Pain and discomfort in violation of bowel movements in children – an actual problem
Pain and discomfort during bowel movements in children are among the most common symptoms in the modern civilized world. The most common cause of these symptoms is chronic constipation, which is often treated by a pediatrician or pediatric gastroenterologist. In differential diagnosis, it is very...
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Interdisciplinary Academy of Pain Medicine
2021
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oai:doaj.org-article:551fad6da9c845aa9f436e5b62cc44bd2021-11-15T14:30:59ZPain and discomfort in violation of bowel movements in children – an actual problem10.31636/pmjua.v6i3.42414-38122519-2752https://doaj.org/article/551fad6da9c845aa9f436e5b62cc44bd2021-11-01T00:00:00Zhttps://painmedicine.org.ua/index.php/pnmdcn/article/view/269https://doaj.org/toc/2414-3812https://doaj.org/toc/2519-2752 Pain and discomfort during bowel movements in children are among the most common symptoms in the modern civilized world. The most common cause of these symptoms is chronic constipation, which is often treated by a pediatrician or pediatric gastroenterologist. In differential diagnosis, it is very important to distinguish between chronic symptomatic constipation and functional (without an organic basis), which are most common in childhood. Organic causes of constipation are usually dealt with in cooperation with specialized specialists. The main pathophysiological mechanisms of functional constipation are stress, pain during emptying, and fear of further painful bowel movements. The clinical picture is dominated by infrequent and difficult defecation of a large amount of hard stools. If the history, laboratory and other additional studies indicate functional constipation, and there are no warning signs of chronic symptomatic constipation, complex treatment can be started. Therapy includes psychological preparation of the patient and his family, working with the correct technique of defecation, dietary and regimen measures, sufficient physical activity, the use of osmotic laxatives. The presence of warning signs requires a rational differential diagnostic procedure, which varies depending on the age of the child. K DmitrievaV VidiscakA ProchotskyK FurkovaE KovacsovaP StefanikInterdisciplinary Academy of Pain Medicinearticlepediatric surgerychildtreatmentconstipationpediatricsAnesthesiologyRD78.3-87.3ENRUUKМедицина болю, Vol 6, Iss 3 (2021) |
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EN RU UK |
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pediatric surgery child treatment constipation pediatrics Anesthesiology RD78.3-87.3 |
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pediatric surgery child treatment constipation pediatrics Anesthesiology RD78.3-87.3 K Dmitrieva V Vidiscak A Prochotsky K Furkova E Kovacsova P Stefanik Pain and discomfort in violation of bowel movements in children – an actual problem |
| description |
Pain and discomfort during bowel movements in children are among the most common symptoms in the modern civilized world. The most common cause of these symptoms is chronic constipation, which is often treated by a pediatrician or pediatric gastroenterologist. In differential diagnosis, it is very important to distinguish between chronic symptomatic constipation and functional (without an organic basis), which are most common in childhood. Organic causes of constipation are usually dealt with in cooperation with specialized specialists. The main pathophysiological mechanisms of functional constipation are stress, pain during emptying, and fear of further painful bowel movements. The clinical picture is dominated by infrequent and difficult defecation of a large amount of hard stools. If the history, laboratory and other additional studies indicate functional constipation, and there are no warning signs of chronic symptomatic constipation, complex treatment can be started. Therapy includes psychological preparation of the patient and his family, working with the correct technique of defecation, dietary and regimen measures, sufficient physical activity, the use of osmotic laxatives. The presence of warning signs requires a rational differential diagnostic procedure, which varies depending on the age of the child.
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| format |
article |
| author |
K Dmitrieva V Vidiscak A Prochotsky K Furkova E Kovacsova P Stefanik |
| author_facet |
K Dmitrieva V Vidiscak A Prochotsky K Furkova E Kovacsova P Stefanik |
| author_sort |
K Dmitrieva |
| title |
Pain and discomfort in violation of bowel movements in children – an actual problem |
| title_short |
Pain and discomfort in violation of bowel movements in children – an actual problem |
| title_full |
Pain and discomfort in violation of bowel movements in children – an actual problem |
| title_fullStr |
Pain and discomfort in violation of bowel movements in children – an actual problem |
| title_full_unstemmed |
Pain and discomfort in violation of bowel movements in children – an actual problem |
| title_sort |
pain and discomfort in violation of bowel movements in children – an actual problem |
| publisher |
Interdisciplinary Academy of Pain Medicine |
| publishDate |
2021 |
| url |
https://doaj.org/article/551fad6da9c845aa9f436e5b62cc44bd |
| work_keys_str_mv |
AT kdmitrieva painanddiscomfortinviolationofbowelmovementsinchildrenanactualproblem AT vvidiscak painanddiscomfortinviolationofbowelmovementsinchildrenanactualproblem AT aprochotsky painanddiscomfortinviolationofbowelmovementsinchildrenanactualproblem AT kfurkova painanddiscomfortinviolationofbowelmovementsinchildrenanactualproblem AT ekovacsova painanddiscomfortinviolationofbowelmovementsinchildrenanactualproblem AT pstefanik painanddiscomfortinviolationofbowelmovementsinchildrenanactualproblem |
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