Constipation in children in the practice of a pediatrician

Constipation in children is currently one of the major complaints that parents present at a pediatrician's appointment. The article discusses the issues of diagnosis and treatment of functional constipation in children based on the international and Russian clinical guidelines. The following ar...

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Main Author: A. I. Safina
Format: Article
Language:Russian
Published: Remedium Group LLC 2022-07-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/6974
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author A. I. Safina
author_facet A. I. Safina
author_sort A. I. Safina
collection DOAJ
description Constipation in children is currently one of the major complaints that parents present at a pediatrician's appointment. The article discusses the issues of diagnosis and treatment of functional constipation in children based on the international and Russian clinical guidelines. The following are some major causes of constipation in young children. Constipation is most often caused by colon dyskinesia (hypo- and hypermotor disorders), impaired and painful bowel movement (spasm of the rectal sphincters, weakened smooth muscle tone, etc.) or a combination of these factors. In rare cases, the cause of constipation is organic disorders. Also, low parental socio-economic status, low educational level, depression, neuroticism, attitude of parents towards their children's upbringing such as being overprotective, and attitudes that promote high or low levels of autonomy, increase the risk of functional constipation. In addition, the article sets detailed factors leading to constipation in older children and adolescents. The pathogenesis of functional constipation is given, and the problem of psychological constipation is described. The outlined therapeutic approach includes dietary intervention, compliance with drinking water treatment, behavioural and drug therapy. The author presents its own experience of using sodium picosulfate to treat constipation in children. Constipation in children is a common problem, functional constipation accounts for 95% of cases, therefore in most cases they do not require clarifying diagnostic methods. Besides, you shouldn't forget about the possibility of organic pathology, malformations in young children. Constipation in children requires the timely administration of complex treatment.
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spelling doaj.art-6c8bd6973eb34f649237d85d6b63a9172023-04-23T06:56:32ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902022-07-01012505710.21518/2079-701X-2022-16-12-50-576243Constipation in children in the practice of a pediatricianA. I. Safina0Kazan State Medical Academy - a branch of Russian Medical Academy of Continuing Professional EducationConstipation in children is currently one of the major complaints that parents present at a pediatrician's appointment. The article discusses the issues of diagnosis and treatment of functional constipation in children based on the international and Russian clinical guidelines. The following are some major causes of constipation in young children. Constipation is most often caused by colon dyskinesia (hypo- and hypermotor disorders), impaired and painful bowel movement (spasm of the rectal sphincters, weakened smooth muscle tone, etc.) or a combination of these factors. In rare cases, the cause of constipation is organic disorders. Also, low parental socio-economic status, low educational level, depression, neuroticism, attitude of parents towards their children's upbringing such as being overprotective, and attitudes that promote high or low levels of autonomy, increase the risk of functional constipation. In addition, the article sets detailed factors leading to constipation in older children and adolescents. The pathogenesis of functional constipation is given, and the problem of psychological constipation is described. The outlined therapeutic approach includes dietary intervention, compliance with drinking water treatment, behavioural and drug therapy. The author presents its own experience of using sodium picosulfate to treat constipation in children. Constipation in children is a common problem, functional constipation accounts for 95% of cases, therefore in most cases they do not require clarifying diagnostic methods. Besides, you shouldn't forget about the possibility of organic pathology, malformations in young children. Constipation in children requires the timely administration of complex treatment.https://www.med-sovet.pro/jour/article/view/6974functional constipationchildrendiagnosticstherapylaxativessodium picosulfate
spellingShingle A. I. Safina
Constipation in children in the practice of a pediatrician
Медицинский совет
functional constipation
children
diagnostics
therapy
laxatives
sodium picosulfate
title Constipation in children in the practice of a pediatrician
title_full Constipation in children in the practice of a pediatrician
title_fullStr Constipation in children in the practice of a pediatrician
title_full_unstemmed Constipation in children in the practice of a pediatrician
title_short Constipation in children in the practice of a pediatrician
title_sort constipation in children in the practice of a pediatrician
topic functional constipation
children
diagnostics
therapy
laxatives
sodium picosulfate
url https://www.med-sovet.pro/jour/article/view/6974
work_keys_str_mv AT aisafina constipationinchildreninthepracticeofapediatrician