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Chronic Functional Constipation in Infants and Children.

Gunter Flemming1

  • 1Hospital for Children and Adolescents, Leipzig University, Leipzig, Germany. gunter.flemming@medizin.uni-leipzig.de.

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|May 31, 2019
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Summary
This summary is machine-generated.

Functional constipation, a common childhood issue, affects 3% globally and impacts healthcare costs. Management involves lifestyle changes and medication for disimpaction and maintenance.

Keywords:
Functional constipationOsmotic laxativesRectal disimpactionStimulant laxatives

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Child Health

Background:

  • Functional constipation (FC) is a prevalent pediatric condition, affecting approximately 3% of children worldwide.
  • It accounts for 3-5% of pediatric visits, significantly impacting healthcare costs.
  • FC is diagnosed when no underlying organic cause is identified, characterized by infrequent, hard stools, pain, and sometimes incontinence.

Purpose of the Study:

  • To outline the characteristics and management strategies for functional constipation in children.
  • To differentiate FC management in infants from older children.

Main Methods:

  • Review of current clinical recommendations for functional constipation management.
  • Emphasis on lifestyle modifications including fiber, fluid intake, and physical activity.
  • Pharmacological approaches for fecal disimpaction and maintenance therapy.

Main Results:

  • Standard management includes dietary adjustments, adequate hydration, and physical activity.
  • Pharmacological treatment is recommended for fecal disimpaction followed by maintenance therapy.
  • Infants with constipation require distinct management due to a higher risk of underlying organic disease.

Conclusions:

  • Functional constipation is a common, costly pediatric condition requiring a multi-faceted management approach.
  • Treatment strategies should be tailored, considering age, with infants needing careful evaluation for organic causes.
  • Effective management combines lifestyle interventions with appropriate pharmacotherapy.