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Related Concept Videos

Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome01:23

Irritable Bowel Syndrome

DefinitionIrritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by recurrent combinations of abdominal pain, bloating, diarrhea, or constipation.Pathophysiology of irritable bowel syndromeIts pathophysiology is multifactorial, involving disturbances in motility, sensory processing, microbial balance, barrier integrity, and gut–brain communication. These mechanisms interact to produce symptoms that vary across IBS subtypes.Altered Motility PatternsDisordered...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Gastrointestinal Motility Disorders01:20

Gastrointestinal Motility Disorders

Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...

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Related Experiment Videos

Infant Dyschezia Is Associated With Increased Risk of Functional Constipation in Childhood: A Case-Control Study.

Mahbod Kaveh1, Arman Malekiantaghi2, Hamideh Mohammadi3

  • 1Department of Neonatology, Bahrami Children's Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran, tums.ac.ir.

International Journal of Pediatrics
|July 6, 2026
PubMed
Summary

Infant dyschezia (ID) is a risk factor for childhood functional constipation (FC). Early recognition and guidance can prevent long-term issues.

Keywords:
Rome IV criteriafunctional constipationinfant dyscheziapediatric gastrointestinal disorders

Related Experiment Videos

Area of Science:

  • Pediatric Gastroenterology
  • Bowel Dysfunction Research
  • Child Health Outcomes

Background:

  • Functional constipation (FC) is common in children, causing discomfort and high healthcare costs.
  • Infant dyschezia (ID), characterized by straining and crying with soft stools, is often considered benign.
  • Emerging evidence suggests a potential link between ID and later chronic bowel problems.

Purpose of the Study:

  • To investigate the association between a history of infant dyschezia (ID) and the development of functional constipation (FC) in childhood.

Main Methods:

  • A case-control study involving 150 children (90 with FC, 60 controls) diagnosed using Rome IV criteria.
  • Data collected via structured interviews included demographics, infant feeding, family history, and history of ID.
  • Logistic regression analysis was used to identify independent predictors of FC.

Main Results:

  • Children with FC were significantly more likely to have a history of ID (66.7% vs. 40.0%, p=0.001).
  • ID independently predicted FC (OR=2.75; 95% CI: 1.34-5.64; p=0.006).
  • Breastfeeding showed a protective effect against FC (OR=0.22; 95% CI: 0.09-0.56; p=0.002).

Conclusions:

  • Infant dyschezia (ID) may be an independent risk factor for childhood functional constipation (FC).
  • Early identification and parental support are crucial for preventing mismanagement and long-term health issues.
  • Further longitudinal studies are recommended to establish causality and develop preventive strategies.