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References: Laxative

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East Afr Med J. 2003 Aug;80(8):402-5.
Traditional remedies in children around Eastern Cape, South Africa.

Dambisya YM, Tindimwebwa G.

School of Health Sciences, University of the North, Sovenga 0727, Republic of South Africa.

OBJECTIVE: To gauge the views of mothers and other caregivers on the use of traditional remedies in the community. DESIGN: Descriptive study. SETTING: Five health centres affiliated to the UNITRA, Faculty of Health Sciences. METHODS: Medical students administered a questionnaire to mothers and other caregivers. Areas covered included how commonly traditional remedies are used, experience with traditional remedies in children, reasons for use, how administered, and problems encountered. RESULTS: There were 103 respondents, 7.8% rated use of traditional remedies non-existent, 20.4% rated it as rare and the rest said it was common. 57.3% of the respondents had used these remedies in their children, and 83.1% of them said they would use them again. Only 20.7% of respondents reported problems with these remedies, including diarrhoea, vomiting, fever and death. The preparations used were known by only 40.7% of respondents. The remedies were administered by the mother and grandmother in 82.8% of cases; and were mainly given orally, by enema or by scarification. The amount administered varied from spoonful(s) up to 2.5 l. Children of all ages were given traditional remedies, usually for diarrhoea, fevers and constipation, or as prophylactics. These remedies were used because they are effective, available and safe, or due to customary beliefs and pressure from others. CONCLUSION: The use of traditional remedies in children is common in communities around Umtata. There is need to study the composition and activity profiles of commonly used preparations so as to develop appropriate management protocols in case of toxicity.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14601780&dopt=Abstract

temp/constipation-1.matches:

Childs Nerv Syst. 2004 Jan;20(1):65-7. Epub 2003 Nov 07.
A case of occult intrasacral meningocele presented with atypical bowel symptoms.

Nishio Y, Hamada H, Kurimoto M, Hayashi N, Hirashima Y, Endo S.

Department of Neurosurgery, Toyama Medical and Pharmaceutical University, 2630 Sugitani, 930-0194, Toyama, Japan.

CASE REPORT: We report a case of an occult intrasacral meningocele. An 11-year-old boy presented with atypical bowel symptoms, severe constipation, and stool incontinence. Magnetic resonance (MR) imaging disclosed an intrasacral cyst containing cerebrospinal fluid (CSF). We diagnosed an occult intrasacral meningocele and performed perforation of the cyst and closure of the fistula. The patient was free from constipation and stool incontinence after the operation. DISCUSSION: We discuss the clinical features and neuroradiological findings of this rare condition.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14605836&dopt=Abstract [PubMed - in process]

temp/constipation-1.matches:

Surg Today. 2003;33(11):823-7.
Long-term results of subtotal colectomy with antiperistaltic cecoproctostomy.

Sarli L, Costi R, Iusco D, Roncoroni L.

Institute of General Surgery, University of Parma, School of Medicine, Azienda Ospedale, Via Gramsci 14, 43100, Parma, Italy.

PURPOSE: To evaluate the clinical role of subtotal colectomy with cecorectal anastomosis (CRA) and its postoperative results, based on our surgical experience. METHODS: We retrospectively analyzed 26 patients who underwent subtotal colectomy with CRA during an 8-year period (1992-1999) in our university hospital. The indications for CRA were intractable constipation, colon tumors, diverticulitis, Crohn's disease, and postactinic colitis. CRA was performed using a new technique of end-to-end antiperistaltic anastomosis. Postoperative and late complications, and functional results, defined as the number of bowel movements per day and quality of life, were evaluated. RESULTS: None of the patients experienced postoperative or late complications. Two patients died from progression of colon cancer. The mean follow-up period was 4.5 years (range 1-8 years). By 1 month after surgery, 58% of the patients were passing frequent bowel movements, and by 1 year after surgery, only 23% of the patients were passing frequent bowel movements. The last follow-up revealed a mean 1.7 bowel movements per day, and only one patient was taking medication for diarrhea. All patients were satisfied with the results of their surgery and reported that their quality of life was good or improved, and even very good in six cases. CONCLUSIONS: Subtotal colectomy with our new CRA technique is appropriate for treating inflammatory diseases of the bowel, colon tumors, and intractable constipation in selected patients.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14605953&dopt=Abstract

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