Prognosis

In a cohort of more than 400 constipated children, follow-up was obtained by annual telephone contact in more than 95% of children. Mean follow-up was 5 years (range 1-8). The cumulative percentage of children who were successfully treated during follow-up was 60% in 1 year, increasing to 80% in 8 years (Figure 16.1). Interestingly, successful treatment was more

Figure 16.1 Outcome with and without laxatives.

frequent in children without encopresis, and in children with an age at onset of defecation difficulty older than 4 years. In the group of successfully treated children, approximately 50% remained symptom free during the follow-up period, while the other half experienced at least one period of relapse. The relapses occurred more frequently in boys than in girls. In a subset of children aged 16 years and older, constipation was still present in around 30%, thus continuing into adulthood.42

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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