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Clinical Pediatrics
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An Important Issue in the Management of Elimination Dysfunction in Children: Parental Awareness of Constipation

Ilker Akyol, MD

GATA Haydarpasa Teaching Hospital, Department of Urology, Istanbul, Turkey

Cuneyt Adayener, MD

GATA Haydarpasa Teaching Hospital, Department of Urology, Istanbul, Turkey

Temucin Senkul, MD

GATA Haydarpasa Teaching Hospital, Department of Urology, Istanbul, Turkey

Kadir Baykal, MD

GATA Haydarpasa Teaching Hospital, Department of Urology, Istanbul, Turkey

Cuneyt Iseri, MD

GATA Haydarpasa Teaching Hospital, Department of Urology, Istanbul, Turkey, ilkerakyol{at}yahoo.com

The scale of parental awareness concerning children's bowel habits and its effects on voiding dysfunction were investigated. Parents of toilet-trained children older than 4 years were given questionnaires during the first interview and after follow-up of their children's bowel habits for symptoms and signs of constipation and urinary complaints. Diagnosis of constipation was made according to the Rome III criteria. Eighty-nine patients were included in the study. The number of constipated patients almost doubled after the observation period. Most of the urinary problems resolved upon treatment of constipation. History at first interview was misleading in 42% of the patients who would benefit from a simple treatment. Most of the parents were unaware of their children's bowel habits. Before proceeding with more complicated tests or treatment of voiding dysfunction, the symptoms and signs of constipation should be sought during a close parental observation period.

Key Words: constipation • voiding dysfunction • elimination dysfunction • incontinence • parental awareness

This version was published on September 1, 2007

Clinical Pediatrics, Vol. 46, No. 7, 601-603 (2007)
DOI: 10.1177/0009922807299453
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