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Constipation Causes in Infants

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1. Constipation in children

to excessive hardening of the stool. This often starts as an acute problem but can progress to faecal impaction and chronic constipation. Particularly in young children, any cause of painful defecation may provoke active withholding. Withholding may worsen the constipation and lead to a vicious cycle. Duration of constipation and amount of stool burden may depend on capacity of the child's rectum, the degree of megarectum, and other factors including rectal sensory function. After faecal disimpaction (...) Constipation in children Constipation in children - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Constipation in children Last reviewed: February 2019 Last updated: February 2019 Summary Childhood constipation is typically characterised by infrequent bowel evacuations, large stools, and difficult or painful defecation. Symptoms may result from low fibre, poor nutrient, and/or insufficient water intake, which leads

2019 BMJ Best Practice

2. Constipation in children

to excessive hardening of the stool. This often starts as an acute problem but can progress to faecal impaction and chronic constipation. Particularly in young children, any cause of painful defecation may provoke active withholding. Withholding may worsen the constipation and lead to a vicious cycle. Duration of constipation and amount of stool burden may depend on capacity of the child's rectum, the degree of megarectum, and other factors including rectal sensory function. After faecal disimpaction (...) Constipation in children Constipation in children - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Constipation in children Last reviewed: February 2019 Last updated: February 2019 Summary Childhood constipation is typically characterised by infrequent bowel evacuations, large stools, and difficult or painful defecation. Symptoms may result from low fibre, poor nutrient, and/or insufficient water intake, which leads

2018 BMJ Best Practice

3. Constipation in children

allergy as a differential cause of constipation in infants and toddlers [ ]. Management Management : covers the management of idiopathic constipation in children. Scenario: Management Scenario: Management of constipation in children From birth to 18 years. Overview of management How should I manage a child with idiopathic constipation in primary care? Treat a child for constipation in primary care only if a working diagnosis of has been made and have been excluded. Liaise with other members (...) of idiopathic childhood constipation in primary and secondary care [ ] and a subsequent NICE evidence update Constipation in children and young people. Evidence update June 2012 [ ]. This CKS topic covers the diagnosis, management, and indications for referral of children and young people with idiopathic constipation. This CKS topic does not cover the diagnosis and treatment of underlying disorders causing constipation, or detailed secondary care management following referral. There are separate CKS topics

2019 NICE Clinical Knowledge Summaries

4. Effects of Paediatric Tuina (Massage) on Constipation and Related Symptoms Among the Pre-school Aged Children

per week, and overall treatment success after 4 weeks intervention, 8 weeks intervention and 12 weeks (4 weeks after intervention stopped) Secondary outcome measures included abdominal pain and painful defecation based on bowel diary, the children's subjective level of pain during bowel movement, score of child behavior questionnaire and score of caregiver impact and burden Condition or disease Intervention/treatment Phase Effects of Paediatric Tuina (Massage) on Constipation and Related Symptoms (...) Effects of Paediatric Tuina (Massage) on Constipation and Related Symptoms Among the Pre-school Aged Children Effects of Paediatric Tuina (Massage) on Constipation and Related Symptoms Among the Pre-school Aged Children - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies

2018 Clinical Trials

5. Quality of Life in Children with Functional Constipation: A Systematic Review and Meta-Analysis. (Abstract)

if patients had organic causes of constipation and if HRQoL was only assessed after successful therapeutic interventions. A meta-analysis was performed calculating sample size-weighted pooled mean and SD of HRQoL scores. The quality of the studies was also assessed.A total of 20 of 2658 studies were included, providing HRQoL data for 2344 children. Quality of evidence was considered to be poor in 9 of the 20 studies (45%); 13 of the 20 studies reported sufficient data to be included in the meta-analysis (...) Quality of Life in Children with Functional Constipation: A Systematic Review and Meta-Analysis. To systematically review the literature on health-related quality of life (HRQoL) in children with functional constipation and to identify disease-related factors associated with HRQoL.The Pubmed, Embase, and PsycINFO database were searched. Studies were included if they prospectively assessed HRQoL in children with functional constipation according to the Rome criteria. Articles were excluded

2019 Journal of Pediatrics

6. Constipation

Do Get Involved Education/CPD Publications Careers > Share PRACTICE POINT Managing functional constipation in children Posted: Dec 1 2011 Reaffirmed: Feb 1 2016 The Canadian (...) Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our . Principal author(s) A Rowan-Legg; Canadian Paediatric Society , Paediatr Child Health 2011;16(10):661-5 Abstract Constipation is a common childhood (...) of constipation . Two or more of the following clinical features indicate that a child is constipated : Fewer than three complete stools per week (unless 2015 6. Constipation in children 2017 7. Managing functional constipation in children Managing functional constipation in children | Position statements and practice points | Managing functional constipation in children | Canadian Paediatric Society Protecting and promoting the health and well-being of children and youth CPS Member Login | Who We Are What We

2018 Trip Latest and Greatest

7. Constipation Causes in Infants

Constipation Causes in Infants Constipation Causes in Infants Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Constipation Causes (...) in Infants Constipation Causes in Infants Aka: Constipation Causes in Infants , Constipation Causes in Newborns , Neonatal Constipation Causes , Failure to Pass Meconium II. General has functional cause in >95% of infants III. Constipation Causes: Organic Neurologic Causes Consider if no meconium stool by 48 hours old ( , ) Encephalopathy Endocrine Causes Miscellaneous causes Congenital Anorectal malformation Heavy-metal IV. Failure to Pass Meconium Causes (first 24-48 hours) Meconium Plug Syndrome (1-2

2018 FP Notebook

8. Evaluation and Treatment of Functional Constipation in Infants and Children: Evidence-Based Recommendations from ESPGHAN and NASPGHAN

–0.96), indicating that CTT is a good discriminator between children with and without clinical constipation who were referred to a pediatric TABLE 4. Key points of history and physical examination to guide in the evaluation of constipation in infants/toddlers and children/adolescents Infant/toddler Child/adolescent Functional constipation Functional constipation History History Starts after a few weeks to months of life (not at birth) Starts after a few weeks to months of life (not at birth) Obvious (...) : What Are the Alarm Signs and Symptoms That Suggest the Presence of an Underlying Disease Causing the Constipation? Although diagnosis of constipation is based on the history and physical examination, subjective symptom description is unre- liable in infants and many children 10, indicatingexcessivefecalretention.Barretalreportedasensitivityof 80%(95%CI65–90)andaspecificityof90%(90%CI74–98)using their scoring system. Benninga et al (27) also used the Barr scoring

2014 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

9. Dried Plums (Prunes) vs. Polyethylene Glycol 4000 for Treatment of Functional Constipation in Children

Years (Child, Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: children with constipation diagnosed with ROME IV criteria Exclusion Criteria: diagnosis of irritable bowel syndrome, mental retardation, endocrine disease (eg, Hyperthyroidism), an organic cause of defecation disorders (eg, Hirshsprung disease, spinal anomalies, anorectal pathology, a history of gastrointestinal surgery), functional nonretentive fecal incontinence, or intake of medications (...) related topics: related topics: available for: Arms and Interventions Go to Arm Intervention/treatment Experimental: Plum group Children will receive plums at dose 3,5g/kg/d as an oral treatment for constipation. Other: Prunus domestica Patients will receive prunes at dose 3,5 g/kg/d (max.100mg/day) in three portions a day, for 4 weeks (amount of prescribed prunes will be calibrated with the weight that child ought to have on WHO growth charts at 50th percentile). Prunes should be introduced every day

2018 Clinical Trials

10. PEG 3350 Versus Lactulose for Treatment of Functional Constipation in Children: Randomized Study. (Abstract)

PEG 3350 Versus Lactulose for Treatment of Functional Constipation in Children: Randomized Study. The aim of this study was to compare the clinical efficacy and tolerance of polyethylene glycol 3350 (PEG) and lactulose for the treatment of functional constipation in infants and children.This randomized, multicenter study covered 12 weeks of treatment and 4 weeks of follow-up of patients with functional constipation. Patients were randomized (central randomization) to receive either PEG (...) effects than lactulose in the treatment of constipation in infants and children.

2018 Journal of Pediatric Gastroenterology and Nutrition Controlled trial quality: uncertain

11. Dolichocolon revisited: An inborn anatomic variant with redundancies causing constipation and volvulus Full Text available with Trip Pro

Dolichocolon revisited: An inborn anatomic variant with redundancies causing constipation and volvulus The objective of this review is to examine whether a redundant colon gives rise to symptoms like constipation and volvulus. In 1820, Monterossi made drawings of colons with displacements and elongation of the colon found during autopsy. In 1912, Kienböeck first visualized a redundant colon using bismuth, and Lardennois and Auborg named the anatomic variant dolichocolon in 1914. The criteria (...) were later: A sigmoid loop rising over the line between the iliac crests, a transverse colon below the same line and extra loops at the flexures. The incidence of dolichocolon is 1.9%-28.5%. Dolichocolon seems to be congenital, as fetuses, newborns, and infants exhibit colonic redundancies. Studies have identified a triade of constipation, abdominal pain, and distension. Colon transit time was recently shown to increase significantly with increased number of redundancies, which increases abdominal

2018 World journal of gastrointestinal surgery

12. Fructose Intolerance: Cause or Cure of Chronic Functional Constipation Full Text available with Trip Pro

Fructose Intolerance: Cause or Cure of Chronic Functional Constipation Functional constipation is a common occurrence in the pediatric population. The link between fructose ingestion and constipation is obscure due to a lack of published data. In this article, we discuss the relationship of fructose tolerance and the development of constipation via a literature review and our single-center experience. A literature review of constipation and fructose ingestion was performed using PubMed (...) . A retrospective chart review from the pediatric gastroenterology clinic, January 2012 to December 2015, was completed, with attention to the relationship of fructose intolerance and its clinical presentations. There were 367 patients who underwent the fructose breath hydrogen test (FBHT), out of which 208 patients had fructose intolerance. Clinical presentations included chronic abdominal pain, chronic diarrhea, chronic constipation, emesis, and nausea. Statistical significance was reached for chronic

2018 Global pediatric health

13. Early childhood risk factors for constipation and soiling at school age: an observational cohort study Full Text available with Trip Pro

Early childhood risk factors for constipation and soiling at school age: an observational cohort study Constipation and soiling are common in childhood. This study examines the comorbidity between childhood constipation and soiling and early childhood risk factors for these problems.The sample comprised 8435 participants from the Avon Longitudinal Study of Parents and Children with maternally reported measures of constipation (six time points between 4 and 10 years) and soiling (five time (...) , gestational age or birth weight.Constipation alone was the most prevalent pattern in this cohort. Treatment for hard stools in early childhood is needed to prevent chronic constipation at school age. Constipation with soiling was less common than soiling alone. Further research is needed into the causes of non-retentive soiling.

2018 BMJ Paediatrics Open

14. The Use of Lactobacillus Reuteri in Functional Constipation in Children

Medical Center, Israel Information provided by (Responsible Party): Sarit Peleg, HaEmek Medical Center, Israel Study Details Study Description Go to Brief Summary: Functional constipation (FC) is a common condition in childhood, with an estimated prevalence of 0.7% to 29%.The diagnosis and treatment of FC can be difficult tasks, and children are often referred to specialist services causing treatment to become expensive and time-consuming.The standard treatment based on osmotic laxatives (mainly PEG (...) ). The recovery rate is 50% to 60% after 1 year of treatment, with 50% of the children having relapse within 5 years. Studies in adults have established the effectiveness of some lactic acid bacteria in the treatment of chronic constipation. Condition or disease Intervention/treatment Phase Functional Constipation Dietary Supplement: probiotic - Lactobacillus reuteri Other: placebo - with no active ingredient Not Applicable Detailed Description: Functional constipation (FC) is a common condition in childhood

2017 Clinical Trials

15. Case series with literature review: Surgical approach to megarectum and/or megasigmoid in children with unremitting constipation Full Text available with Trip Pro

Case series with literature review: Surgical approach to megarectum and/or megasigmoid in children with unremitting constipation The role of surgery in treating children with functional constipation (FC) is controversial, because of the efficacy of bowel management programs. This case series is comprised of failures: 43 children, spanning 25 years' practice, who had megarectosigmoid (MRS) and unremitting constipation.To determine whether these children were helped by surgery, and to contribute (...) to formulating a standard of care for children with megarectum (MR) and/or redundancy of the sigmoid colon (MS) who fail medical management.We describe our selection criteria and the procedures we utilized - mucosal proctectomy and endorectal pull-through (MP) or sigmoidectomy (SE) with colorectal anastomosis at the peritoneal reflection. The internet (social media) allowed us to contact most of these patients and obtain extremely long follow-up data.30/43 patients had MP and 13/43 had SE. Follow-up

2017 Annals of Medicine and Surgery

16. Are We Using Abdominal Radiographs Appropriately in the Management of Pediatric Constipation? Full Text available with Trip Pro

Are We Using Abdominal Radiographs Appropriately in the Management of Pediatric Constipation? To identify the reasons why pediatric gastroenterologists obtain abdominal radiographs in the management of pediatric constipation.This was a prospective study surveying providers regarding their rationale, interpretation, resultant change, and confidence in their management before and after obtaining KUBs in patients seen for suspected constipation. Demographics and clinical findings were obtained (...) the radiograph (69%), the initial plan was implemented on average in 52.5%. In cases with no plans before obtaining the radiograph, previously unconsidered plans were implemented in 8.7%. Provider confidence in the management plan increased from 2.4 ± 2.7 to 4.1 ± 1.8 (P < .05) after the abdominal radiograph.Abdominal radiographs commonly are obtained by pediatric gastroenterologists in the evaluation and management of constipation. The majority used it to make a diagnosis, and nearly one-half changed

2017 Journal of Pediatrics

17. Functional constipation in children: challenges and solutions Full Text available with Trip Pro

Functional constipation in children: challenges and solutions This review intends to update what is known about and what is still a challenge in functional constipation (FC) in children regarding epidemiology, pathophysiology, diagnosis, and management. Although FC is a common childhood problem, its global burden remains unknown as data from parts of the world are missing. Another problem is that there is a large variation in prevalence due to differences in study methods and defining age (...) groups. The pathophysiology of FC remains unclear to date but is probably multifactorial. Withholding behavior is likely to be the most important factor in toddlers and young children. Genetics may also play a role since many patients have positive family history, but mutations in genes associated with FC have not been found. Over the past years, different diagnostic criteria for FC in infants and children have been proposed. This year, Rome IV criteria have been released. Compared to Rome III

2017 Pediatric health, medicine and therapeutics

18. Reducing hospital admissions of healthy children with functional constipation: a quality initiative Full Text available with Trip Pro

Reducing hospital admissions of healthy children with functional constipation: a quality initiative Functional constipation (FC) is a common medical problem in children, with minimal risk of long-term complications. We determined that a large number of children were being admitted to our children's hospital for FC in which there was no neurological or anatomical cause. Our hospital experienced a patient complication in which a patient died after inpatient treatment of FC. Subsequently, we (...) developed a standardised approach to determine when paediatric patients needed hospitalisation for FC, as well as to develop a regimented outpatient therapeutic approach for such children to prevent hospitalisation. Our quality improvement initiative resulted in a large decrease in the number of children with FC admitted into the hospital as well as a decrease in the number of children needing faecal disimpaction in the operating room. Our quality improvement process can be used to decrease

2017 BMJ Open Quality

19. Reducing Unnecessary Imaging for Patients With Constipation in the Pediatric Emergency Department. Full Text available with Trip Pro

Reducing Unnecessary Imaging for Patients With Constipation in the Pediatric Emergency Department. Constipation is a common diagnosis in the pediatric emergency department (ED). Children diagnosed with constipation may undergo an abdominal radiograph (AXR) as part of their diagnostic workup despite studies that suggest that an AXR in a patient suspected of being constipated is unnecessary and potentially misleading. We aimed to decrease the percentage of low-acuity patients aged between 6 (...) months and 18 years diagnosed with constipation who undergo an AXR in our pediatric ED from 60% to 20% over 12 months.We conducted an interventional improvement project at a large, urban pediatric ED by using the Institute for Healthcare Improvement's Model for Improvement. The primary outcome was the proportion of patients ultimately diagnosed with constipation who had an AXR during their ED visit. Analysis was performed by using rational subgrouping and stratification on statistical process control

2017 Pediatrics

20. Diagnostic approach to constipation impacts pediatric emergency department disposition. (Abstract)

Diagnostic approach to constipation impacts pediatric emergency department disposition. Constipation is a common cause of abdominal pain in children presenting to the emergency department (ED). The objectives of this study were to determine the diagnostic evaluation undertaken for constipation and to assess the association of the evaluation with final ED disposition.A retrospective chart review of children presenting to the pediatric ED of a quaternary care children's hospital with abdominal (...) pain that received a soap suds enema therapy.A total of 512 children were included, 270 (52.7%) were female, and the median age was 8.0 (IQR: 4.0-11.0). One hundred and thirty eight patients (27%) had a digital rectal exam (DRE), 120 (22.8%) had bloodwork performed, 218 (43%) had urinalysis obtained, 397 (77.5%) had abdominal radiographs, 120 (23.4%) had abdominal ultrasounds, and 18 (3.5%) had computed tomography scans. Children who had a DRE had a younger median age (6.0, IQR: 3.0-9.25 vs. 8.0

2017 American Journal of Emergency Medicine

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