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In one large report on over 2000 patients who underwent STARR found that there was improvement in obstructed defecation symptoms and quality of life 12 months after the procedure. [ 15 ] 36% of patients had complications, such as defecatory urgency, bleeding, infections, pain, and fecal incontinence.
At around age 4, children develop an adult-like pattern of bowel movements (1-2 stools/day). The median onset of functional constipation in children is at 2.3 years old, with girls and boys being similarly affected. [2] Children benefit from scheduled toilet breaks, once early in the morning and 30 minutes after meals.
Primary or functional constipation is defined by ongoing symptoms for greater than six months not due to an underlying cause such as medication side effects or an underlying medical condition. [2] [19] It is not associated with abdominal pain, thus distinguishing it from irritable bowel syndrome. [2]
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Most children develop signs and symptoms shortly after birth. However, others may be diagnosed later in infancy or early childhood. [4] [5] About half of all children with Hirschsprung's disease are diagnosed in the first year of life. [4] Complications may include enterocolitis, megacolon, bowel obstruction and intestinal perforation. [1] [2]
[4] [5] Spinal cord injury and other neurological problems mostly affect the lower GI tract (i.e., jejunum, ileum, and colon) leading to symptoms of incontinence or constipation. However, the upper GI tract (i.e., esophagus, stomach, and duodenum) may also be affected and patients with NBD often present with multiple symptoms.
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Encopresis (from Ancient Greek ἐγκόπρησις, enkóprēsis) is voluntary or involuntary passage of feces outside of toilet-trained contexts (fecal soiling) in children who are four years or older and after an organic cause has been excluded. [1] Children with encopresis often leak stool into their undergarments.