Laser acupuncture improving functional chronic constipation in children: a randomized controlled trial

Area of Science:

• Pediatrics
• Gastroenterology
• Complementary Medicine

Background:

• Functional chronic constipation (FCC) affects children, often linked to lifestyle factors like low fiber, hydration, and activity.
• Current treatments include laxatives, behavioral, and dietary modifications, but alternatives are sought.

Purpose of the Study:

• To compare the efficacy of laser acupuncture versus lactulose for treating functional chronic constipation in children.
• To evaluate the impact of these interventions when combined with behavioral therapy and dietary changes.

Main Methods:

• A randomized controlled trial (RCT) involving 40 children (aged 5-15 years) with FCC.
• Two groups: Group A received laser acupuncture (650 nm) plus behavioral therapy; Group B received lactulose plus behavioral therapy.
• Treatment duration was 4 weeks, with evaluations before and after.

Main Results:

• Both laser acupuncture and lactulose significantly improved stool frequency and consistency (p < 0.0001).
• Laser acupuncture showed a statistically significant advantage over lactulose in improving stool frequency (p=0.01) and consistency (p=0.03).
• Laser acupuncture was noted as non-invasive and painless.

Conclusions:

• Laser acupuncture, as an adjunct to behavioral and dietary therapy, is an effective alternative treatment for pediatric functional chronic constipation.
• The non-invasive nature of laser acupuncture makes it a potentially well-tolerated option for children with FCC.