Constipation in children

Constipation in children is a universal problem, occurring in 0.7-28% of the population. The exact aetiology is unknown, but the majority of children have a functional, rather than organic, aetiology. Symptoms associated with constipation include abdominal pain, a poor appetite and faecal incontinen...

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Main Authors: R.A. Brown, R.J. Wood
Format: Article
Language:English
Published: AOSIS 2013-08-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/3884
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author R.A. Brown
R.J. Wood
author_facet R.A. Brown
R.J. Wood
author_sort R.A. Brown
collection DOAJ
description Constipation in children is a universal problem, occurring in 0.7-28% of the population. The exact aetiology is unknown, but the majority of children have a functional, rather than organic, aetiology. Symptoms associated with constipation include abdominal pain, a poor appetite and faecal incontinence, all of which interfere with the quality of life of the child and his or her family. Early intervention with appropriate management is necessary to prevent ongoing sequelae. Once an organic cause has been excluded, a programme of intervention should be implemented, namely evacuation of any faecal mass present, followed by regular maintenance therapy to encourage evacuation of a daily soft stool for at least 2-3 months, prior to gradual withdrawal. Emotional support, exercise and dietary modification are linked to the therapy and will ensure a successful outcome. Failure to implement the protocol may result in ongoing problems in up to 50% of children as they enter adulthood.
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series South African Family Practice
spelling doaj-art-701b11aeb6ab407dbecbe254a7a1f8a82025-08-20T04:03:13ZengAOSISSouth African Family Practice2078-61902078-62042013-08-0155410.1080/20786204.2013.108743754668Constipation in childrenR.A. Brown0R.J. Wood1Department of Paediatric Surgery, University of Cape Town, South Africa; and, Red Cross War Memorial Children’s’ Hospital, South Africa; and, Panorama Mediclinic Cape TownDepartment of Paediatric Surgery, University of Cape Town, South Africa; and, Red Cross War Memorial Children’s’ Hospital, South Africa; and, Panorama Mediclinic Cape TownConstipation in children is a universal problem, occurring in 0.7-28% of the population. The exact aetiology is unknown, but the majority of children have a functional, rather than organic, aetiology. Symptoms associated with constipation include abdominal pain, a poor appetite and faecal incontinence, all of which interfere with the quality of life of the child and his or her family. Early intervention with appropriate management is necessary to prevent ongoing sequelae. Once an organic cause has been excluded, a programme of intervention should be implemented, namely evacuation of any faecal mass present, followed by regular maintenance therapy to encourage evacuation of a daily soft stool for at least 2-3 months, prior to gradual withdrawal. Emotional support, exercise and dietary modification are linked to the therapy and will ensure a successful outcome. Failure to implement the protocol may result in ongoing problems in up to 50% of children as they enter adulthood.https://safpj.co.za/index.php/safpj/article/view/3884constipationchildren
spellingShingle R.A. Brown
R.J. Wood
Constipation in children
South African Family Practice
constipation
children
title Constipation in children
title_full Constipation in children
title_fullStr Constipation in children
title_full_unstemmed Constipation in children
title_short Constipation in children
title_sort constipation in children
topic constipation
children
url https://safpj.co.za/index.php/safpj/article/view/3884
work_keys_str_mv AT rabrown constipationinchildren
AT rjwood constipationinchildren