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[Clinical characteristics of pediatric patients with chronic constipation according to age group]
Lilian Cristiane da Silva Medeiros1, Mauro Batista de Morais, Soraia Tahan
1Curso de Pós-Graduação em Nutrição, Universidade Federal de São Paulo, UNIFESP-EPM, São Paulo, SP, Brazil.
Insights
Clinical characteristics of chronic constipation in children vary by age group, with fecal soiling and abdominal pain being common complications across all pediatric demographics. This study highlights age-specific differences in constipation presentation.
Area of Science:
- Pediatric Gastroenterology
- Clinical Research
- Child Health
Context:
- Chronic constipation is a common pediatric issue.
- Previous studies lacked age-specific clinical characteristic analysis.
- Understanding age-related differences is crucial for effective management.
Purpose:
- To analyze the clinical features of chronic constipation in pediatric patients.
- To compare these characteristics across different pediatric age groups: infants, pre-school, school-age, and adolescents.
Summary:
- This retrospective study analyzed 561 pediatric patients with chronic constipation.
- Key findings include age-related variations in bowel movement frequency, fecal soiling prevalence, retentive posture, defecation fear, and abdominal pain.
- Fecal soiling was particularly noted in pre-schoolers, school-aged children, and adolescents, with higher incidence in boys within the school-aged group.
Impact:
- Provides age-specific insights into pediatric chronic constipation.
- Informs tailored diagnostic and treatment strategies for different pediatric age groups.
- Emphasizes the persistent challenges of fecal soiling and abdominal pain in pediatric constipation management.
Background:
There was no study evaluating clinical characteristics of constipation according pediatric age groups.
Aim:
To evaluate the clinical characteristics of patients with chronic constipation according to age group.
Methods:
This retrospective study evaluated the demographic data and clinical characteristics of pediatric patients with chronic constipation who had been admitted to an outpatient clinic between May 1995 and December 2000. Data was analyzed according to the followings age groups: infants, pre-school, school age and adolescent.
Results:
Five hundred and sixty one patients were included in the study. The percentage of patients according to age groups were: infants (19.1%), pre-school (42.9%), school age (26.9%), and adolescents (11.0%). There was no statistical gender difference among the four age groups. Less than three bowel movements per week were observed more frequently in pre-school (65.8%) and school age (59.6%) than in infants (52.4%) and adolescents (43.1%). Fecal escape ("soiling") was found in 75.6% of the pre-school patients aged more than 48 months, in 68.2% of the school age and in 76.7% of the adolescents. Soiling was more frequent in boys (80.7%) than in girls (50.0%) only in school age children. Retentive posture (67.6%, 40.7%, 27.2%), fear for defecation (70.2%, 44.2%, 29.7%) and abdominal pain (80.8%, 69.6%, 73.6%) were observed, respectively, more frequently in pre-school than in school age and adolescents.
Conclusion:
There were differences in clinical characteristics according to age group. However, prolonged duration of constipation and an elevated number of complications were observed in all age groups, especially fecal soiling and abdominal pain.
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