Role of laxative in chronic abdominal pain in paediatric age group
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 3
Abstract
The aims of the study were to identify the frequency and causes of chronic abdominal pain in paediatric age group (age 4 to 12 years) and to study use of laxative in chronic abdominal pain presented from June 2014 till June 2016 at RCSMGMC and CPR hospital Kolhapur. We evaluated prospectively the complete charts of children >4 years old, for complaints and causes of chronic abdominal pain. Of 200 patients evaluated 90 were boys and 110 girls with a mean age of 9.1 years. All patients were evaluated for chronic abdominal pain and put on intensive laxative therapy followed by maintenance dose. Although many laxative agents are used, we used an agent polyethylene glycol (PEG) to prevent comparative bias. At the time of evaluation, the mean duration of PEG therapy was 5.7 months, and the mean PEG dose was 0.75 g/kg daily. There were no major clinical adverse effects. All children preferred PEG to previously used laxatives, and daily compliance was measured as good in 90% of children. Constipation as cause of abdominal pain occurred in 87% (174 out of 200) of patient and relieved by laxatives, childhood functional abdominal pain in 5%(10 out of 200), colic in 3% (6 out of 200), gastro esophageal reflux in 3.5% (7 out of 200) and infection in 1.5% (3 out of 200). Functional constipation was the most frequent cause of chronic abdominal pain in a large primary care paediatric population. A careful history and thorough physical examination is all that is required to diagnose functional constipation. Management includes disimpaction followed by maintenance therapy with oral laxative, dietary modification and toilet training. In most of the cases laxative needs to be continued for several months and sometimes years. Early withdrawal of laxative is the commonest cause of recurrence.
Authors and Affiliations
Shivprasad Hirugade, Harish N Patil, Shilpa S Hirugade
Keywords
Related Articles
- EP ID EP498730
- DOI -
- Views 90
- Downloads 0
Pneumonia unmasking APLA syndrome
Antiphospholipid antibody syndrome can mimic various other illnesses. We present a patient who presented with features suggestive of consolidation but actually had pulmonary embolism. Despite anticoagulation, she devel...
Study of weaning practices in rural area of Latur
We know that large number of children in both wealthy and poverty stricken region suffer malnutrition. Optimal infant and young child feeding is an evidence based measure for improving child nutrition and child survival....
A clinicopathological study of lung cancer from south India
Introduction: Lung cancer is the most common male cancer. It is a highly fatal disease with mortality trends paralleling incidence. The 5 year survival rate is 5% in developing countries compared to 15% in developed nati...
Ethno Veterinary Medicines Used by Tribes in Wayanad District, Kerala
Objective: Plant medicines were used by the tribes for curing the diseases of cattle and other domestic animals. The paper describes the ethno veterinary medicines used by the tribes in Mananthavady, Vythiri and Bathery...
A clinical profile and factors associated with age related macular degeneration
Introduction: Age-related macular degeneration (AMD) is the leading cause of blindness among people aged 55 years and older in the U.S and other Western countries. Aims and Objectives: To study Clinical profile and facto...