Functional Constipation and Dyssynergic Defecation in Children
Ilan J.N. Koppen, Marc A. Benninga
Abstract
Defecation is a complex physiological process, which relies on intricate mechanisms involving the autonomic and somatic nervous system, the pelvic floor muscles, and the anal sphincter complex. Anorectal dysfunction may result in constipation, a bothersome defecation disorder that can severely affect daily lives of children and their families. In this review, we focus on different mechanisms underlying anorectal dysfunction and specific treatment options aimed at improving defecation dynamics in children with functional constipation.
Topics & Concepts
DefecationConstipationMedicinePelvic floorAnal sphincterFunctional constipationObstructed defecationAnorectal manometryChronic constipationExternal anal sphincterPhysical medicine and rehabilitationPhysical therapyAnal canalInternal medicineRectumSurgeryGastrointestinal motility and disordersCongenital gastrointestinal and neural anomaliesInfant Health and Development