Related Experiment Videos
Fecal incontinence in children
1Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City 52242-1083, USA.
American Family Physician
|May 1, 1997
Summary
Most childhood fecal incontinence stems from functional constipation, not organic issues. Early diagnosis via history, physical exam, and tests like manometry guides effective treatment including diet and medication.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Functional constipation causes fecal incontinence in 95% of pediatric cases.
- Anatomical or neurological conditions account for the remaining 5% of pediatric fecal incontinence cases.
Purpose of the Study:
- To outline the diagnostic approach for pediatric fecal incontinence.
- To describe the management strategies for pediatric fecal incontinence.
Main Methods:
- Clinical history and physical examination (abdominal, rectal, neurological) are primary diagnostic tools.
- Anorectal manometry, barium enema, and rectal biopsy may be used to determine etiology in select cases.
- Treatment focuses on a structured plan including defecation trials, dietary fiber, and laxatives.
Main Results:
- Most children with fecal incontinence improve with conservative management.
- Surgical intervention is reserved for specific conditions like Hirschsprung's disease, anal stenosis, or post-surgical repair cases.
Conclusions:
- A systematic approach combining thorough evaluation and tailored treatment is crucial for managing pediatric fecal incontinence.
- Functional constipation is the predominant cause, necessitating a focus on conservative therapies.