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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Chronic constipation in infants and children.

Jeremy Meng Dao Ho1, Choon How How2,3

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Understanding the cycle of childhood constipation is key for parents. Early identification and management of functional constipation in children can prevent long-term issues.

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Area of Science:

  • Pediatrics
  • Gastroenterology

Background:

  • Constipation is a prevalent issue in infants and children.
  • Recognizing the cycle of chronic constipation in children is crucial for effective management.
  • Life milestones like weaning and starting school can trigger constipation.

Purpose of the Study:

  • To provide guidance for parents and healthcare providers on managing childhood constipation.
  • To highlight the importance of understanding the functional aspects of constipation in children.
  • To outline diagnostic criteria and red flags for pediatric constipation.

Main Methods:

  • Detailed patient history and physical examination to rule out organic causes.
  • Identification of symptoms indicative of functional constipation, such as infrequent or difficult bowel movements.
  • Utilizing tools like the Bristol Stool Chart for monitoring stool consistency.

Main Results:

  • Functional constipation is suggested by infrequent defecation, fecal incontinence, and hard stools.
  • The Bristol Stool Chart aids parents in tracking and reporting stool patterns.
  • Specific red flags require further investigation for serious underlying conditions.

Conclusions:

  • Management of childhood constipation involves parental education on the constipation cycle.
  • Behavioral modifications and pharmacotherapy (laxatives) are primary treatment strategies.
  • Early intervention and appropriate management can improve outcomes for children with constipation.