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[Constipation]

M B Morais1, H V Maffei

  • 1Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.

Jornal De Pediatria
|December 17, 2003
PubMed
Summary
This summary is machine-generated.

Chronic constipation in children is common and multifactorial, often linked to diet. Long-term management requires adequate dietary fiber intake for sustained bowel health and potentially reducing adult chronic disease risk.

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Area of Science:

  • Pediatric Gastroenterology
  • Childhood Nutrition
  • Digestive Health

Background:

  • Chronic constipation is a prevalent pediatric disorder.
  • Its pathophysiology involves diet, motility, and behavioral factors.
  • Delayed diagnosis and treatment are common.

Purpose of the Study:

  • To review the importance, pathophysiology, clinical presentation, and treatment of chronic constipation in pediatrics.
  • To highlight the variability in clinical presentation and diagnostic challenges.
  • To emphasize the role of dietary fiber in management and long-term health.

Main Methods:

  • Bibliographic review of the Medline database.
  • Inclusion of articles authored by the study's researchers.
  • Synthesis of current information on pediatric constipation.

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Main Results:

  • Constipation is a common childhood disorder with diverse presentations.
  • Key contributing factors include low-fiber diet, painful defecation, and motility disturbances.
  • Complications like soiling and urinary issues can arise.
  • Treatment requires a tailored approach including dietary changes and behavioral programs.

Conclusions:

  • Adequate dietary fiber intake is crucial for long-term control of chronic constipation in children.
  • High-fiber diets may mitigate risks for adult chronic diseases.
  • Differential diagnosis and specialized evaluations are important for non-satisfactory clinical evolution.