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OCCULT AND SEMI-OCCULT CONSTIPATION IN CHILDREN WITH MONOSYMPTOMATIC OR NON MONOSYMPTOMATIC ENURESIS.

Helga Verena L Maffei¹, Eliana Vidolin^2,3, Joceara Neves Dos Reis²

¹Universidade Estadual Paulista, Faculdade de Medicina, Departamento de Pediatria, Botucatu, SP, Brasil.

Arquivos De Gastroenterologia

|November 29, 2023

Summary

A detailed questionnaire and X-rays identified occult constipation (OC) and semi-occult constipation (SOC) in most children with refractory enuresis. Treating constipation improved enuresis symptoms in many patients.

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Area of Science:

Pediatric Gastroenterology
Urology
Radiology

Background:

Functional constipation and enuresis frequently coexist in children.
Constipation treatment often resolves or improves enuresis.
Occult constipation (OC) and semi-occult constipation (SOC) may be undiagnosed in enuretic patients.

Purpose of the Study:

To determine the frequency of OC and SOC in children with monosymptomatic enuresis (MNE) or non-monosymptomatic enuresis (NMNE).

Main Methods:

Children with refractory enuresis underwent a structured bowel habit questionnaire and abdominal X-ray.
Constipation was diagnosed using Boston criteria and fecal loading quantified by the Barr score.
Children diagnosed with constipation received standardized treatment.

Main Results:

Out of 81 children, 80 were diagnosed with constipation: 30 OC and 50 SOC.
SOC children had more constipation complications like fecal incontinence and abdominal pain.
Treatment led to constipation improvement or recovery in 28 children.

Conclusions:

A detailed questionnaire and radiological assessment are crucial for diagnosing OC and SOC in children with refractory enuresis.
These methods detected SOC in 61.7% and OC in 37.0% of the studied children.
Addressing constipation is vital for managing refractory enuresis.