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The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study
We aimed to study constipation and fecal incontinence in terms of prevalence, recognizing the disorders, help-seeking behavior, and associated symptoms. In this cross-sectional study, 240 children (8 to 18 years) from the general Dutch population completed a questionnaire about defecation disorders....
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| Published in: | European journal of pediatrics 2019-01, Vol.178 (1), p.33-39 |
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| creator | Timmerman, Marjolijn E. W. Trzpis, Monika Broens, Paul M. A. |
| description | We aimed to study constipation and fecal incontinence in terms of prevalence, recognizing the disorders, help-seeking behavior, and associated symptoms. In this cross-sectional study, 240 children (8 to 18 years) from the general Dutch population completed a questionnaire about defecation disorders. After exclusions for anorectal/pelvic surgery or comorbidities, we analyzed 212 children. The prevalence of constipation was 15.6%; in a quarter of the cases, it co-occurred with fecal incontinence. We found 3% fecal incontinence without constipation. Even though children with a defecation disorder rated their bowel habits worse compared to children without defecation disorders (
P
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| doi_str_mv | 10.1007/s00431-018-3243-6 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6311181</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2114708383</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-612577f2d658bda542c28dd9f60f4788e9a30fa4b19014344ee7c8c5fe8f9d43</originalsourceid><addsrcrecordid>eNp1kc2OFCEUhYnROO3oA7gxJG7clHKBqqJcmJjJjJpM4qb3hIZLN5NqaKHKSfv0UtPj-JO4IuF-93AOh5CXwN4CY_27wpgU0DBQjeBSNN0jsgIpeAOs7x6TFROSNR0Mwxl5VsoNqzsDqKfkTDDeSdHCityud0gPOW1G3NPkqUOP1kwhRepCSdlhLjREandhdBkjDYXOsd5imcLeTOioiY6iKWE80m3CZZzRpm0MP9C9p4banEppCtpF1Yy0TLM7PidPvBkLvrg_z8n66nJ98bm5_vrpy8XH68bKnk3VPG_73nPXtWrjTCu55cq5wXfMy14pHIxg3sgNDKwmlxKxt8q2HpUfnBTn5MNJ9jBv9ugsximbUR9y9Z6POpmg_57EsNPb9F13AgAUVIE39wI5fZtraL0PxeI4mohpLpoDVKNKKFHR1_-gN2nONfEdxQchRNtVCk7U3bdk9A9mgOmlVX1qVddW9dKqXnZe_ZniYeNXjRXgJ6DUUdxi_v30_1V_AmL4r2Y</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2112933356</pqid></control><display><type>article</type><title>The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study</title><source>Springer Link</source><creator>Timmerman, Marjolijn E. W. ; Trzpis, Monika ; Broens, Paul M. A.</creator><creatorcontrib>Timmerman, Marjolijn E. W. ; Trzpis, Monika ; Broens, Paul M. A.</creatorcontrib><description>We aimed to study constipation and fecal incontinence in terms of prevalence, recognizing the disorders, help-seeking behavior, and associated symptoms. In this cross-sectional study, 240 children (8 to 18 years) from the general Dutch population completed a questionnaire about defecation disorders. After exclusions for anorectal/pelvic surgery or comorbidities, we analyzed 212 children. The prevalence of constipation was 15.6%; in a quarter of the cases, it co-occurred with fecal incontinence. We found 3% fecal incontinence without constipation. Even though children with a defecation disorder rated their bowel habits worse compared to children without defecation disorders (
P
< 0.001), 46% constipated children and 67% fecally incontinent children rated their bowel habits as good or very good. Moreover, 21 to 50% of children with a defecation disorder did not mention their symptoms to anybody. Interestingly, most constipated children had “normal” stool frequencies (64%) and consistencies (49%).
Conclusion:
The prevalence of constipation and fecal incontinence is quite high in children. Stool frequency and consistency is normal in half the constipated children, which may complicate the recognition of constipation. Finally, a considerable number of children does not recognize their disorders as constituting a problem and does not seek help, which leads to an underestimation of these disorders.
What is Known:
•
Constipation and fecal incontinence are common in children, but their prevalence rates may be underestimated due to a variety of reasons.
•
Diagnosing these disorders remains challenging owing to the variety of symptoms and co-existence with other diseases.
What is New:
•
The prevalence of constipation and fecal incontinence in children is high.
•
Many children do not recognize their defecation disorders as constituting a problem and do not seek help, which leads to an underestimation of the problem of these disorders.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-018-3243-6</identifier><identifier>PMID: 30264351</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anorectal ; Children ; Constipation ; Cross-sectional studies ; Defecation ; Fecal incontinence ; Feces ; Intestine ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pediatrics ; Surgery</subject><ispartof>European journal of pediatrics, 2019-01, Vol.178 (1), p.33-39</ispartof><rights>The Author(s) 2018</rights><rights>European Journal of Pediatrics is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-612577f2d658bda542c28dd9f60f4788e9a30fa4b19014344ee7c8c5fe8f9d43</citedby><cites>FETCH-LOGICAL-c470t-612577f2d658bda542c28dd9f60f4788e9a30fa4b19014344ee7c8c5fe8f9d43</cites><orcidid>0000-0003-4523-4700</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30264351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Timmerman, Marjolijn E. W.</creatorcontrib><creatorcontrib>Trzpis, Monika</creatorcontrib><creatorcontrib>Broens, Paul M. A.</creatorcontrib><title>The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>We aimed to study constipation and fecal incontinence in terms of prevalence, recognizing the disorders, help-seeking behavior, and associated symptoms. In this cross-sectional study, 240 children (8 to 18 years) from the general Dutch population completed a questionnaire about defecation disorders. After exclusions for anorectal/pelvic surgery or comorbidities, we analyzed 212 children. The prevalence of constipation was 15.6%; in a quarter of the cases, it co-occurred with fecal incontinence. We found 3% fecal incontinence without constipation. Even though children with a defecation disorder rated their bowel habits worse compared to children without defecation disorders (
P
< 0.001), 46% constipated children and 67% fecally incontinent children rated their bowel habits as good or very good. Moreover, 21 to 50% of children with a defecation disorder did not mention their symptoms to anybody. Interestingly, most constipated children had “normal” stool frequencies (64%) and consistencies (49%).
Conclusion:
The prevalence of constipation and fecal incontinence is quite high in children. Stool frequency and consistency is normal in half the constipated children, which may complicate the recognition of constipation. Finally, a considerable number of children does not recognize their disorders as constituting a problem and does not seek help, which leads to an underestimation of these disorders.
What is Known:
•
Constipation and fecal incontinence are common in children, but their prevalence rates may be underestimated due to a variety of reasons.
•
Diagnosing these disorders remains challenging owing to the variety of symptoms and co-existence with other diseases.
What is New:
•
The prevalence of constipation and fecal incontinence in children is high.
•
Many children do not recognize their defecation disorders as constituting a problem and do not seek help, which leads to an underestimation of the problem of these disorders.</description><subject>Anorectal</subject><subject>Children</subject><subject>Constipation</subject><subject>Cross-sectional studies</subject><subject>Defecation</subject><subject>Fecal incontinence</subject><subject>Feces</subject><subject>Intestine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Surgery</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kc2OFCEUhYnROO3oA7gxJG7clHKBqqJcmJjJjJpM4qb3hIZLN5NqaKHKSfv0UtPj-JO4IuF-93AOh5CXwN4CY_27wpgU0DBQjeBSNN0jsgIpeAOs7x6TFROSNR0Mwxl5VsoNqzsDqKfkTDDeSdHCityud0gPOW1G3NPkqUOP1kwhRepCSdlhLjREandhdBkjDYXOsd5imcLeTOioiY6iKWE80m3CZZzRpm0MP9C9p4banEppCtpF1Yy0TLM7PidPvBkLvrg_z8n66nJ98bm5_vrpy8XH68bKnk3VPG_73nPXtWrjTCu55cq5wXfMy14pHIxg3sgNDKwmlxKxt8q2HpUfnBTn5MNJ9jBv9ugsximbUR9y9Z6POpmg_57EsNPb9F13AgAUVIE39wI5fZtraL0PxeI4mohpLpoDVKNKKFHR1_-gN2nONfEdxQchRNtVCk7U3bdk9A9mgOmlVX1qVddW9dKqXnZe_ZniYeNXjRXgJ6DUUdxi_v30_1V_AmL4r2Y</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Timmerman, Marjolijn E. W.</creator><creator>Trzpis, Monika</creator><creator>Broens, Paul M. A.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4523-4700</orcidid></search><sort><creationdate>20190101</creationdate><title>The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study</title><author>Timmerman, Marjolijn E. W. ; Trzpis, Monika ; Broens, Paul M. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-612577f2d658bda542c28dd9f60f4788e9a30fa4b19014344ee7c8c5fe8f9d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Anorectal</topic><topic>Children</topic><topic>Constipation</topic><topic>Cross-sectional studies</topic><topic>Defecation</topic><topic>Fecal incontinence</topic><topic>Feces</topic><topic>Intestine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Timmerman, Marjolijn E. W.</creatorcontrib><creatorcontrib>Trzpis, Monika</creatorcontrib><creatorcontrib>Broens, Paul M. A.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Databases</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Timmerman, Marjolijn E. W.</au><au>Trzpis, Monika</au><au>Broens, Paul M. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study</atitle><jtitle>European journal of pediatrics</jtitle><stitle>Eur J Pediatr</stitle><addtitle>Eur J Pediatr</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>178</volume><issue>1</issue><spage>33</spage><epage>39</epage><pages>33-39</pages><issn>0340-6199</issn><eissn>1432-1076</eissn><abstract>We aimed to study constipation and fecal incontinence in terms of prevalence, recognizing the disorders, help-seeking behavior, and associated symptoms. In this cross-sectional study, 240 children (8 to 18 years) from the general Dutch population completed a questionnaire about defecation disorders. After exclusions for anorectal/pelvic surgery or comorbidities, we analyzed 212 children. The prevalence of constipation was 15.6%; in a quarter of the cases, it co-occurred with fecal incontinence. We found 3% fecal incontinence without constipation. Even though children with a defecation disorder rated their bowel habits worse compared to children without defecation disorders (
P
< 0.001), 46% constipated children and 67% fecally incontinent children rated their bowel habits as good or very good. Moreover, 21 to 50% of children with a defecation disorder did not mention their symptoms to anybody. Interestingly, most constipated children had “normal” stool frequencies (64%) and consistencies (49%).
Conclusion:
The prevalence of constipation and fecal incontinence is quite high in children. Stool frequency and consistency is normal in half the constipated children, which may complicate the recognition of constipation. Finally, a considerable number of children does not recognize their disorders as constituting a problem and does not seek help, which leads to an underestimation of these disorders.
What is Known:
•
Constipation and fecal incontinence are common in children, but their prevalence rates may be underestimated due to a variety of reasons.
•
Diagnosing these disorders remains challenging owing to the variety of symptoms and co-existence with other diseases.
What is New:
•
The prevalence of constipation and fecal incontinence in children is high.
•
Many children do not recognize their defecation disorders as constituting a problem and do not seek help, which leads to an underestimation of the problem of these disorders.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30264351</pmid><doi>10.1007/s00431-018-3243-6</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4523-4700</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anorectal Children Constipation Cross-sectional studies Defecation Fecal incontinence Feces Intestine Medicine Medicine & Public Health Original Original Article Pediatrics Surgery |
| title | The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study |
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