Treatment of defaecation problems in children: the role of education, demystification and toilet training.
To evaluate the effect of education in children with chronic defaecation problems, a prospective 6-week intervention study was designed. A total of 54 children (5-14 years) underwent an education programme, with demystification of symptoms and advice about diet and toilet training. The present treatment was continued. After 6 weeks, children with persistent problems received biofeedback training with a follow up of 1 year. The intervention programme was successful in 8 children (15%). Biofeedback training was successful in 49% of the remaining group after 1 year.
CONCLUSIONA total of 15% of the children with chronic defaecation problems seen at a referral centre could surprisingly be helped by a simple education programme with, demystification and toilet training. Further studies evaluating treatment in children with defaecation problems should account for the primary effect of these measures.
Department of Paediatric Gastroenterology and Nutrition, Academic Medical Centre, Amsterdam, The Netherlands., ,
Combined Modality Therapy
Pub Type(s)Journal Article