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Constipation in Pediatric Patients with Lower Urinary Tract Symptoms
Shujah Muhammad1, Gul Nawaz1, Imran Jamil1
1Department of Urology and Kidney Transplant, Pakistan Kidney Institute (PKI), Shifa International Hospital, Islamabad.
Constipation affects 37.5% of pediatric patients with lower urinary tract symptoms (LUTS). This common, overlooked issue, particularly in younger children, requires physician attention for effective treatment.
Area of Science:
- Pediatric Urology
- Gastroenterology
- Clinical Research
Background:
- Lower Urinary Tract Symptoms (LUTS) are common in children.
- The association between LUTS and constipation in pediatric populations is not fully understood.
- Identifying co-existing conditions like constipation is crucial for comprehensive patient management.
Purpose of the Study:
- To determine the prevalence of constipation in pediatric patients presenting with LUTS.
- To analyze the characteristics of LUTS and associated symptoms in this cohort.
Main Methods:
- A descriptive study was conducted on 200 pediatric patients with LUTS.
- Data collected included age, gender, LUTS type, and associated symptoms.
- Constipation was assessed using the Bristol Stool Chart; patients with bladder exstrophy were excluded.
Main Results:
- The mean age of the patients was 6.87 ±3.64 years (range: 2-14 years).
- Constipation was identified in 37.5% of pediatric patients with LUTS.
- Irritative LUTS were more frequently observed.
Conclusions:
- Constipation is a frequent and often overlooked comorbidity in pediatric patients with urinary symptoms.
- Younger children, particularly those up to 5 years old, are most commonly affected.
- Recognizing the burden of constipation can lead to improved diagnostic and therapeutic strategies for pediatric LUTS.
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