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Management principles of organic causes of childhood constipation
Nan Tobias1, Debby Mason, Marlene Lutkenhoff
1Cincinnati Children's Hospital, Division of Urology, 3333 Burnet Ave, MLC 5037, Cincinnati, Ohio 45229, USA. nan.tobias@cchmc.org
Insights
Pediatric constipation is a common symptom, not a disease, with potential organic causes and links to urinary tract issues. Understanding the gastrointestinal and urinary tract connection aids in effective patient management and support.
Area of Science:
- Pediatrics
- Gastroenterology
- Urology
Background:
- Constipation is a prevalent symptom in children and adolescents.
- It is crucial to differentiate constipation as a symptom from a distinct disease.
- Organic etiologies such as Hirschsprung's disease, anorectal malformation, and spina bifida must be considered.
Purpose of the Study:
- To review the common causes of pediatric constipation.
- To explore the relationship between constipation and urinary tract pathology/dysfunction.
- To emphasize the interconnectedness of gastrointestinal and urinary tract functions in pediatric care.
Main Methods:
- Literature review of pediatric constipation.
- Discussion of organic causes.
- Analysis of the link between bowel and urinary dysfunction.
Main Results:
- Constipation in children has diverse causes, including serious organic conditions.
- There is a significant association between constipation and urinary tract issues.
- The gastrointestinal and urinary systems function in an intertwined manner.
Conclusions:
- Effective management of pediatric constipation requires recognizing it as a symptom with potential underlying organic causes.
- Addressing the interplay between gastrointestinal and urinary tract function is essential for comprehensive patient care.
- Patience and sensitive support are vital for children experiencing bowel dysfunction to ensure their overall well-being.
Abstract:
Constipation is extremely common in the pediatric population; however, it is a symptom and not a disease. Organic causes of constipation include Hirschprung's disease, anorectal malformation, and spina bifida. This article also discusses constipation and urinary tract pathology and dysfunction. The function of the gastrointestinal and urinary tracts are intertwined, and this concept will assist the practitioner in managing patients accordingly. Children and adolescents who experience bowel dysfunction require patience and sensitive support from their health care providers so that they can live productive and emotionally healthy lives.
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