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Profile of Functional Constipation in Children at a Referral Hospital

Vikas Arvindbhai Makhwana1, Kakoli Acharyya1, Saugata Acharyya2

  • 1Department of Pediatrics, Calcutta Medical Research Institute, Kolkata, West Bengal.

Indian Pediatrics
|January 11, 2022
PubMed

Insights

Functional constipation (FC) affects 5.56% of pediatric hospital attendees, with painful defecation being a common symptom. Most children with FC also experience fecal impaction, highlighting the need for effective management strategies.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Pediatrics
  • Digestive Health

Background:

  • Functional constipation (FC) is a prevalent condition in children.
  • Understanding the profile of FC is crucial for effective diagnosis and management.
  • Previous studies have varied in their focus on demographic and clinical aspects.

Purpose of the Study:

  • To investigate the social, demographic, and clinical characteristics of functional constipation in pediatric patients.
  • To determine the prevalence of FC among children presenting at a tertiary care hospital.
  • To identify common symptoms and precipitating factors associated with FC in children.

Main Methods:

  • A cross-sectional study was conducted.
  • Data were collected from 1565 children aged 1-18 years at a tertiary care hospital.
  • Rome IV diagnostic criteria were used to diagnose functional constipation.

Main Results:

  • Functional constipation (FC) was diagnosed in 5.56% of pediatric hospital attendees.
  • The majority of affected children (64.4%) were aged 2-6 years.
  • Painful defecation (62.1%) was the most frequent symptom, and fecal impaction was present in 70.1% of cases.

Conclusions:

  • Functional constipation is the leading cause of constipation in children.
  • A significant proportion of children with FC present with fecal impaction.
  • Early identification and intervention are essential for managing FC and its complications in pediatric populations.
Abstract

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