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[Constipation in childhood--from the pediatric viewpoint]
1Kinderpoliklinik, Universität München.
Insights
Chronic constipation in children is common. Biofeedback training helps children with paradoxical external anal sphincter contractions learn normal defecation patterns, especially those with severe impaction.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Physiology
Context:
- Chronic constipation affects many children.
- Most toddlers respond to conventional treatments.
- Complex cases require specialized management.
Purpose:
- To outline diagnostic and therapeutic strategies for pediatric constipation.
- To highlight the role of biofeedback in specific cases.
Summary:
- Conventional therapy is effective for most toddlers with constipation.
- Young infants or older children with severe impaction need specialized care.
- Biofeedback training is beneficial for children exhibiting paradoxical external anal sphincter contraction during defecation.
Impact:
- Improved management protocols for pediatric constipation.
- Enhanced understanding of biofeedback efficacy in treating functional defecation disorders.
- Better outcomes for children with chronic or severe constipation.
Abstract:
Chronic constipation is a common problem in paediatric practice. The majority of the toddlers can be successfully treated by conventional therapy. Young infants with constipation or older children with longstanding stool impaction with or without encopresis should be referred to a centre for further diagnostic and therapeutic management. Children with a paradoxical contraction of the external anal sphincter during attempted defecation on anorectal manometry profit form bio-feedback-training by learning a normal defecation pattern.
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