Purpose:
Constipation is a common pediatric problem worldwide. This study aims to describe the clinical characteristics of constipation in Jordanian children according to their age groups.
Methods:
All patients with constipation managed at our pediatric gastroenterology service between September 2009 and December 2012 included. Hospital charts were reviewed. Demographic data, clinical characteristics and final diagnosis were recorded. Data was analyzed according to the following age groups: infants, pre-school, school age and adolescents and gender.
Results:
During the study period, 137 patient identified.11 patients excluded. Number (percentage) of patients according to age groups were; Infants 43 (34.1%), pre-school 55 (43.7%), school age 25(19.8%), and adolescents three (2.4%). Males were 54.8%. There was no statistical gender difference in all age groups. The most common symptom in all age groups was dry, hard stool. Infrequent defecation was found in almost half the patients. Fecal incontinence was more common in school aged in comparison with preschool and adolescents. Abdominal pain was seen in almost 40% of our constipated children. Prevalence noticed to increase with age. Girls were affected than boys. Fecal mass in the rectum was the most common physical finding. It affected boys more than girls. Functional constipation was the most common underlying cause.
Conclusion:
Clinical characteristics of constipation in children vary according to age group and gender. These differences need to be considered while dealing with constipated children.
Key words: constipation, infants, preschool, school age, adolescents.
Clinical Characteristics of Constipation in Jordanian Children:
Introduction:
Constipation is ...
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(What is....2016). The first documented case of Crohn’s disease suspected was King Alfred in 850 A.D. This disease is named after a Jewish man named Dr. Burrill Bernard Crohn (1884-1983) who became interested in the condition as his father, also a Dr, suffered from a disorder of the bowel. He devoted his career to “regional enteritis” the disease that now bares his name. It is necessary to understand the disease to be able to provide care for people who are afflicted by it (de Campos and Kotze 2013). Especially since Crohn’s is a chronic disease or a lifelong affliction it’s important to understand etiology, it’s symptoms, treatments, and to maintain the disease and the psychological well being of the patient managed (Crohn’s...2015).
colic but only relieves minuscule amounts of gas pains. Breast milk is the only natural, complete
While it is rare to have a diagnosis in children younger than 12 years of age, it does happen. Average age of onse...
...urces for other interventions outside of the medical model that have proven to be effective in children with this disorder.
4. When to see a doctor. Most cases of watery stools improve within a few days to two weeks, especially if the baby remains well and active. However, in children with diarrhea, a serious complication is dehydra...
The scientific name of a kidney infection is known as pyelonephritis. There are two types of pyelonephritis infections, acute and chronic. Acute pyelonephritis is sudden and limited and can be cured/treated using antibiotics. However, if it is a chronic infection, it is long-lasting and occurs due to birth defects; it can lead to scarring in the kidneys, as well. Kidney infections can occur in both men and women. Although, according to Chih-Yen’s study of chronic infection, “Females (36.1%, 60/166) were more prone to have upper UTIs than males (11.8%, 13/110)” (Chih-Yeh, 2014; Chih-Yeh et al., 2014). In addition, age is not an important number due to the presence of Escherichia coli present in everyone’s body. It is dependent on time and health of an individual for the infection to present itself. Moreover, a study on children and adolescent transplantation concluded that, “UTI was uncommon in children after the first month of transplantation. Two significant risk factors for UTI were female gender and neurogenic bladder in this transplant population” (Fallahzadeh, 2011; Fallahzadeh et al., 2011). From the peer-reviewed papers, it is clear that females are more prone to UTI infection, overall, than
An article published in Lancet in 1989 by Bennet and Brinkman, reported the first use of FMT for treatment of Irritable Bowel Disorder. Bennet was diagnosed with UC himself and performed a trial of self-transplanted donor stool by retention enema. He would take the stool and reconstitute it with saline in order to be administered through an enema. Three months later colon biopsies showed improvement in inflammation and he remained symptom free for six months (Clinical and Experimental Gastroenterology, 2015). There
If symptoms are mild then they may not require specific treatment as the symptoms can clear up by itself. Certain foods may trigger diarrhoea and bloating. They should be given lifestyle and dietary advice. They should be advised to drink plenty of fluids and eat small amounts of food throughout the day. Patients should avoid high fibre foods such as bran, beans and nuts. They may also limit their intake of milk products if they are lactose intolerant. Finally they should avoi...
Wakefield, A. J., Murch, S. H., Anthony, M. A., Linnell, J., Casson, D. M., Malik, M., Berelowitz, M., Dhillon, A. P., Thomson, M. A., Harvey, P., Valentine, A., Davies, S. E., & Walker-Smith, J. A. (1998). Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Lancet, 351(9103), 637–641.
When asked about his typical elimination pattern, the patient stated that he voids several times daily, and typically has one bowel movement per day. The patient denied any concerns nor expressed any problems regarding his usual pattern of bowel/bladder elimination. He also denied any symptoms such as pain, bleed, unusual appearance or pattern. Furthermore, he has previously experienced dysuria and hesitancy by record. No treatment regarding elimination is implied at this time. There were no labs drawn in respects to the patient’s fluid or electrolyte status.
Approximately 3 to 5 out of every 10,000 school aged children have some for of
Austin is a four year old boy; He is still in need of a nap every afternoon. He will sleep for three hours each day, and sleeps 10 hours during the night. Austin has been diagnosed with chronic constipation since birth, in spite of him following the Canada food guide, he still fights this problem. I believe that Austin is at a healthy weight for his age. Austin does not have a good eating habit, he is vary picky with what he eats. I also believe that he is in a food jags face. “This it part of normal development and should be handled casually. Continue to offer a variety of food at meal and snack time, and most children will eventually start accepting other foods again”. (Pimento & Kernested, 2010, p. 2...
As always, symptoms vary, but here are a few common ones: bowel movements that become looser and more urgent, diarrhea accompanied by blood, rectal pain, abdominal pain/cramping, and fatigue/fever. In addition to theses symptoms, children with ulcerative colitis will generally fail to grow at a normal rate. Depending on which part of the colon is inflamed, some other symptoms include diarrhea, often with blood or pus, abdominal pain and cramping, rectal pain, rectal bleeding, an urgency to defecate, inability to defecate despite urgency, and weight
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Irritable Bowel Syndrome. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.