References: Laxative
temp/constipation-1.matches:hiroshima-u.ac.jp
PURPOSE: We assessed the prevalence of daytime urinary incontinence (DUI) and the daytime frequency of voiding by age and sex in neurologically normal children in primary school. We also investigated the association of DUI with background factors. MATERIALS AND METHODS: We performed an anonymous questionnaire survey of DUI in primary school children. A total of 11 primary schools in Hiroshima City were randomly selected and 6,917 school children 7 to 12 years old were enrolled. DUI was defined as any involuntary leakage of urine during the daytime occurring more frequently than once monthly in the 6 months before the survey. Slight dampness of the child underwear was also regarded as DUI. RESULTS: The overall response rate was 76.4% of 6,917 school children. The prevalence of DUI was 6.3% and it was inversely related to age, decreasing from about 9% at age 7 to 2% at age 12 years. Children urinated about 5 or 6 times daily and increased daytime frequency occurred in 14.6% of all children. Daytime frequency of voids, history of cystitis and infrequent bowel habits had a statistically significant positive correlation with DUI. CONCLUSIONS: We found that the overall prevalence of DUI in primary school children was 6.3%, gradually decreasing with age. Increased daytime frequency, history of cystitis and infrequent bowel habits were significantly related to DUI. The link between DUI and daytime frequency, urinary tract infections and constipation deserves more attention.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14665943&dopt=Abstract
temp/constipation-1.matches:
J Pediatr Surg. 2003 Dec;38(12):1766-9.
Does transitional zone pull-through in Hirschsprung's disease imply a poor prognosis?
Farrugia MK, Alexander N, Clarke S, Nash R, Nicholls EA, Holmes K.
Department of Paediatric Surgery, St George's Hospital, London, UK England.
PURPOSE: Accurate frozen section interpretation of intraoperative biopsies is critical to the success of the Duhamel procedure. Errors during sampling or interpretation may result in an abnormal pull-through. The authors' aim was to determine the incidence and outcome of transitional zone pull-through (TZPT). METHODS: Ninety-six children who underwent a Duhamel procedure between January 1987 and May 2002 were followed up prospectively. The outcome of 18 children with TZPT was compared statistically with that of a cohort of 58 patients with a ganglionic pull-through. RESULTS: The incidence of TZPT was 18.8%. Concordance rate between frozen and paraffin-section analyses was 88.5%. The incidence of enterocolitis (P =.003) and intractable constipation (P =.02) was found to be significantly higher in TZPT. There was no significant difference in continence (P =.34), rectal sensation (P =.35), and control (P =.53). Five (27.8%) TZPT patients required a revisional surgery for failure of conservative management. The incidence of stoma placement and revision was significantly less in the ganglionic group (3.4%, P =.007). CONCLUSIONS: Up to one third of patients with TZPT will require revisional surgery for intractable symptoms. Vigilance is warranted in view of the greater risk of enterocolitis. Continence is not significantly affected.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14666463&dopt=Abstract
temp/constipation-1.matches:
J Pediatr Surg. 2003 Dec;38(12):1778-80.
Left-colon antegrade continence enema (LACE) procedure for fecal incontinence.
Churchill BM, De Ugarte DA, Atkinson JB.
Department of Urology, Clark-Morrison Children's Urological Center, UCLA, Los Angeles, CA 90095-1738, USA.
PURPOSE: Antegrade continence enemas (ACE) are an efficacious therapeutic option for patients with fecal incontinence. The authors review their institution's experience with a variation of the Monti-Malone ACE procedure using the left colon as a source of an intestinal conduit and enema reservoir. METHODS: From 2000 to 2002, 18 patients with fecal incontinence or intractable constipation underwent left-colon ACE (LACE) procedure. Concomitant Mitrofanoff appendicovesicostomy was performed in 15 patients and bladder augmentation in 9. The majority of patients had neural tube defects. A segment of left colon was tubularized, tunneled into the muscular wall of the distal colon, and exteriorized through the left upper quadrant or midabdomen. Stomal catherization and enema installation were started one month postoperatively. RESULTS: Fifteen patients (83%) achieved fecal continence, 2 remain incontinent of stool, and 1 experienced stomal closure (mean follow-up was 24 +/- 9 months). Two patients had stomal stenosis that required revision. The mean enema volume in patient's achieving continence was 360 +/- 216 mL, and the mean transit time was 18 +/- 12 minutes. CONCLUSIONS: LACE is an efficacious procedure for fecal incontinence that can be performed safely at the time of major urologic reconstruction. Administration of enemas into the left colon has several physiologic advantages that result in predictable bowel evacuation.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14666466&dopt=Abstract
Constipation and laxative online literature ||
Herbs and Pharmaceuticals Online ||
Hair Million herbal formula for hair loss and hair growth ||