its passage, or the failure to pass three stools per week (1). It is a very common frustration for children, parents, and physicians.…”

mentioning

confidence: 99%

The Impact of Constipation on Growth in Children

Chao

Chen

et al. 2008

Pediatr Res

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ABSTRACT:The observation on the impact of constipation on nutritional and growth status in healthy children was never reported. During a 4-y period, we evaluated the consequence of constipation on growth in children. The enrolled children were aged between 1 and 15 y with constipation. Medical response of constipation to treatment was evaluated by the scoring of constipation symptoms. The correlation of therapeutic effect of constipation with growth status at 12 wk and 24 wk was statistically evaluated. About 2426 children (1284 boys, 1142 girls) with a mean age of 7.31 Ϯ 3.65 (range 1.1-14.9) y were enrolled. After 12-wk treatment, significant increase of z-scores of height-for-age, weight-for-age, and body mass index-for-age were all found in patients with good medical responses (1377 cases) than in those with poor medical responses (1049 cases). The 1049 patients with poor medical response received advanced medications; significant increase of z-scores of height-for-age, weight-for-age, and body mass index were also found in these patients. A marked increase of appetite was significantly correlated with better gain on height and weight after treatment. We conclude that chronic constipation may retard growth status in children, and a long-term medication for constipation in children appears beneficial to their growth status.

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“…In a series of long term follow-up studies of children presenting under the age of 5 years to a specialist clinic in Iowa, 50% recovered within one year and 65-70% recovered within two years; the remainder required laxatives for daily bowel movements or continued to soil for several years. 10 In a longitudinal study of 418 children with a median age of 8.0 years at enrolment, a third of those followed up beyond puberty continued to have severe constipation.…”

Section: Box 1 Terminology Recommended By Pacct Groupmentioning

confidence: 99%

“…9 Pyschosocial factors are often suspected, and some studies have reported higher levels of behavioural disorders in children with constipation, with or without incontinence, though it remains unclear whether these precede the problem or are a maintaining factor. 10 Chronic constipation can lead to progressive faecal retention, distension of the rectum, and loss of sensory and motor function.…”

mentioning

confidence: 99%

Chronic constipation in children

2006

BMJ

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Constipation in Infants and Children: Evaluation and Treatment

Cited by 373 publications

References 59 publications

Dietary fiber, energy intake and nutritional status during the treatment of children with chronic constipation

Dietary fiber, energy intake and nutritional status during the treatment of children with chronic constipation

The Impact of Constipation on Growth in Children

Chronic constipation in children

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