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JCR 2016
جستجوی مقالات
پنجشنبه 27 آذر 1404
Middle East Journal of Digestive Diseases
، جلد ۷، شماره ۱، صفحات ۳۱-۰
عنوان فارسی
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عنوان انگلیسی
Clinical manifestations among Children with Chronic Functional Constipation
چکیده انگلیسی مقاله
BACKGROUND Constipation is one of the most frequent cause of patient visits to pediatric gastroenterology clinics. Early diagnosis and treatment is important. There are few studies about clinical manifestations of constipation in children. We aimed to find the relative frequency of gastrointestinal manifestations of constipation among constipated children. METHODS This cross-sectional study was carried out on children aged < 18 years old with chronic functional constipation referred to Imam Reza Clinic of Shiraz University of Medical Sciences. Children with organic causes of chronic constipation were excluded from study. Rome III criteria were used for defining constipation. The duration of study was 1 year starting from September 2010. Abdominal pain, fecal mass, rectal bleeding, anorexia, fecal soiling, retentive posture, withholding behavior, anal fissure, and peri-anal erythema were recorded for each case based on history and physical examination. Data were analyzed using SPSS software, version 13.0 (Chicago, IL, USA). RESULTS Of 222 children with functional constipation, 124(55.9%) were girls and 98 (44.1%) were boys with a mean ± SD age of 5±3.12 years. The mean ± SD duration of constipation was 2.2±1.9 years. Large and hard stool was present in 93.7% of the patients. Painful defecation and withholding behavior were seen in 92.3% and 91.9% of the patients, respectively. Fecal impaction was more frequent among boys compared with girls ( p < 0.01). Fecal soiling was present in 40.8% of the boys and 28.2% of the girls ( p =0.04). CONCLUSION Large and hard stool, painful defecation and withholding behavior were the most frequent signs or symptoms among children with chronic functional constipation. Fresh rectal bleeding and anal fissure were the least frequent signs and symptoms in this group.
کلیدواژههای انگلیسی مقاله
نویسندگان مقاله
سید محسن دهقانی | seyed mohsen dehghani
نیلوفر kulouee | niloofar kulouee
ناصر هنر | naser honar
محمد هادی ایمانیه | mohammad hadi imanieh
محمود حقیقت | mahmood haghighat
هژیر جواهری زاده | hazhir javaherizadeh
نشانی اینترنتی
http://www.mejdd.org/index.php/mejdd/article/view/1438
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en
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Original Article
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