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[Functional constipation: prospective study and treatment response].

C Martínez-Costa1, M J Palao Ortuño, B Alfaro Ponce

  • 1Servicio de Pediatría, Hospital Clínico, Universidad de Valencia, España. ceciliam@comv.es

Anales De Pediatria (Barcelona, Spain : 2003)
|November 4, 2005
PubMed
Summary

Functional constipation (FC) affects 13% of pediatric consultations, with encopresis in 31%. Treatment success in children with FC depends on regular toilet habits, dietary changes, and family support.

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Area of Science:

  • Pediatric Gastroenterology
  • Child Health
  • Digestive Disorders

Background:

  • Functional constipation (FC) is a common pediatric condition.
  • Understanding its prevalence, contributing factors, and treatment outcomes is crucial for effective management.

Purpose of the Study:

  • To determine the prevalence of functional constipation (FC) in children, with or without encopresis.
  • To identify factors contributing to the onset of FC.
  • To evaluate the treatment response for FC in pediatric patients.

Main Methods:

  • A prospective study involving 62 children diagnosed with FC.
  • Utilized standard questionnaires for onset age, toilet habits, encopresis, diet, and psychosocial factors.
  • Physical assessment and anthropometry were performed; treatment involved demystification, behavioral modification, mineral oil, and senna.

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Main Results:

  • FC represented 13% of initial pediatric consultations, with a mean age of diagnosis at 6.1 years.
  • Common symptoms included painful defecation (60%), rectorrhagia (42%), and obstructive episodes (34%).
  • Encopresis was present in 31% of patients; 60% had deficient fiber intake.

Conclusions:

  • Successful treatment of FC in children is strongly linked to establishing regular toilet habits, implementing dietary modifications, and fostering positive family attitudes.
  • Treatment efficacy improved over time, with 85% achieving satisfactory results within 6-12 months.
  • Early intervention and a multidisciplinary approach are key to managing pediatric functional constipation.