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Functional constipation in children.

J W Chase1, Y Homsy, C Siggaard

  • 1Monash Medical Centre Paediatric Continence Service, Melbourne, Australia.

The Journal of Urology
|May 1, 2004
PubMed
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Constipation in children significantly impacts bladder function, increasing risks of urinary issues. Effective management of bowel dysfunction through assessment and treatment can lead to improved bladder control in children.

Area of Science:

  • Pediatric urology and gastroenterology.
  • Multidisciplinary approach to continence care.

Background:

  • Constipation in children is linked to various urinary problems, including incontinence, overactive bladder, and recurrent UTIs.
  • Bowel dysfunction can exacerbate existing urinary continence or voiding coordination disorders.

Framework:

  • Consensus statement from the First International Children's Continence Society Bowel Dysfunction Workshop.
  • Focus on the interrelationship between bowel and urinary systems in children.

Implementation:

  • Comprehensive assessment to identify organic causes, symptoms, and motor/pelvic floor incoordination.
  • Therapy involves disimpaction followed by maintenance of soft stools.
  • Addressing stool consistency, cognition, motivation, fear, gut motility, rectal sensation, and emptying mechanics.

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Implications:

  • Systematic intervention for constipation can lead to independent bowel emptying in children.
  • Improved bowel function positively influences bladder function and continence outcomes.
  • Addresses a significant clinical challenge with a structured approach.