Functional Constipation: Pathophysiology, evaluation, and management
Alimentary Pharmacology & Therapeutics,
Год журнала:
2024,
Номер
60(S1)
Опубликована: Июнь 25, 2024
Functional
constipation
(FC),
a
disorder
of
the
gut-brain
interaction
multifactorial
pathophysiology
that
is
prevalent
in
paediatrics.
It
associated
with
bothersome
symptoms,
increased
healthcare
costs,
disgruntled
caregivers
and
impaired
health-related
quality
life.
Paediatric
FC
clinical
diagnosis
based
on
Rome
IV
criteria
characterised
by
decreased
bowel
movement
frequency
and/or
hard,
painful
stools
can
be
complicated
retentive
faecal
incontinence.
Stressful
life
events,
difficult
temperaments
emotional
behavioural
challenges
have
been
implicated
increasing
risk
developing
paediatric
FC.
Язык: Английский
Characteristics of functional constipation and analysis of intestinal microbiota in children aged 0–4 in Zunyi region
BMC Pediatrics,
Год журнала:
2025,
Номер
25(1)
Опубликована: Янв. 18, 2025
Functional
constipation
(FC)
significantly
impacts
children's
health.
This
study
investigates
the
prevalence
and
microbiota
characteristics
of
FC
in
children
aged
0-4
years
Zunyi
area.
From
October
to
December
2023,
2039
were
selected
using
stratified
sampling
cross-sectional
survey
methods.
A
questionnaire
based
on
Rome
IV
diagnostic
criteria
was
used.
Twenty-nine
with
randomly
as
functional
group
(FCG),
26
healthy
children,
matched
for
age,
sex,
area,
control
(CG).
total
2051
questionnaires
collected,
valid
responses.
Among
them,
151
had
FC,
resulting
a
rate
7.4%.
The
rates
boys
girls
6.6%
8.5%,
respectively,
no
significant
gender
difference
(P
>
0.05).
Alpha
diversity
analysis
revealed
higher
richness
intestinal
flora
FCG
compared
CG.
At
phylum
level,
Actinobacteria,
Firmicutes,
Proteobacteria,
Bacteroidetes
dominant
both
groups.
showed
relative
abundance
Proteobacteria
CG
<
is
Disease
vary
age
living
environment
but
are
unrelated
gender.
gut
shows
alterations,
specific
phyla
abundance.
Язык: Английский
Breaking the cycle: Psychological and social dimensions of pediatric functional gastrointestinal disorders
World Journal of Clinical Pediatrics,
Год журнала:
2025,
Номер
14(2)
Опубликована: Март 18, 2025
BACKGROUND
Functional
gastrointestinal
disorders
(FGIDs)
in
children
present
with
chronic
symptoms
like
abdominal
pain,
diarrhea,
and
constipation
without
identifiable
structural
abnormalities.
These
are
closely
linked
to
gut-brain
axis
dysfunction,
altered
gut
microbiota,
psychosocial
stress,
leading
psychiatric
comorbidities
such
as
anxiety,
depression,
behavioral
issues.
Understanding
this
bidirectional
relationship
is
crucial
for
developing
effective,
holistic
management
strategies
that
address
physical
mental
health.
AIM
To
examine
the
impacts
of
FGIDs
children,
focusing
on
anxiety
depression
their
association
other
neurodevelopmental
childhood,
attention-deficit/hyperactivity
disorder,
emphasizing
role
axis,
emotional
dysregulation,
stress.
Key
mechanisms
explored
include
neurotransmitter
microbiota
imbalance,
central
sensitization,
heightening
stress
reactivity,
symptom
perception.
The
review
also
evaluates
family
dynamics
coping
exacerbating
FGID
contributing
conditions.
METHODS
A
narrative
was
conducted
using
328
studies
sourced
from
PubMed,
Scopus,
Google
Scholar,
covering
research
published
over
past
20
years.
Inclusion
criteria
focused
examining
diagnosis,
mechanisms,
comorbidities,
factors
pediatric
populations.
commonly
affecting
including
functional
constipation,
irritable
bowel
syndrome,
gastroesophageal
reflux,
cyclic
vomiting
were
analyzed
concerning
psychological
impacts.
RESULTS
highlights
a
strong
connection
between
symptoms,
mediated
by
dysregulated
sensitization.
physiological
disruptions
increase
children’s
vulnerability
while
-
early-life
trauma,
maladaptive
dynamics,
ineffective
intensify
cycle
distress.
CONCLUSION
Effective
requires
biopsychosocial
approach
integrating
medical,
psychological,
dietary
interventions.
Parental
education,
early
intervention,
multidisciplinary
care
coordination
critical
mitigating
long-term
improving
both
health
outcomes
FGIDs.
Язык: Английский
Relationship between psychological stress with functional constipation in children: a systematic review
Ferry Suganda Gozali,
Beatrix Febiana,
I Gusti Ngurah Sanjaya Putra
и другие.
Pan African Medical Journal,
Год журнала:
2023,
Номер
46
Опубликована: Янв. 1, 2023
Introduction:
constipation
affects
up
to
29.6%
of
children
worldwide,
making
it
one
the
most
common
gastrointestinal
illnesses
in
pediatric
population.
As
a
functional
disorder,
development
is
mostly
influenced
by
child´s
psychosocial
condition,
even
considered
as
important
contributing
factors.
This
systematic
review
aims
evaluate
relationship
between
psychological
stress
with
Язык: Английский
State of the Art Bowel Management for Pediatric Colorectal Problems: Functional Constipation
Children,
Год журнала:
2023,
Номер
10(6), С. 1078 - 1078
Опубликована: Июнь 19, 2023
Functional
constipation
(FC)
affects
up
to
32%
of
the
pediatric
population,
and
some
these
patients
are
referred
surgery
units
manage
their
and/or
fecal
incontinence.
The
aim
current
paper
is
report
recent
updates
on
evaluation
management
children
with
FC
as
a
part
manuscript
series
bowel
in
anorectal
malformations,
Hirschsprung
disease,
spinal
anomalies,
FC.A
literature
search
was
performed
using
Medline/PubMed,
Google
Scholar,
Cochrane,
EMBASE
databases
focusing
manuscripts
published
within
last
5-10
years.The
first
step
exclude
disease
contrast
study,
examination
under
anesthesia,
manometry
(AMAN).
If
AMAN
shows
absent
rectoanal
inhibitory
reflex,
rectal
biopsy
performed.
Internal
sphincter
achalasia
or
high
resting
pressures
indicate
botulinum
toxin
injection.
Medical
options
include
laxatives,
enemas,
transanal
irrigations,
antegrade
flushes.
Those
who
fail
conservative
treatment
require
further
assessment
colonic
motility
can
be
candidates
for
resection.
type
resection
(subtotal
vs.
Deloyer's
procedure)
guided
balloon
expulsion
test.Most
surgical
managed
conservatively.
Further
studies
required
determine
an
optimal
strategy
unresponsive
medical
treatment.
Язык: Английский
Percepciones sobre estilos de crianza en estudiantes de educación secundaria, Pucallpa - Perú
Revista Científica en Ciencias Sociales,
Год журнала:
2024,
Номер
6
Опубликована: Фев. 2, 2024
The
objective
of
the
research
is
to
describe
perceptions
parenting
styles
in
secondary
education
students,
Pucallpa-Peru.
A
qualitative,
transversal
and
descriptive
approach
was
chosen.
Virtual
interviews
were
conducted
through
Meet
with
5
students
from
4th
year
Alternative
Basic
Education
Center
(CEBA)
Pucallpa,
selected
by
convenience
2022.
inclusion
criteria
active
aged
16
18
willing
participate.
guide
9
open
questions
ATLAS.ti
v22
software
used
for
data
processing.
results
highlight
importance
setting
limits
parenting;
Two
common
errors
are
identified
(irresponsible
procreation
granting
freedom
without
responsibility
children);
preference
single
parent
avoid
conflict;
majority
mention
having
a
democratic
father
an
authoritarian
mother
(or
vice
versa).
It
concluded
that
style
perceived
as
ideal
best
option,
however,
participants
recognize
permissive
most
frequent
their
environment.
Язык: Английский
Constipation: A Pristine Universal Pediatric Health Delinquent
Cureus,
Год журнала:
2024,
Номер
unknown
Опубликована: Янв. 19, 2024
Constipation
suffered
by
children
is
a
global
public
health
problem.
Functional
constipation
(FC)
brings
about
deteriorating
effects
in
the
children's
lives
who
suffer
from
it.
The
risk
factors
for
development
of
include
consumption
diet
low
fiber
and
high
calories
(such
as
fast
food),
sedentary
lifestyle
with
lack
exercise,
family
history
constipation,
emotional
psychological
stress
endured
their
families.
It
one
most
common
causes
stomachaches
children.
FC
may
lead
to
fecal
incontinence
(FI),
anal
fissures,
recurrent
urinary
tract
infections
(RUTI),
enuresis
Severe
result
stool
becoming
rock-hard
inflexible
rectum,
which
clinically
identified
impaction.
imperative
perform
clinical
evaluation
treatment,
including
pharmacological
(the
use
stimulant
osmotic
laxatives)
non-pharmacological
(education,
changes
diet,
intervention
promote
positive
behavior
address
any
issues,
toilet
training,
physiotherapy
pelvic
floor)
interventions.
In
case
refractory
patients,
neuromodulation,
irrigation
canal,
surgical
management
be
needed.
essential
healthy,
stress-free
plenty
exercise
balanced
rich
fruits
vegetables)
so
can
have
regular
bowel
habits
thrive.
Язык: Английский
The magnitude of chronic constipation and associated factors among type 2 diabetic patients in Harar, Eastern Ethiopia
Clinical Diabetes and Endocrinology,
Год журнала:
2024,
Номер
10(1)
Опубликована: Окт. 17, 2024
Constipation,
which
affects
16%
of
adults
worldwide,
is
a
chronic
health
problem
characterized
by
unsatisfactory
frequency
bowel
movements,
causing
pain,
bloating
or
incomplete
movements.
The
study
aims
to
assess
the
magnitude
constipation
and
associated
factors
among
T
Язык: Английский