Lactulose vs Lactuloseand inulin in treatment of pediatric constipation

Background: Assess the efficacy of combining fiber and lactulose in the treatment of constipation in the pediatric age group. Objective: To assess the efficacy of combining fiber and lactulose in the treatment of constipation in the pediatric age group. Patients and Methods: One hundred forty...

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Main Authors: Salar Sabah Berdawd, Sasan Loqa Hanna, Yasir Kakameen Hamad
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2023-04-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/975
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author Salar Sabah Berdawd,
Sasan Loqa Hanna,
Yasir Kakameen Hamad
author_facet Salar Sabah Berdawd,
Sasan Loqa Hanna,
Yasir Kakameen Hamad
author_sort Salar Sabah Berdawd,
collection DOAJ
description Background: Assess the efficacy of combining fiber and lactulose in the treatment of constipation in the pediatric age group. Objective: To assess the efficacy of combining fiber and lactulose in the treatment of constipation in the pediatric age group. Patients and Methods: One hundred forty-six patients with fuctionalconstipation  were chosen in a non-randomized superiority trial manner as they were convenient to enroll due to their presentation to the outpatient clinic during the period from August 2019 to February 2022.Patient received either a solution of lactulose 3.3g/5ml in group A or a solution of 4.005g Inulin fiber and 4.005g lactulose per 20ml in group B. Results: Total of 146 children were included; all, 146 patients completed the study. In the lactulose group, 19 patients were on therapy for less than 6 months, and 48 were on therapy for more than 6 months. In the lactulose + fiber group, 59 patients were on therapy for less than 6 months, and 20 were on therapy for more than 6 months. No serious adverse effects were registered but 18 (27%) of children in the lactulose group encountered side effects, while 11 (14%) of children in the lactulose + fiber group encountered side effects. Conclusion: A solution of Lactulose + fiber is superior to a solution of Lactulose alone in terms of efficacy for the treatment of constipation in the pediatric age group. It also has a lower side effects profile.
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spelling doaj.art-6680db5e3d10481bb316c44115b6da812023-11-26T23:22:39ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822023-04-0124110.26505/djm.v24i1.975Lactulose vs Lactuloseand inulin in treatment of pediatric constipationSalar Sabah Berdawd,Sasan Loqa Hanna,Yasir Kakameen Hamad Background: Assess the efficacy of combining fiber and lactulose in the treatment of constipation in the pediatric age group. Objective: To assess the efficacy of combining fiber and lactulose in the treatment of constipation in the pediatric age group. Patients and Methods: One hundred forty-six patients with fuctionalconstipation  were chosen in a non-randomized superiority trial manner as they were convenient to enroll due to their presentation to the outpatient clinic during the period from August 2019 to February 2022.Patient received either a solution of lactulose 3.3g/5ml in group A or a solution of 4.005g Inulin fiber and 4.005g lactulose per 20ml in group B. Results: Total of 146 children were included; all, 146 patients completed the study. In the lactulose group, 19 patients were on therapy for less than 6 months, and 48 were on therapy for more than 6 months. In the lactulose + fiber group, 59 patients were on therapy for less than 6 months, and 20 were on therapy for more than 6 months. No serious adverse effects were registered but 18 (27%) of children in the lactulose group encountered side effects, while 11 (14%) of children in the lactulose + fiber group encountered side effects. Conclusion: A solution of Lactulose + fiber is superior to a solution of Lactulose alone in terms of efficacy for the treatment of constipation in the pediatric age group. It also has a lower side effects profile. https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/975Abdominal pain, bloating, constipation, distension, lactulose, inulin
spellingShingle Salar Sabah Berdawd,
Sasan Loqa Hanna,
Yasir Kakameen Hamad
Lactulose vs Lactuloseand inulin in treatment of pediatric constipation
Diyala Journal of Medicine
Abdominal pain, bloating, constipation, distension, lactulose, inulin
title Lactulose vs Lactuloseand inulin in treatment of pediatric constipation
title_full Lactulose vs Lactuloseand inulin in treatment of pediatric constipation
title_fullStr Lactulose vs Lactuloseand inulin in treatment of pediatric constipation
title_full_unstemmed Lactulose vs Lactuloseand inulin in treatment of pediatric constipation
title_short Lactulose vs Lactuloseand inulin in treatment of pediatric constipation
title_sort lactulose vs lactuloseand inulin in treatment of pediatric constipation
topic Abdominal pain, bloating, constipation, distension, lactulose, inulin
url https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/975
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AT yasirkakameenhamad lactulosevslactuloseandinulinintreatmentofpediatricconstipation