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Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation
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Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation

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Constipation in Pediatrics: A Clinical Review

Amy Pawasarat, Vincent F Biank

    Pediatric Annals
    |August 16, 2021
    PubMed

    Insights

    Functional constipation is common in children, often starting in toddlerhood due to withholding or poor toilet habits. Treatment involves education, diet, and medication for effective management.

    Area of Science:

    • Pediatric Gastroenterology
    • Child Health
    • Digestive Health

    Background:

    • Constipation is a frequent pediatric issue.
    • Functional constipation (FC) often originates in toddlerhood.
    • Behavioral factors like stool withholding are common in FC.

    Purpose of the Study:

    • To summarize the causes and management of functional constipation in children.
    • To differentiate functional constipation from organic causes.

    Main Methods:

    • Review of common causes of pediatric constipation.
    • Discussion of diagnostic approaches including laboratory tests and imaging for organic causes.
    • Outline of treatment strategies for functional constipation.

    Main Results:

    • Most pediatric constipation is functional, linked to infrequent or incomplete stool evacuation.
    • Inadequate fluid/fiber intake and excessive dairy/carbohydrates can contribute to FC.
    • A small percentage of cases indicate underlying organic disease.

    Conclusions:

    • Functional constipation requires family education on the condition's nature.
    • Management involves dietary adjustments (fiber, fluids), stool softeners, laxatives, and behavioral modifications.
    • Distinguishing FC from organic constipation is crucial for appropriate treatment.

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