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Published on: December 23, 2013
Use of polyethylene glycol solution in functional and organic constipation in children
1Department of Paediatrics, University Federico II, Naples, Italy.
Insights
Polyethylene glycol (PEG) effectively treats constipation and encopresis in children by increasing bowel movements and reducing transit time. However, side effects like nausea may limit its use in some cases.
Area of Science:
- Pediatric Gastroenterology
- Pharmacology
Background:
- Functional constipation and encopresis are common in children.
- Neurogenic constipation presents unique challenges, particularly in children with severe brain damage.
Purpose of the Study:
- To review the efficacy of high-dose polyethylene glycol (PEG) for functional constipation and encopresis in pediatric patients.
- To report on the use of low-dose PEG for neurogenic constipation in children with severe brain damage.
Main Methods:
- Review of clinical experience with polyethylene glycol (PEG) in pediatric patients.
- Assessment of treatment outcomes including bowel frequency and gastrointestinal transit time.
Main Results:
- Polyethylene glycol (PEG) treatment led to a significant increase in bowel movement frequency.
- A notable decrease in gastrointestinal transit time was observed with PEG therapy.
- Adverse effects such as nausea, vomiting, and irritability were reported in a subset of patients.
Conclusions:
- Polyethylene glycol (PEG) is an effective treatment for functional constipation and encopresis in children.
- PEG demonstrates utility in managing neurogenic constipation in severely brain-damaged children.
- Careful monitoring for side effects is recommended during PEG treatment in pediatric populations.
Abstract:
A brief review is made of the use of high dose polyethylene glycol solution in the treatment of functional constipation and encopresis in children. Experience with low dose polyethylene glycol for the treatment of neurogenic constipation in children with severe brain damage is also reported. Treatment with polyethylene glycol caused a significant increase in bowel frequency and a decrease in gastrointestinal transit time. Side-effects, consisting of nausea, vomiting and irritability, have limited the use of this treatment in a few children.
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