childhood constipation, paediatric physiotherapy, primary care
Conditions
Interventions
Comparison of a treatment with laxatives with a peadiatric treatment for functional childhood constipation in primary care. The peadiatric treatment focusses on toilet training
how they should relax and breath. Laxatives will be prescribed as usual. Both interventions have a maximum of 24 weeks. Treatment will be stopped if there are no more complaints or when the treating d
Sponsors
University Medical Centre Groningen
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 4-17 years; 2. Functional constipation defined by the NHG Standaard Obstipatie as having at least two of the following symptoms: A. Defecation ≤ 2 per week; B. Cessation of defecation; C. Painful, lumpy or hard defecation; D. Large diameter stools that may obstruct the toilet; E. Presence of a large faecal mass in the rectum or abdomen; F. ≥ 1 episode of faecal incontinence per week.
Exclusion criteria
Exclusion criteria: 1. Terminal illness; 2. Mental retardation; 3. Metabolic disease (e.g. hypothyreoidi); 4. Hirchsprung disease/ spine anomalies/ anorectal pathology (e.g. hemorrhoids, anal fissure, perirectal abscess, pruritis ani, fecal incontinence); 5. Gastrointestinal surgery in medical history; 6. Presence of an indication for referral to secondary care: suspicion for ileus, Hirchsprung disease, anatomic malformation or pelvic floor pathology, severe behavioural problems, developmental problems or a disturbed parent-child relationship concerning defecation; 7. Contraindication for PEG3350 electrolytes (e.g.Toxic megacolon, Inflammatory bowel disease, acute abdominal pain, allergies for one of the substances); 8. Children who already receive laxative treatment prescribed by the GP or children for who it's less than 3 months ago that they stopped taking laxatives.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To asses the feasibility of conducting a RCT comparing the effect of paediatric physiotherapy with the effect of laxative treatment on symptoms of functional constipation in children in primary care. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Treatment succes; 2. Quality of life; 3. Medication use; 4. Costs. | — |
Contacts
Public ContactI. Middendorp
Antonius Deusinglaan 1 Postbus 196
Outcome results
None listed