Early Detection and Aggressive Management Is a Key to Success in Management of Childhood Constipation

Introduction: Functional constipation is an emerging problem in childhood of Indian subcontinent. If diagnosed early and managed aggressively along with lifestyle modification the success rate of disease treatment improves. Objectives: To assess whether the pain abdomen is the early feature of constipation To determine the relationship between good follow ups and the outcome To determine the minimum duration of laxative therapy in management of constipation Materials and Methods: A retrospective analytical study of 150 children with constipation. Various parameters were considered namely demographic details, eating habits, clinical examination, abdominal radiographs and abdominal ultrasonography. Patients were divided into two groups based on the symptoms at the presentation. The first comparison was between constipation group vs pain abdomen group. Second comparison was between the patients with good follow-ups and bad follow-ups. The finally the duration of laxative therapy was assessed. Data was entered into Microsoft Excel and analysed using SPSS version 25. The categorical variables are presented using frequency and percentages. Chi square tests were used for statistical analysis. p<0.05 is considered as significant value for interpretation of results. Results: All the 150 pa ents were treated for cons pa on 70% showed improvement. Eighty percent of pain abdomen group patients also showed improvement in their symptoms suggesting that they might be the subset of larger cons pa on group. 97.1% patient with good follow-up followed the dietary advice. The study reveals that there is an association between following dietary advice and final improvement. 70.5% who followed dietary advice had good outcome irrespective of the use of regular laxa ves. Most of the pa ents ( 78 % ) s howed the improvement with 3- 6 months of laxa ve therapy. Conclusion: Pain abdomen with stool stasis must be considered as early feature of constipation. Patients with better follow and good dietary habits have significant improvement. Aggressive therapy with two laxa ves for 3-6 months can increase the success.