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Comparing Oral Route Paraffin Oil versus Rectal Route for Disimpaction in Children with Chronic Constipation; a

Fatemeh Farahmand1, Kambiz Eftekhari, Vajiheh Modarresi

  • 1Department of Pediatrics, Faculty of medicine, Tehran University of Medical Sciences, Tehran, IR Iran ; Pediatrics Center of Excellence, Children's Medical Center, Tehran, IR Iran.

Iranian Journal of Pediatrics
|October 12, 2012
PubMed

Insights

Oral paraffin oil is a preferred method for fecal disimpaction in children with functional constipation, showing higher family compliance and satisfaction compared to rectal administration. This approach reduces anxiety for families undergoing treatment.

Area of Science:

  • Pediatric Gastroenterology
  • Pharmacological Interventions
  • Clinical Trial Design

Background:

  • Functional constipation is a prevalent pediatric issue requiring effective fecal disimpaction before maintenance therapy.
  • Current treatment guidelines recommend disimpaction for successful management of pediatric functional constipation.

Purpose of the Study:

  • To compare the efficacy and patient compliance of oral versus rectal paraffin oil administration for fecal disimpaction in children.
  • To evaluate family satisfaction and identify side effects associated with each administration route.

Main Methods:

  • Eighty children (aged 1-12 years) with functional constipation and fecal impaction were randomized into two groups.
  • Group I received oral paraffin oil (3 ml/kg/day), and Group II received rectal paraffin oil (3 ml/kg/day) for three consecutive days.
  • Treatment success was defined by the absence of fecal impaction after 72 hours; compliance and satisfaction were assessed via questionnaires.

Main Results:

  • Both oral and rectal paraffin oil showed high efficacy rates (92.5% vs 82.5%), with no significant difference.
  • Family compliance and satisfaction were significantly higher with the oral route (87.5%) compared to the rectal route (57.5%).
  • Anal oil seepage was the most common side effect (27.5%); nausea and abdominal pain were more frequent in the oral and rectal groups, respectively.

Conclusions:

  • Oral administration of paraffin oil appears to be a preferred method for fecal disimpaction in children due to improved family compliance and satisfaction.
  • The oral route may cause less anxiety for families compared to the rectal administration of paraffin oil for pediatric constipation treatment.
Abstract

Keywords:
Chronic constipationConstipationFecal impactionFunctional Colonic DiseasesParaffin oil

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