Should examınatıons be performed ın each child wıth constıpatıon?

Öz

Abstract:

Purpose: Constipation is a common problem in childhood. There are many causes of constipation in children from congenital anomalies to metabolic diseases. Many examinations are required to exclude organic causes from each patient.

Materials and Methods: Total 200 patients aged between 0-18 years who were admitted to the Pediatric Gastroenterology Clinic with the complaint of constipation were retrospectively reviewed. Patients’ age, sex, glucose, calcium, phosphorus, magnesium, potassium, free thyroxine (fT4), thyroid stimulating hormone (TSH) values ​​and duration of treatment were analyzed.

Results: Of the 200 patients included in the study, 105 (52.5%) were female and 95 (47.5%) were male. The mean age of the patients was 4.91±4.63 years (range 0-18 years). None of the patients had hyperglycemia or hypokalemia. Only one patient had high TSH whose fT4 was normal. Thirty-one (15.5%), 1 (0.5%), 1 (0.5%) had hypercalcemia, hyperphosphatemia and hypermagnesemia respectively. Of the 31 patients with hypercalcemia, 19 were under one, seven were 1-2 years old. Conclusion: Considering the cost, it is not appropriate to send thyroid function tests, calcium, phosphorus, potassium and glucose to every child with constipation. However, it may be beneficial to administer calcium in children under 2 years of age in our region. Further researches are needed for this.

Anahtar Kelimeler

• constipation,child,examination

Kabızlık şikayeti ile gelen her çocuk hastadan tetkik istenmeli mi?

Öz

Amaç: Kabızlık, çocukluk yaş grubunda sık görülen bir dışkılama bozukluğudur. Çocuklarda kabızlığın konjenital anomalilerden metabolik hastalıklara kadar birçok nedeni bulunmaktadır.  Organik nedenlerin dışlanması için her hastadan birçok tetkik istenmektedir.

Gereç ve Yöntem: Çocuk Gastroenteroloji Polikliniği’ ne kabızlık şikayeti ile başvuran 0-18 yaşları arası toplam 200 hasta retrospektif olarak incelendi. Hastaların yaşı, cinsiyeti, glukoz, kalsiyum, fosfor, magnezyum, potasyum, serbest tiroksin(sT4), tiroid stimule edici hormon (TSH) değerleri ve tedavi süreleri değerlendirildi.

Bulgular: Çalışmaya dahil edilen 200 hastanın 105(%52,5)’i kız, 95(%47,5)’i erkek idi. Hastaların ortalama yaşı 4,91 ± 4,63 (0-18) yaş bulundu. Hastaların hiçbirinde hiperglisemi ve hipokalemi görülmedi. Sadece bir hastada TSH yüksek bulundu. Bu hastanın da sT4’ ü normaldi. Hastaların 31(%15,5)’ inde kalsiyum, 1(%0,5)’ inde fosfor ve 1(%0,5)’ inde magnezyum yüksek bulundu. Hiperkalsemisi olan 31 hastanın 19’ u bir yaş altı, 7’ si ise 1-2 yaş arasındaydı.

Sonuç:  Maliyet düşünüldüğünde kabızlığı olan her çocukta tiroid fonksiyon testleri, kalsiyum, fosfor, potasyum ve glukoz gönderilmesi uygun değildir. Ancak bölgemiz koşullarında 2 yaş altı çocuklarda kalsiyum gönderilmesi faydalı olabilir. Bu konuda daha fazla araştırmaya ihtiyaç vardır.

Anahtar Kelimeler

• kabızlık,çocuk,tetkik

Kaynakça

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