[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.
Abstract

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
Psychosexual Stages of Personality: Anal01:26

Psychosexual Stages of Personality: Anal

Sigmund Freud's theory of psychosexual development describes the anal stage as occurring between 18 months and three years of age. During this period, children derive pleasure from controlling and releasing their bowel movements. However, they quickly learn that societal expectations impose restrictions on when and where this can happen. This stage marks a critical point where children begin to develop a sense of control and mastery over their bodily functions, as well as their broader...