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Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation
04:04

Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation

Published on: July 5, 2024

545

Improvement in bladder function in children with functional constipation after a bowel management program

Maria E Knaus1,2, Hira Ahmad1, Tran Bourgeois2

  • 1Center for Colorectal and Pelvic Reconstructive Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.

Pediatric Surgery International
|August 5, 2022
PubMed

Insights

Treating functional constipation (FC) in children with a bowel management program (BMP) significantly improves bladder function. This approach offers a viable strategy for managing lower urinary tract symptoms in pediatric patients.

Area of Science:

  • Pediatric Gastroenterology
  • Urology
  • Pediatric Surgery

Background:

  • Functional constipation (FC) is a common pediatric condition.
  • FC can be associated with lower urinary tract symptoms and dysfunctional elimination syndrome.
  • Bowel management programs (BMPs) are used to treat FC.

Purpose of the Study:

  • To evaluate the impact of BMP on bladder function in children with FC.
  • To determine if treating constipation improves urinary symptoms.

Main Methods:

  • Retrospective review of children aged 3-18 with FC treated with BMP from 2014-2020.
  • Collected data included clinical characteristics, BMP details, and validated symptom scores (VSS, BCS, CCCS).
  • Analyzed data using linear mixed-effects modeling.

Main Results:

  • 241 children with FC were included.
  • BMP treatment led to significant improvements in VSS, BCS, and CCCS scores (P < 0.0001).
  • Both single and multiple BMPs demonstrated positive outcomes on symptom scores.

Conclusions:

  • Bowel management programs significantly improve bladder function in children with functional constipation.
  • BMP is a recommended treatment for lower urinary tract symptoms in pediatric patients with FC and bowel/bladder dysfunction.
Abstract

Keywords:
Bowel and bladder dysfunctionDysfunctional elimination syndromeUrinary dysfunctionUrotherapy

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