Related Experiment Videos

Pediatric anorectal disorders

Paola Masi1, Erasmo Miele, Annamaria Staiano

  • 1Department of Pediatrics, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.

Gastroenterology Clinics of North America
|September 17, 2008
PubMed

Insights

This review covers common childhood anorectal disorders, emphasizing the diagnosis of constipation. It differentiates between organic and functional causes and discusses constipation linked to other conditions.

Area of Science:

  • Pediatric Gastroenterology
  • Pediatric Surgery

Background:

  • Anorectal disorders are common in children.
  • Constipation is a frequent manifestation of various pediatric conditions.

Purpose of the Study:

  • To provide a comprehensive overview of pediatric anorectal disorders.
  • To detail the differential diagnosis of constipation in children.
  • To explore constipation associated with specific pediatric diseases.

Main Methods:

  • Literature review of clinical, physiopathologic, diagnostic, and therapeutic aspects.
  • Focus on differential diagnosis of organic versus functional constipation.
  • Examination of associated conditions like atopy, neurologic diseases, and anorectal malformations.

Main Results:

  • Constipation is a key symptom requiring careful evaluation.
  • Distinguishing organic from functional constipation is crucial for appropriate management.
  • Underlying conditions can significantly influence constipation presentation and treatment.

Conclusions:

  • Accurate diagnosis of anorectal disorders, particularly constipation, is essential in pediatric care.
  • Understanding the interplay between constipation and other pediatric diseases guides effective treatment strategies.
  • A systematic approach aids in managing complex pediatric anorectal conditions.

Related Concept Videos

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,...
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...
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...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Sex-linked Disorders01:43

Sex-linked Disorders

Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.