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Children with constipation: what happens to them when they grow up?
1Emma Children's Hospital/Academic Medical Centre, Dept. of Paediatric Gastroenterology and Nutrition, Amsterdam, The Netherlands. m.a.benninga@amc.uva.nl
Insights
Childhood constipation and soiling persist into adulthood for many, indicating a need for better long-term treatments. Further research is essential to improve therapeutic strategies for these persistent pediatric bowel issues.
Area of Science:
- Pediatric Gastroenterology
- Childhood Constipation Research
Background:
- Constipation and soiling are prevalent in childhood, causing significant distress.
- Current treatments include laxatives and behavioral therapy, but evidence from randomized controlled trials is limited.
- Long-term outcomes for children with constipation are poorly understood.
Purpose of the Study:
- To evaluate the efficacy of different treatment regimens for childhood constipation.
- To investigate the long-term prognosis of constipation in children as they transition to adulthood.
Main Methods:
- A long-term follow-up study was conducted.
- The study tracked children with constipation beyond puberty.
Main Results:
- A significant percentage (30%) of children continued to experience severe constipation and soiling after puberty.
- Low defecation frequency and soiling were common persistent complaints.
Conclusions:
- Childhood constipation can have lasting effects into adulthood.
- Improved and long-lasting support, along with enhanced therapeutic regimens, is crucial for effectively managing these patients.
Abstract:
Constipation and soiling are common complaints in childhood and often cause distress to the children and their parents. The treatment for these symptoms is oral and sometimes rectal laxatives or behavioural therapy. Until now, there have been few randomized controlled trials to evaluate the efficacy of the different treatment regimens. Moreover, there is a lack of information regarding what happens to these children with constipation when they grow up. A recent long-term follow-up study in The Netherlands showed that 30% of the children followed beyond puberty continued to have severe complaints of constipation such as a low defecation frequency and soiling. Long-lasting support and the development of improved therapeutic regimens are necessary to treat these difficult patients more effectively.
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