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PROPOSALS TO APPROXIMATE THE PEDIATRIC ROME CONSTIPATION CRITERIA TO EVERYDAY PRACTICE.

Helga Verena Leoni Maffei1, Mauro Batista de Morais2

  • 1Universidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Pediatria, Botucatu,SP, Brasil.

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Summary

Pediatric constipation diagnosis can be simplified to one symptom, such as painful bowel movements, to improve early detection. Dietary fiber recommendations should be clearly included for effective treatment and prevention.

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Area of Science:

  • Pediatrics
  • Gastroenterology

Background:

  • The current pediatric Rome constipation criteria face low acceptance among primary care physicians and researchers.
  • This limited adoption suggests a need for re-evaluation of existing diagnostic criteria for pediatric constipation.

Purpose of the Study:

  • To review the timing of diagnosis and dietary recommendations within the Rome criteria.
  • To propose modifications for better alignment with primary care practices.

Main Methods:

  • A literature review of publications cited in the Rome criteria.
  • Medline database search for relevant studies up to January 2018.

Main Results:

  • Early diagnosis of constipation is crucial to prevent complications, but current criteria may hinder it.
  • Simplifying diagnosis to one symptom, like painful bowel movements, could facilitate early detection.
  • Dietary fiber recommendations are insufficiently detailed in the criteria, despite their importance in primary care management.

Conclusions:

  • A single constipation sign or symptom should be sufficient for diagnosis in primary care settings.
  • Incorporate specific daily dietary fiber intake recommendations, based on established guidelines, for treatment and prevention starting from weaning.