22Aug 2017

PREVALENCE AND FACTORS ASSOCIATED WITH FUNCTIONAL CONSTIPATION AMONG CHILDREN ATTENDING WELL BABY CLINIC IN ALADEL PRIMARY HEALTH CARE CENTER IN MAKKAH AL-MUKARRAMAH, 2016, CROSS SECTIONAL.

  • MBBS, Family Medicine Resident.
  • Family medicine consultant.
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Objectives: To estimate the prevalence and determine associated factors of functional constipation among children attending well baby clinic in AlAdel primary health care center in Makkah 2016. Methodology: A cross-sectional study was done including 80 child aged five years or less. Data was collected by interviewing children?s mothers and filling a questionnaire that depends on Rome III criteria for identification of functional constipation. Results: The children mean age was 20?17.7 months. The prevalence of functional constipation diagnosed according to Rome III criteria was 22.5% (95% CI 13.8 ? 31.3). The most common reported symptoms were painful defecation (83.3%) and hard to very hard stool (77.8%), followed by Stool frequency 2 times or less per week (44.4%), large stools that obstruct the toilet ( 22.2%), stool retention once per week or more (33.3%), large fecal mass in the rectum (16.7%) and Soiling (one to three times a month, which does not meet Rome III criteria) was reported by 11.1% of children with functional constipation. All mothers aged 19 years or less compared to 20.5% of those aged over 19 years had children with functional constipation(p=0.048). Children on bottle feeding expressed higher rate of functional constipation compared to those on breast or mixed feeding (38.5% versus 4.8% and 21.2%, respectively), (p=0.022). Having no serving fruits provided daily was associated with significant higher rate of functional constipation compared to having more than one cup of serving fruits provided daily (55.6% versus 12.2%), (p=0.020). Anal fissure was more significantly reported among children with functional constipation compared to those without functional constipation (11.1% versus none), (p=0.008). Conclusion: Functional constipation is not uncommon gastrointestinal disturbance among children aged five years or less attending AlAdel primary health care center in Makkah with few socio-demographic and dietary risk factors were identified.

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[Maha AlGhamdi and Abduljabbar Alfetni. (2017); PREVALENCE AND FACTORS ASSOCIATED WITH FUNCTIONAL CONSTIPATION AMONG CHILDREN ATTENDING WELL BABY CLINIC IN ALADEL PRIMARY HEALTH CARE CENTER IN MAKKAH AL-MUKARRAMAH, 2016, CROSS SECTIONAL. Int. J. of Adv. Res. 5 (Aug). 1175-1185] (ISSN 2320-5407). www.journalijar.com

Maha AlGhamdi
MBBS, Family and Community Medicine residents

DOI:

Article DOI: 10.21474/IJAR01/5170      
DOI URL: https://dx.doi.org/10.21474/IJAR01/5170

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