Prevalence of Defecation Disorders and their Symptoms is Comparable in Children and Young Adults: Cross-Sectional Study.

Abstract

PURPOSE:

We aimed to compare the prevalence rates and associated symptoms of constipation and fecal incontinence in children and young adults and evaluate how these patient groups cope with these disorders.

METHODS:

A cross-sectional study was performed in which 212 children (8-17 years) and 149 young adults (18-29 years) from the general Dutch population completed a questionnaire about defecation disorders.

RESULTS:

Constipation occurred in 15.6% of children and 22.8% of young adults (p=0.55), while the prevalence of fecal incontinence was comparable between groups (7%, p=0.91). The symptoms associated with constipation occurred as often in children as in young adults, while most fecal incontinence symptoms occurred more often in young adults. Approximately 43% of children had constipation for more than 5 years, while 26% of young adults experienced constipation since childhood. Only 27% of constipated children and 21% of constipated young adults received treatment (mostly laxatives). For fecal incontinence, 13% of children and 36% of young adults received treatment (mostly antidiarrheal medications or incontinence pads).

CONCLUSION:

In contrast to the general belief, the prevalence of defecation disorders and associated symptoms seem to be comparable in children and young adults. Only a few people with defecation disorders receive adequate treatment.

• Authors: Marjolijn E W Timmerman, Monika Trzpis, Paul M A Broens
• Journal: Pediatric gastroenterology, hepatology & nutrition (Pediatr Gastroenterol Hepatol Nutr) Vol. 24 Issue 1 Pg. 45-53 (Jan 2021) ISSN: 2234-8646 [Print] Korea (South)
• PMID: 33505893 (Publication Type: Journal Article)
• Copyright: Copyright © 2021 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition.