The purpose of this publication is to describe the characteristics and treatment of four pediatric functional gastrointestinal disorders that prompt parents to bring their child to the doctor for constipation and/or soiling: infant dyschezia, functional constipation, functional fecal retention, and non-retentive fecal soiling. [A functional disorder refers to a condition where the primary abnormality is an altered physiological function (the way the body works) rather than an abnormality that is characterized by tissue damage or inflammation.] Revised and updated 2009.Topics: Anal, Rectal Disorders, Constipation, difficult to pass stools, Fecal soiling, incontinence, Incontinence
When a new baby is born, we assume that he or she will spend most of the first few months of life engaged in a small number of basic activities: sleeping, feeding, peeing, and pooping. The passage of waste is a basic function of all living organisms, which is so ingrained and routine that most of us do not even think twice about it. The inability to defecate in children is usually due either to a problem with formation of the anus or with the inability of the colon to push the stool from one end to the other (Hirschsprung's disease and other motility disorders).
Over 1,000 new cases of Hirschsprung's disease are diagnosed in the USA every year. More than half the children treated appropriately with surgery for Hirschsprung's disease suffer from chronic problems with constipation, incontinence, and/or abdominal pain. Even as adults, over half will experience occasional episodes of incontinence, and 10% will endure constipation unresponsive to medical management. Nonetheless, adjustment for teenagers and young adults with Hirschsprung's disease is not different than for healthy children; successful adjustment depends largely on family support. Revised and updated 2009.Topics: Anal, Rectal Disorders, Constipation, difficult to pass stools, Constipation, difficult to pass stools, Fecal soiling, incontinence, Hirschsprung's Disease, Incontinence, Motility
Fact Sheet: Report from IFFGD Research Award Winner: Biopsychosocial Perspectives on Assessment and Treatment831
I am particularly interested in identifying factors that predispose children and adolescents with functional gastrointestinal disorders to experience disability and identifying psychosocial factors that affect treatment outcome.Topics: Constipation, difficult to pass stools, Fecal soiling, incontinence, Incontinence, Lower Abdominal Pain, Pelvic Pain, Pain Management, Research
Fact Sheet: Report from IFFGD Research Award Winner: Research into Treatment-Resistant Constipation in Children835
Constipation and fecal soiling in children and teenagers are major impediments to education. Schools will not accept children who cannot toilet themselves. Children whose soiled clothing gives off an odor are ostracized by others. We have developed a 6 point approach to treating children with chronic constipation.Topics: Constipation, difficult to pass stools, Fecal soiling, incontinence, Incontinence, Motility, Research
In this issue:
Topics: Constipation, difficult to pass stools, Constipation, difficult to pass stools, DHM Magazines, GER, GERD, Incontinence, Irritable Bowel Syndrome (IBS), Research, Working with your healthcare provider
- IBS Awareness Month Poster
- Research Report from IFFGD - IBS Patients: Their Illness Experience and Unmet Needs
- Dyssynergic Defecation: a Common Cause of Chronic Constipation
- Digestive Health Research: Treatment Guideline for IBS
- Editorial: Treating Functional Constipation in Children
- Clinical Corner
- Diet Advice for Barrett’s Esophagus and GERD?
- When is Endoscopy Recommended for GERD?
- Soiling Solutions in Children
- I Have a Gut Problem: Which Doctor Should I See?
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