Abstract
Constipation is one of the most common gastrointestinal symptoms in children. Chronic constipation is defined when symptoms are present for more than 3 months. The key feature required for the diagnosis is reduced stool frequency, which must be evaluated comparing with age-related normal patterns of defecation frequency. The two main causes of chronic constipation in children are functional constipation and organic disease. History and physical examination should be able to recognize the few children who are at risk of having a serious disorder and that must undergo additional studies.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Tabbers MM, DiLorenzo C, Berger MY, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition; North American Society for Pediatric Gastroenterology. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014 Feb;58(2):258–74.
van den Berg MM, Benninga MA, Di Lorenzo C. Epidemiology of childhood constipation: a systematic review. Am J Gastroenterol. 2006;101:2401.
Robin SG, Keller C, Zwiener R, et al. Prevalence of pediatric functional gastrointestinal disorders utilizing the Rome IV criteria. J Pediatr. 2018;195:134.
Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol. 2011;25:3–18.
Benninga MA, Faure C, Hyman PE, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2016:S0016-5085(16)00182-7. https://doi.org/10.1053/j.gastro.2016.02.016.
Hyams JS, Di Lorenzo C, Saps M, et al. Functional disorders: children and adolescents. Gastroenterology. 2016:S0016-5085(16)00181-5.
de Moraes JG, Motta ME, Beltrão et al. Fecal microbiota and diet of children with chronic constipation. Int J Pediatr 2016;2016:6787269.
Drossman DA. Functional gastrointestinal disorders: history, pathophysiology, clinical features and Rome IV. Gastroenterology. 2016:S0016-5085(16)00223.
Rubin GP. Childhood constipation. Am Fam Physician. 2003;67:1041.
Loening-Baucke V. Chronic constipation in children. Gastroenterology. 1993;105:1557.
Loening-Baucke V. Prevalence, symptoms and outcome of constipation in infants and toddlers. J Pediatr. 2005;146:359.
Di Lorenzo C. Pediatric anorectal disorders. Gastroenterol Clin N Am. 2001;30:269.
Fontana M, Bianchi C, Cataldo F, et al. Bowel frequency in healthy children. Acta Paediatr Scand. 1989;78:682.
Hyams JS, Treem WR, Etienne NL, et al. Effect of infant formula on stool characteristics of young infants. Pediatrics. 1995;95:50.
den Hertog J, van Leengoed E, Kolk F, et al. The defecation pattern of healthy term infants up to the age of 3 months. Arch Dis Child Fetal Neonatal Ed. 2012;97:F465.
Arce DA, Ermocilla CA, Costa H. Evaluation of constipation. Am Fam Physician. 2002;65:2283.
Iacono G, Cavataio F, Montalto G, et al. Intolerance of cow’s milk and chronic constipation in children. N Engl J Med. 1998;339:1100.
Leung AK, Chan PY, Cho HY. Constipation in children. Am Fam Physician. 1996;54:611.
Hendren WH. Pediatric rectal and perineal problems. Pediatr Clin N Am. 1998;45:1353.
Abi-Hanna A, Lake AM. Constipation and encopresis in childhood. Pediatr Rev. 1998;19:23.
Hellerstein S, Linebarger JS. Voiding dysfunction in pediatric patients. Clin Pediatr (Phila). 2003;42:43.
Loening-Baucke V. Urinary incontinence and urinary tract infection and their resolution with treatment of chronic constipation of childhood. Pediatrics. 1997;100:228.
van Summeren JJGT, Holtman GA, van Ommeren SC, et al. Bladder symptoms in children with functional constipation: a systematic review. J Pediatr Gastroenterol Nutr. 2018;67:552.
Rosen R, Buonomo C, Andrade R, Nurko S. Incidence of spinal cord lesions in patients with intractable constipation. J Pediatr. 2004;145:409.
Siddiqui A, Rosen R, Nurko S. Anorectal manometry may identify children with spinal cord lesions. J Pediatr Gastroenterol Nutr. 2011;53:507.
Tambucci R, Quitadamo P, Thapar N, et al. Diagnostic tests in pediatric constipation. J Pediatr Gastroenterol Nutr. 2018;66(4):e89–98.
Hussain SZ, Di Lorenzo C. Motility disorders. Diagnosis and treatment for the pediatric patient. Pediatr Clin N Am. 2002;49(27)
Osatakul S, Patrapinyokul S, Osatakul N. The diagnostic value of anorectal manometry as a screening test for Hirschsprung’s disease. J Med Assoc Thail. 1999;82:1100.
Pensabene L, Youssef NN, Griffiths JM, Di Lorenzo C. Colonic manometry in children with defecatory disorders. Role in diagnosis and management. Am J Gastroenterol. 2003;98(1052)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Pession, A., Leardini, D., Muratore, E., Masetti, R. (2022). Chronic Constipation in Pediatrics: Pathophysiology and Diagnosis. In: Lima, M., Ruggeri, G. (eds) Ano-Rectal Endosonography and Manometry in Paediatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-97668-2_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-97668-2_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-97667-5
Online ISBN: 978-3-030-97668-2
eBook Packages: MedicineMedicine (R0)