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Latest & greatest articles for constipation
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Intolerance of cow's milk and chronic constipation in children. Chronic diarrhea is the most common gastrointestinal symptom of intolerance of cow's milk among children. On the basis of a prior open study, we hypothesized that intolerance of cow's milk can also cause severe perianal lesions with pain on defecation and consequent constipation in young children.We performed a double-blind, crossover study comparing cow's milk with soy milk in 65 children (age range, 11 to 72 months) with chronic (...) constipation (defined as having one bowel movement every 3 to 15 days). All had been referred to a pediatric gastroenterology clinic and had previously been treated with laxatives without success; 49 had anal fissures and perianal erythema or edema. After 15 days of observation, the patients received cow's milk or soy milk for two weeks. After a one-week washout period, the feedings were reversed. A response was defined as eight or more bowel movements during a treatment period.Forty-four of the 65
The treatment of chronic constipation in adults: a systematic review The treatment of chronic constipation in adults: a systematic review The treatment of chronic constipation in adults: a systematic review Tramonte S M, Brand M B, Mulrow C D, Amato M G, O'Keefe M E, Ramirez G Authors' objectives To evaluate whether laxatives and fibre therapy improve symptoms and bowel movement frequency in adults with chronic constipation. Searching The following sources were searched: MEDLINE from 1966 (...) included in the review were psyllium, ispaghula, bran, prucara, lactulose, lactitol, propylethylene glycol, docusate sodium, docusate calcium, cisapride, senna, agiolax, lunelax, calcium polycarbophil, methylcellulose, magnesium hydroxide, laxamucil, sorbitol, dorbanex and sodium picosulphate. Participants included in the review Patients with a constipation for a minimum of two weeks, whose constipation was treated for a minimum of one week. Patients from special populations, such as peripartum
Biofeedback training in treatment of childhood constipation: a randomised controlled study. Because abnormal defaecation dynamics, which can be modified by biofeedback, are considered to be the underlying problem in constipation, biofeedback training may be a useful treatment for constipation. This treatment has mainly been studied in uncontrolled trials. We evaluated defaecation dynamics and clinical outcome in chronically constipated children in a randomised study comparing conventional (...) treatment and conventional treatment with biofeedback training.Patients, 5 to 16 years old, were referred to the Academic Medical Center in Amsterdam by general practitioners, school doctors, paediatricians, and psychiatrists. They had to fulfil at least two of four criteria for paediatric constipation and were included if they had been treated medically for at least one month before randomisation. Patients had a medical history, abdominal and rectal examination, and anorectal manometry at the start
Chronic constipation in long stay elderly patients: a comparison of lactulose and a senna-fibre combination. To compare the efficacy and cost effectiveness of a senna-fibre combination and lactulose in treating constipation in long stay elderly patients.Randomised, double blind, cross over study.Four hospitals in Northern Ireland, one hospital in England, and two nursing homes in England.77 elderly patients with a history of chronic constipation in long term hospital or nursing home care.A (...) effective and well tolerated for chronic constipation in long stay elderly patients. The senna-fibre combination was significantly more effective than lactulose at a lower cost.