Functional Constipation in Children: overview and new outcomes

Functional constipation (FC) is a prevalent gastrointestinal disorder in children, characterized by infrequent, difficult, or painful bowel movements without an identifiable organic cause. This review provides an overview of functional constipation in children, discussing its epidemiology, pathophy...

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Main Authors: Kamila Stępień, Maria Przygoda, Joanna Śnieżna, Gabriela Trestka, Sabina Adamczyk, Urszula Zelik, Jakub Dziewic, Wojciech Florczak, Wiktoria Domino, Jagienka Włodyka, Karol Dzwonnik
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/57066
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author Kamila Stępień
Maria Przygoda
Joanna Śnieżna
Gabriela Trestka
Sabina Adamczyk
Urszula Zelik
Jakub Dziewic
Wojciech Florczak
Wiktoria Domino
Jagienka Włodyka
Karol Dzwonnik
author_facet Kamila Stępień
Maria Przygoda
Joanna Śnieżna
Gabriela Trestka
Sabina Adamczyk
Urszula Zelik
Jakub Dziewic
Wojciech Florczak
Wiktoria Domino
Jagienka Włodyka
Karol Dzwonnik
author_sort Kamila Stępień
collection DOAJ
description Functional constipation (FC) is a prevalent gastrointestinal disorder in children, characterized by infrequent, difficult, or painful bowel movements without an identifiable organic cause. This review provides an overview of functional constipation in children, discussing its epidemiology, pathophysiology, clinical presentation, diagnostic approach, and management strategies. FC affects approximately 5-30% of children, with risk factors including dietary habits, psychosocial stressors, and family history. The pathophysiology involves colonic hypomotility, rectal hyposensitivity, and behavioral factors, often compounded by pelvic floor dysfunction. Diagnosis is primarily clinical, based on Rome IV criteria, with further testing considered in atypical cases. Management includes dietary modifications, behavioral interventions, pharmacotherapy, and, in some cases, biofeedback therapy. Long-term outcomes are generally favorable with appropriate treatment, although relapse is common, emphasizing the need for sustained management. Functional constipation significantly impacts a child's quality of life, affecting both physical and emotional well-being. A multidisciplinary approach is essential for effective treatment, addressing both physiological and psychological aspects to optimize long-term health outcomes for children with FC.
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institution Kabale University
issn 2450-3118
language English
publishDate 2025-01-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-4aba11a05153413e947ff5c519202ffb2025-01-23T08:24:43ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.57066Functional Constipation in Children: overview and new outcomesKamila Stępień0https://orcid.org/0009-0000-3579-9308Maria Przygoda1https://orcid.org/0000-0002-6409-7265Joanna Śnieżna2https://orcid.org/0009-0006-2713-0835Gabriela Trestka3https://orcid.org/0009-0009-9504-8923Sabina Adamczyk4https://orcid.org/0009-0003-9671-6619Urszula Zelik5https://orcid.org/0009-0009-3369-7936Jakub Dziewic6https://orcid.org/0009-0008-4338-4573Wojciech Florczak7https://orcid.org/0009-0006-8003-0999Wiktoria Domino8https://orcid.org/0009-0005-0034-7463Jagienka Włodyka9https://orcid.org/0009-0000-7243-7023Karol Dzwonnik10https://orcid.org/0009-0007-1366-3945Independent Public Health Care Facility of the Ministry of Internal Affairs and Administration in KielceSpecialist Hospital named after Stefan Żeromski Independent Public Healthcare Facility (SP ZOZ), in KrakówMedical University of Lublin: Lublin, PolandClinical Provincial Hospital No. 2 in Rzeszów, Poland Lwowska 60, 35-501 Rzeszów, PolandIndependent Public Healthcare Facility of the Ministry of Internal Affairs and Administration in Opole, PolandUniversity Teaching Hospital them F. Chopin in Rzeszów, Poland
Fryderyka Szopena 2, 35-055 Rzeszów, PolandMedical University of Lublin: Lublin, PolandMedical University of Lublin: Lublin, PolandClinical Provincial Hospital No. 2 in Rzeszów, Poland Lwowska 60, 35-501 Rzeszów, PolandUniversity Teaching Hospital them F. Chopin in Rzeszów, Poland
Fryderyka Szopena 2, 35-055 Rzeszów, PolandMedical University of Lublin: Lublin, Poland Functional constipation (FC) is a prevalent gastrointestinal disorder in children, characterized by infrequent, difficult, or painful bowel movements without an identifiable organic cause. This review provides an overview of functional constipation in children, discussing its epidemiology, pathophysiology, clinical presentation, diagnostic approach, and management strategies. FC affects approximately 5-30% of children, with risk factors including dietary habits, psychosocial stressors, and family history. The pathophysiology involves colonic hypomotility, rectal hyposensitivity, and behavioral factors, often compounded by pelvic floor dysfunction. Diagnosis is primarily clinical, based on Rome IV criteria, with further testing considered in atypical cases. Management includes dietary modifications, behavioral interventions, pharmacotherapy, and, in some cases, biofeedback therapy. Long-term outcomes are generally favorable with appropriate treatment, although relapse is common, emphasizing the need for sustained management. Functional constipation significantly impacts a child's quality of life, affecting both physical and emotional well-being. A multidisciplinary approach is essential for effective treatment, addressing both physiological and psychological aspects to optimize long-term health outcomes for children with FC. https://apcz.umk.pl/QS/article/view/57066gastrointestinal disorderfunctional constipationpediatricschildren
spellingShingle Kamila Stępień
Maria Przygoda
Joanna Śnieżna
Gabriela Trestka
Sabina Adamczyk
Urszula Zelik
Jakub Dziewic
Wojciech Florczak
Wiktoria Domino
Jagienka Włodyka
Karol Dzwonnik
Functional Constipation in Children: overview and new outcomes
Quality in Sport
gastrointestinal disorder
functional constipation
pediatrics
children
title Functional Constipation in Children: overview and new outcomes
title_full Functional Constipation in Children: overview and new outcomes
title_fullStr Functional Constipation in Children: overview and new outcomes
title_full_unstemmed Functional Constipation in Children: overview and new outcomes
title_short Functional Constipation in Children: overview and new outcomes
title_sort functional constipation in children overview and new outcomes
topic gastrointestinal disorder
functional constipation
pediatrics
children
url https://apcz.umk.pl/QS/article/view/57066
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