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Severe juvenile chronic constipation.

J Goh1, P Byrne, G McDonald

  • 1Department of Gastroenterology 1, St. James's Hospital and Trinity College Dublin, Ireland.

Irish Medical Journal
|May 17, 2001
PubMed
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Severe constipation in children can lead to serious health issues. This case highlights how psychological adaptation to chronic constipation can worsen symptoms and complications in adolescents.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Clinical Medicine

Background:

  • Childhood constipation is a prevalent condition with distinct pathologies compared to adults.
  • Recent advancements include a new classification system for childhood functional gastrointestinal disorders.
  • The American Gastroenterological Association provides updated guidelines for anorectal investigations and treatments.

Observation:

  • A case study of an adolescent female with severe constipation.
  • The patient exhibited extreme anorectal, urological, and neurological complications.
  • Notably, she displayed an inappropriate lack of concern regarding her severe condition.

Findings:

  • The patient's abnormal psychological habituation and adaptation to chronic constipation perpetuated her condition.

Related Experiment Videos

  • This behavioral response significantly contributed to the severity of her sequelae.
  • The case underscores the interplay between psychological factors and physical manifestations in pediatric constipation.

    • Implications:

    • Highlights the importance of considering psychological factors in managing severe pediatric constipation.
    • Suggests that behavioral interventions may be crucial alongside medical treatments.
    • Emphasizes the need for a multidisciplinary approach in complex pediatric cases.