Health Condition 1: K928- Other specified diseases of the digestive system
Conditions
Interventions
Intervention1: Home-based versus hospital based disimpaction with polyethylene glycol in children with functional constipation: Children with functional constipation and fecal impaction will be random
Sponsors
Sanjay Gandhi Post Graduate Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: All children of 1-18 years satisfying the Rome III criteria for functional constipation and having impacted stools will be considered for inclusion. Impacted stools will be defined by the presence of fecalith on per abdomen examination or hard stools felt on per rectal examination or x-ray abdomen suggestive of loaded colon.
Exclusion criteria
Exclusion criteria: 1.Those children who previously underwent colorectal surgery. 2.Children with organic pathologies such as Hirschsprung disease, spinal cord pathology etc. 3.On prokinetic drugs like prucalopride. 4.Children with constipation not having impacted stools. 5.Refusal of consent to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| i.Successful disimpaction. Will be defined based on which of the three parameters was used to define impaction. Absence of palpable fecolith, hard stools per rectum or x ray abdomen not suggestive of impaction. In hospital-based setting successful disimpaction is said to occur when clear fluid is excreted through the anus.Timepoint: In home-based disimpaction, the success will be assessed on day 7 and in hospital-based disimpaction it will be assessed on day 2 (at the time of discharge) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Cost: Details of the expenditure(direct and indirect costs) shall be taken into account. 2. Parental satisfaction: All parents will be administered a Treatment satisfaction questionnaire for medication (TSQM) at the end of the study to assess their comfort and satisfaction with the type of disimpaction. Graded on a 5-point Likert scale ranging from extremely satisfied to extremely dissatisfied. Timepoint: In home-based it will be calculated on Day 7 and in hospital-based it will be calculated at the time of discharge from hospital | — |
Countries
India
Contacts
Public ContactDr Srinivas Srinidhi Vadlapudi
Sanjay Gandhi Post Graduate Institute of Medical Sciences,
Outcome results
None listed