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Medline ® Abstract for Reference 131

of 'Chronic functional constipation and fecal incontinence in infants and children: Treatment'

Prevalence, symptoms and outcome of constipation in infants and toddlers.
Loening-Baucke V
J Pediatr. 2005;146(3):359.
OBJECTIVE: To determine the prevalence of constipation in children<or=2 years, describe the symptoms of constipation, and review how often specific interventions were effective.
STUDY DESIGN: Retrospective chart review.
RESULTS: Of 4,157 children<2 years of age, 185 children had constipation. The prevalence rate for constipation in the first year of life was 2.9%, and in the second year of life, the rate was 10.1%. Functional constipation was the cause in 97% of the children. Boys and girls were affected with equal frequency. Constipation was caused by an underlying organic disease in 1.6% of cases, and 97% of the children had functional constipation. Dietary changes and corn syrup were the initial treatment suggestions for 116 children; 93% of these children underwent follow-up examinations, and the constipation resolved in 25% of the children. Of 100 children treated with milk of magnesia or polyethylene glycol 3350 without electrolytes, 93 children underwent follow-up examinations, and the constipation was resolved with treatment in 92% of the children.
CONCLUSIONS: Dietary changes, corn syrup, or both resolved constipation in 25% of children, and laxatives resolved constipation in 92% of children. Both milk of magnesia and polyethylene glycol were efficient and safe in infants and toddlers.
Division of General Pediatrics, University of Iowa, Iowa City 52242-1083, USA. vera-loening-baucke@uiowa.edu