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<p>One of the most common gastrointestinal disorders in childhood is chronic constipation, which is of functional origin in over 95% of cases. Unlike in adulthood, in children the typical pathophysiological vicious circle is formed by defecation pain, stool retention, and increasing intestinal stool load. When a&#xa0;constipated child is presented for the first time, the focus is on a&#xa0;careful medical history and physical examination. More extensive diagnostics are only required if the course is refractory despite treatment or if warning signs are observed that point to a&#xa0;rare nonfunctional cause of the constipation. Currently, the most effective therapy involves educating parents and patients, consistently and promptly using osmotic laxatives, and implementing age-appropriate behavioral therapy measures such as toilet training. Insufficient therapy adherence and parental concerns about the long-term use of stool softeners (osmotic laxatives) are the main causes for treatment failure, so that patience and good medical support for the family are necessary. It is important to continue the long-term use of such osmotic laxatives well beyond the normalization of bowel movements to sufficiently condition normal physiological defecation patterns.</p>

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Obstipation im Kindesalter

  • 期刊论文

  • 发表日期：

    2025年5月15日

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  • Alexander J. Jordan,
  • Rüdiger Adam

摘要

One of the most common gastrointestinal disorders in childhood is chronic constipation, which is of functional origin in over 95% of cases. Unlike in adulthood, in children the typical pathophysiological vicious circle is formed by defecation pain, stool retention, and increasing intestinal stool load. When a constipated child is presented for the first time, the focus is on a careful medical history and physical examination. More extensive diagnostics are only required if the course is refractory despite treatment or if warning signs are observed that point to a rare nonfunctional cause of the constipation. Currently, the most effective therapy involves educating parents and patients, consistently and promptly using osmotic laxatives, and implementing age-appropriate behavioral therapy measures such as toilet training. Insufficient therapy adherence and parental concerns about the long-term use of stool softeners (osmotic laxatives) are the main causes for treatment failure, so that patience and good medical support for the family are necessary. It is important to continue the long-term use of such osmotic laxatives well beyond the normalization of bowel movements to sufficiently condition normal physiological defecation patterns.