• Differential diagnosis of constipation syndrome in children

Differential diagnosis of constipation syndrome in children

SOVREMENNAYA PEDIATRIYA.2018.7(95):6-12; doi 10.15574/SP.2018.95.6

Dudnyk V., Mantak H., Andrikevych I., Zvenigorodska G.
National Pirogov Memorial Medical University Vinnytsya, Ukraine

Constipation is observed in 3% of preschool children and in 1–2% of schoolchildren, most of them are considered functional.
The aim of the study was to increase the effectiveness of differential diagnosis of chronic constipation in children.

Violation of motor activity of the large intestine is the leading mechanism for the formation of constipation. In the pathogenesis of chronic constipation important role belong to abnormality of the structure (inflammatory, sclerotic, tumor processes) and the function of the rectum (coordination of pelvic muscles with the sphincter of the rectum). Basic clinical manifestations of constipation are frequency of a stools 2 times or less per week; painful bowel movements; refusal to visit the toilet; solid feces; abdominal discomfort. A careful history and thorough physical examination is all that is required to diagnose functional constipation, but for the final conclusion it is necessary to conduct a thorough laboratory and instrumental examination to exclude the secondary origin of constipation, especially the organic. The different origin of constipation, the complicated mechanism of their development, the need for additional methods of examination and appointment in each case of individual treatment determines the importance of a differential approach to this problem.

Key words: children, constipation, classification, differential diagnosis.

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Article received: Jun 03, 2018. Accepted for publication: Nov 05, 2018.