CLINICAL PROFILE OF FUNCTIONAL CONSTIPATION IN CHILDREN

Abstract

Introduction:Constipation causes physical, psychological morbidity and poor quality of life Data from developed countries shows that prevalence of childhood constipation in general population ranges from 0.7-29.6%. Various studies have showed pain of passing hard stools in infancy and early childhood is the principal contributing factor for acute childhood constipation, leading to constipation and soiling in adulthood. Because of lack of awareness regarding common occurrence of childhood constipation and its proper management, it is often underdiagnosed and sub optimally managed. Hence, this study was conducted to study the frequency of constipation and risk factors in children attending tertiary care hospital in rural Bangalore. Materials and methods: A total of 50 children attending pediatric OPD with constipation were surveyed at MVJ Medical College and Research Hospital, Bangalore. Children who fulfilled the ROME III criteria for constipation were analyzed for demographic profile, socio-economic status, psychosocial aspects and dietary habits affecting bowel pattern. Data was collected and recorded from the parents in pre-fixed proforma which also included Stool frequency and type of stool passed . Results: A total of 50 children fulfilled the ROME III criteria for functional constipation. The constipation in children had male preponderance and majority were aged 2-4 years. Majority of constipated children (62%, n=31) had retention behavior in the form of abnormal posturing. In children with constipation, the average number of stools passed in a week is 2.05. Conclusions: Constipation is an iceberg disorder. Skipping breakfast, early toilet practicing, low intake of vegetables and fruits , marital disharmony, sibling rivalry ,temper tantrums , school phobia , aversion to use school toilet were factors leading to constipation.