Abstract
Constipation is commonly seen in pediatric patients. It is a frequent complaint seen by pediatric gastroenterologists as well as primary care providers. Constipation is very relevant to pediatric urology patients as it is seen frequently in patients presenting with urinary tract infections and/or voiding dysfunction. Dysfunctional elimination is the combination of bowel and bladder dysfunction that was initially described in patients with recurrent urinary tract infections and vesicoureteral reflux. It is important to seek out symptoms of bowel dysfunction in patients seen with urinary complaints and vice versa. The treatment of constipation is an integral part of the treatment regimen in children with voiding dysfunction. Encopresis, or fecal incontinence associated with constipation and chronic fecal impaction may also be present in patients with voiding dysfunction and recurrent urinary tract infections. In children with constipation an organic cause should be sought out during the evaluation including neurologic, endocrine, or anatomic causes. In 95% of patients no etiology is found and they are classified as having functional constipation.
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Suggested Reading
Baker SS, Liptak GS, Colletti RB, et al. Constipation in infants and children. J Pediatr Gastroenterol Nutr. 1999;29:612–26.
Chase JW, Homsey Y, Siggaard C, et al. Functional constipation in children. J Urol. 2004;171:2641–3.
Erickson BA, Austin JC, Cooper CS, Boyt MA. Polyethelene glycol 3350 for constipation in children with dysfunctional elimination. J Urol. 2003;170:1518–20.
Hadjizadeh N, Motamed F, Abdollahzade S, Fafiei S. Associate of voiding dysfunction with functional constipation. Indian Pediatr. 2009;46:1093–5.
Heaton KW, Ghosh S, Braddon FEM. How bad are the symptoms and bowel dysfunction of patients with the irritable bowel syndrome? A prospective, controlled study with emphasis on stool form. Gut. 1991;32:73–9.
Hyman PE, Milla PJ, Benninga MA, et al. Childhood functional gastrointenstinal disorders: neonate/toddler. Gastroenterology. 2006;130:1519–26.
Koff SA, Wagner TT, Jayanthi VR. The relationship among dysfunction elimination syndromes, primary vesicoureteral reflux, and urinary tract infections in children. J Urol. 1998;160:1019–22.
Loening-Baucke V. Urinary incontinence and urinary tract infection and their resolution with treatment of chronic constipation of childhood. Pediatrics. 1997;100:228–32.
Loening-Baucke V, Pashenkar DP. A randomized, prospective comparison study of polyethelene glycol 3350 without electrolytes and milk of magnesia for children with constipation and fecal incontinence. Pediatrics. 2006;118:528–35.
Pashankar DP, Bishop WP, Loening-Baucke V. Long-term efficacy of polyethelene glycol 3350 for the treatment of chronic constipation in children with and without encopresis. Clin Pediatr. 2003;42:815–9.
Rasquin A, DiLorenzo CD, Forbes D, et al. Childhood functional gastrointestinal disorders:child/adolescent. Gastroenterology. 2006;130:1527–37.
Tabbers MM, DiLorenzo C, Berger MY, et al. Evaluation and treatment of functional constipation in infants and children: evidence based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014;58:258–74.
Voskuil WP, Heijmans J, Heijmans HS, et al. Use of Rome II criteria in childhood defication disorders: applicability in clinical and research practice. J Pediatr. 2004;145:213–7.
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Austin, J.C. (2020). Constipation. In: Godbole, P., Wilcox, D., Koyle, M. (eds) Guide to Pediatric Urology and Surgery in Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-24730-0_11
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DOI: https://doi.org/10.1007/978-3-030-24730-0_11
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