Patients with Constipation and Related Factors

Year 2019, , 1 - 5, 28.04.2019

Emine Yurdakul Ertürk , Onur Yalçın

https://doi.org/10.19127/mbsjohs.529445

Cited By: 1

Abstract

Objectives: Constipation
is a widespread public health problem throughout the world and is commonly seen
in the childhood period. The aim of this study is to assess the etiologic causes,
clinical features and factors related to constipation among cases attending
with constipation complaints.

Methods: The files
and automation records of 162 cases aged from one month to 18 years attending
the pediatric health and diseases clinic with the complaint of constipation from
January 2018 to January 2019 were retrospectively investigated.

Home accidents were self-reported and questioned for the previous year. We
developed a composite index to assess the overall housing conditions. Housing
conditions were accepted “inadequate” if the score was below the median. We
developed a logistic regression model to predict the housing-related factors in
accidents.

Results: The mean
age of cases included in the study was 51.1±40.8 months (2-192 months), with
53.1% of patients (n=86) in the 1 month-3 years age interval. Of cases, 62.3%
were female and 37.7% were male. Toilet training had been given to 56.8% of
cases, with mean age of toilet training 2±0.5 years. Fiber intake was
insufficient in 72.2%, while fluid intake was insufficient for 84.5%. Of
patients, 56.2% (n=91) had begun supplementary nutrition early (before 6
months). Of cases, 22.8% had developmental retardation, while 13% (n=21) had
urinary tract infection as an additional accompanying problem. The most common
accompanying complaints were abdominal pain and bleeding while defecating. In
39% of patients, there was family history of constipation. The functional
constipation rate was 90.1%, while 1.9% had hypothyroidism, 1.9% had anal
stenosis, 1.9% had medication use, 1.2% had Hirschprung disease, 1.2% had
hypopotassemia, 1.2% had hypercalcemia and 1 case had vitamin D intoxication
identified.

Conclusion: Constipation
is associated with factors like toilet training age, beginning supplementary
food early and insufficient fiber and fluid amounts in diet. It may cause
growth development delay, urinary system infections and behavior problems.

Keywords

child, constipation, etiology

References

• Afzal NA, Tighe MP, Thomson MA. Constipation in children. Ital J Pediatr 2011;37:28.
• Altaf MA, Sood MR. The nervous system and gastrointesti¬nal function. Dev Disabil Res Rev 2008; 14:87-95. http://dx.doi.org/10.1002/ddrr.15 PMid:18646012.
• Baker SS, Liptak GS, Colletti RB, Croffie JM, Di Lorenzo C, Ector W, et al. Constipation in infants and children: evaluation and treatment. J Pediatr Gastroenterol Nutr 1999;29(5):612-26.
• Benninga MA. Children with constipation: What happens to them when they grow up? Scand J Gastroenterol 2004;39(241):23-6.
• Constipation Guideline Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Evaluation and treatment of constipation in infants and children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2006;43(3):1-13.
• Coughlin EC. Assessment and Management of Pediatric Constipation in Primary Care. Pediatr Nurs 2003;29(4):296-301.
• Cunningham C, Taylor HG, Minich NM, Hack M. Constipation in very-low-birth-weight children at 10 to 14 years of age. J Pediatr Gastroenterol Nutr 2001;33(1):23-7.
• Dijk M, Benninga MA, Grootenhuis MA, Nieuwenhuizen AMO, Last BF. Chronic childhood constipation: A review of the literature and the introduction of a protocolized behavioral intervention program. Patient Educ Couns 2007;67:63-77.
• Dogan Y, Erkan T, Ergul Y, Cokugras FC, Kutlu T. Retrospective analysis of the cases with complaint of constipation. Turkish Archives of Pediatrics 2005;40:23-7.
• Hyman PE, Milla PJ, Benninga MA, Davidson GP, Fleisher DF, Taminiau J. Childhood functional gastrointestinal disorders: neonate/ toddler. Gastroenterology 2006;130(5):1519-26.
• Ip KS, Lee WT, Chan JS, Young BW. A community-based study of the prevalance of constipation in young children and role of dietary fibre. Hong Kong Med J 2005;11(6):431-6.
• Kasırga E. Chronic Constipation and Nutrition. The Journal of Current Pediatrics 2007;5:113-8.
• Loening-Baucke V. Constipation in early childhood: patient characteristics, treatment, and longterm follow up. Gut 1993;34(10):1400-4.
• Mohkam M. Voiding dysfunction in children with chronic functional constipation. Iran J Kidney Dis 2013;7(5):336-8.
• Rajindrajith S, Devanarayana NM. Constipation in children: novel insight into epidemiology, pathophysiology and management. J Neurogastroenterol Motil 2011;17(1):35-47.
• Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology 2006;130(5):1527-37
• Sahin S, Gulerman F, Koksal T, Koksal AO. Evaluation of Cases with Chronic Constipation in Children. Turkish Journal of Pediatric Disease 2014;8(3):117-23.
• Sarı Y, Dogan Y. Evaluation of Clinical Symptoms, Etiological Factors and Results of Follow up in Cases with Constipation Complaint. Fırat University Journals of Health Sciences 2012;26(3):121-5.
• Savaser S, Kurt AS, Mutlu B, Filiz G, Aydogar N. Characteristics of Children Admitted to Hospital for Constipation. The Journal of Current Pediatrics 2011;9(3): 103-9.
• Soylu OB. Clinical Findings of Functional and Secondary Constipation in Children. Iran J Pediatr Jun 2013;23(3):353-6.
• Taitz LS, Wales JKH, Urwin OM, Molnar D. Factors associated with outcome in management of defecation disorders. Arch Dis Child 1986;61(5):472- 7.
• Weber TK, Toporovski MS, Tahan S, Neufeld CB, de Morais MB. Dietary fi ber mixture in pediatric patients with controlled chronic constipation. J Pediatr Gastroenterol Nutr 2014;58(3):297-302.