3/7/2023 0 Comments Functional constipation![]() , occult constipation is diagnosed in patients who do not fulfill the Rome criteria of constipation but had relief of symptoms with laxative treatment. In addition, “occult constipation” should be taken into account. The prevalence of constipation in the general pediatric population ranges widely from 0.5 to 32.2%. systematically reviewed literature regarding the epidemiology of functional constipation (FC). FGIDs are diagnosed and classified according to symptom-based criteria, the so-called Rome criteria, of which the IV edition has been published. ConclusionĪcknowledging the limitations of the small number of patients and of the uncontrolled nature of the study, we suggest that a possibly large number of patients labeled as IBS-D or IBS-M may actually simply present functional constipation and should be managed as such.įunctional gastrointestinal disorders (FGIDs) are common in children of all ages and cover a wide range of disorders associated with chronic, recurrent symptoms attributable to the gastrointestinal tract, which cannot be related to structural or biochemical abnormalities. The response was not significantly different from that observed in 15 (93%) of the IBS-C control group. The endpoints were met by 8 (80%) and 14 (87%) of the patients with IBS-D and IBS-M, respectively, with decrease of abdominal pain and resolution of “diarrhea”. The endpoints were: 1) a decrease of more than 50% in abdominal pain intensity and frequency scores and 2) for patients with IBS-D and IBS-M: resolution of diarrhea. Sixteen additional patients with IBS with Constipation (IBS-C) referred in the same period served as control. Patients who fulfilled criteria for suspect “occult constipation” were then given a bowel cleaning regimen with Polyethylene glycol 3350, re-evaluated at 2 months and followed up for at least 6 months. We prospectively enrolled in an unblinded fashion 10 and 16 consecutive children referred to our center who met Rome IV criteria for a diagnosis of IBS-D and IBS-M, respectively. We aimed at verifying if functional constipation may indeed lead to an erroneous diagnosis of IBS with diarrhea (IBS-D) or IBS with mixed pattern of diarrhea and constipation (IBS-M). Rome IV criteria for functional gastrointestinal disorders state that children suspected of having Irritable Bowel Syndrome (IBS) with Constipation (IBS-C) should be preliminarily treated for constipation.
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