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encopresis/bauchschmerz

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Functional fecal retention with encopresis in childhood.

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OBJECTIVE The most common cause of encopresis in children is functional fecal retention (FFR). An international working team suggested that FFR be defined by the following criteria: a history of >12 weeks of passage of <2 large-diameter bowel movements (BMs) per week, retentive posturing, and

Abdominal pain, constipation, and tenesmus in an adolescent female: consider Chlamydia proctitis.

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BACKGROUND Rectal Chlamydia trachomatis (CT) infection and proctitis, once thought to be exclusive to the population of men who have sex with men, is being detected with increased frequency among heterosexual females. METHODS A 16-year-old female presented with 5 months of chronic, episodic
The childhood prevalences of constipation and encopresis are 0.3-8% and 1-3% respectively. Following a recent stricter definition and classification, constipation and solitary encopresis are now recognised to be two separate entities. Constipation is characterised by infrequent defecation, often in

Early constipation and toilet training in children with encopresis.

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OBJECTIVE To evaluate the frequency of predisposing factors for encopresis before and during toilet training, comparing children with primary and secondary encopresis. METHODS In this retrospective study, questionnaires from the initial evaluation at an encopresis clinic at a tertiary care pediatric

Breath methane production in children with constipation and encopresis.

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Breath methane excretion is uncommon in children compared with adults. Certain intracolonic conditions, however, have been associated with enhanced methane generation. We hypothesized that encopretic and constipated children, who have abnormal colonic transit times, more likely would excrete methane

Is encopresis always the result of constipation?

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Encopresis is often the result of chronic constipation in the majority of paediatric patients. In clinical practice, however, encopresis is also seen without constipation and it is unknown whether these two clinical variants are based on similar or different pathophysiological mechanisms, requiring

Fecal Impaction Causing Pelvic Venous Compression and Edema.

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Chronic constipation is a common condition which may result in fecal impaction. A 13-year-old male with chronic constipation and encopresis presented with fecal impaction for three weeks. The impaction caused abdominal pain, distension, encopresis, and decreased oral intake. He was found in severe

Obesity is related to multiple functional abdominal diseases.

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Analysis of the body mass index of pediatric patients with gastrointestinal complaints as a whole and by disease subgroup revealed a greater percentage of obese patients with constipation, gastroesophageal reflux, irritable bowel syndrome, encopresis, and functional abdominal pain compared with

Retrospective analysis of efficacy and tolerability of tolterodine in children with overactive bladder.

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OBJECTIVE To evaluate the efficacy and tolerability of tolterodine in children with an overactive bladder, treated in a single incontinence centre. METHODS A retrospective analysis of a database of a total of two hundred and fifty-six patients (175 boys and 81 girls, age range 3 years to 17 years,

[Gastrointestinal symptoms in pediatric patients with attention deficit and hyperactivity disorders].

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BACKGROUND Only a few studies have addressed the subject of physical manifestations in children with attention deficit hyperactivity disorder (ADHD) and gastrointestinal (GI) complaints, although pharmacological treatments for ADHD may have GI symptoms as a main side effect. OBJECTIVE The goal of
BACKGROUND Symptom measurement in pediatric chronic idiopathic constipation (CIC) and irritable bowel syndrome with constipation (IBS-C) trials requires appropriately developed clinical outcome assessments (COAs). METHODS Literature was reviewed to identify symptom COAs meeting regulatory standards.

Defaecation disorders in children, colonic transit time versus the Barr-score.

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It is still unclear how to evaluate the existence of faecal retention or impaction in children with defaecation disorders. To objectivate the presence and degree of constipation we measured segmental and total colonic transit times (CTT) using radio-opaque markers in 211 constipated children. On

Outcome of functional constipation in childhood: a 10-year follow-up study.

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OBJECTIVE To assess the outcome of patients presenting with functional constipation in childhood during a 10-year period and to determine any risk factors for developing persistent constipation throughout adolescence and adulthood. METHODS 72 children (mean age 4 years; 40 boys) referred for

Biofeedback interventions for gastrointestinal conditions: a systematic review.

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OBJECTIVE To review evidence for the efficacy of biofeedback in the treatment of gastrointestinal problems. METHODS Studies were identified through a search of MEDLINE, HealthSTAR, EMBASE, Allied and Complementary Medicine, MANTIS, PsycINFO, Social Science Citation Index, Science Citation Index, and

[Functional megacolon in children].

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During 1980-1985, 304 children with functional megacolon were examined. Group I was made up of 95 patients with chronic constipation; group II of 130 patients with associated megacolon and encopresis; group III of 54 patients who mainly complained of abdominal pain (the mean age was 5.2, 7.5 and 8.8
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