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Functional Constipation and Dyssynergic Defecation in Children.
Ilan J N Koppen1, Marc A Benninga1
1Department of Paediatric Gastroenterology and Nutrition, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Frontiers in Pediatrics
|March 7, 2022
Summary
This review explores the complex causes of childhood constipation due to anorectal dysfunction. It highlights treatments to improve bowel movements and daily life for affected children and families.
Area of Science:
- Pediatric Gastroenterology
- Neurogastroenterology
- Pelvic Floor Physical Therapy
Background:
- Defecation is a complex physiological process.
- Anorectal dysfunction can lead to functional constipation in children, significantly impacting their quality of life.
- Understanding the underlying mechanisms is crucial for effective management.
Purpose of the Study:
- To review the mechanisms of anorectal dysfunction in children.
- To discuss treatment options for improving defecation dynamics in pediatric functional constipation.
- To provide a comprehensive overview for clinicians and researchers.
Main Methods:
- Literature review of studies on anorectal dysfunction and functional constipation in children.
- Analysis of physiological mechanisms involving the nervous system, pelvic floor, and anal sphincters.
- Synthesis of current treatment strategies and their efficacy.
Main Results:
- Anorectal dysfunction involves complex interactions between the autonomic and somatic nervous systems, pelvic floor muscles, and anal sphincter complex.
- Functional constipation in children is often linked to these dysfunctions.
- Various treatment options exist to address these underlying mechanisms.
Conclusions:
- Anorectal dysfunction is a key factor in pediatric functional constipation.
- Targeted treatments can improve defecation dynamics and alleviate symptoms.
- Further research into integrated therapeutic approaches is warranted.
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