Should examınatıons be performed ın each child wıth constıpatıon?

Yıl 2019, , 411 - 414, 30.09.2019

Burcu Güven

https://doi.org/10.31362/patd.554691

Öz

Abstract:

Purpose: Constipation is a common problem in childhood.
There are many causes of constipation in children from
congenital anomalies to metabolic diseases. Many examinations are required to
exclude organic causes from each patient.

Materials
and Methods: Total 200 patients aged between 0-18 years who were admitted to
the Pediatric Gastroenterology Clinic with the complaint of constipation were
retrospectively reviewed. Patients’ age, sex, glucose, calcium, phosphorus,
magnesium, potassium, free thyroxine (fT4), thyroid stimulating hormone (TSH)
values ​​and duration of treatment were analyzed.

Results: Of the 200 patients included in the study,
105 (52.5%) were female and 95 (47.5%) were male. The mean age of the patients
was 4.91±4.63
years (range 0-18 years). None of the patients
had hyperglycemia or hypokalemia. Only one patient had high TSH whose fT4 was
normal. Thirty-one (15.5%), 1 (0.5%), 1 (0.5%) had
hypercalcemia, hyperphosphatemia
and hypermagnesemia respectively. Of the 31 patients with hypercalcemia, 19
were under one, seven were 1-2 years old. Conclusion: Considering the cost, it is
not appropriate to send thyroid function tests, calcium, phosphorus, potassium
and glucose to every child with constipation. However, it may be beneficial to
administer calcium in children under 2 years of age in our region. Further
researches are needed for this.

Anahtar Kelimeler

constipation, child, examination

Kabızlık şikayeti ile gelen her çocuk hastadan tetkik istenmeli mi?

Öz

Amaç: Kabızlık, çocukluk
yaş grubunda sık görülen bir dışkılama bozukluğudur. Çocuklarda kabızlığın
konjenital anomalilerden metabolik hastalıklara kadar birçok nedeni
bulunmaktadır.  Organik nedenlerin
dışlanması için her hastadan birçok tetkik istenmektedir.

Gereç ve Yöntem:
Çocuk Gastroenteroloji Polikliniği’ ne kabızlık şikayeti ile başvuran 0-18
yaşları arası toplam 200 hasta retrospektif olarak incelendi. Hastaların yaşı,
cinsiyeti, glukoz, kalsiyum, fosfor, magnezyum, potasyum, serbest
tiroksin(sT4), tiroid stimule edici hormon (TSH) değerleri ve tedavi süreleri
değerlendirildi.

Bulgular: Çalışmaya dahil edilen 200 hastanın
105(%52,5)’i kız, 95(%47,5)’i erkek idi. Hastaların ortalama yaşı 4,91 ± 4,63
(0-18) yaş bulundu. Hastaların hiçbirinde hiperglisemi ve hipokalemi görülmedi.
Sadece bir hastada TSH yüksek bulundu. Bu hastanın da sT4’ ü normaldi. Hastaların
31(%15,5)’ inde kalsiyum, 1(%0,5)’ inde fosfor ve 1(%0,5)’ inde magnezyum
yüksek bulundu. Hiperkalsemisi olan 31 hastanın 19’ u bir yaş altı, 7’ si ise
1-2 yaş arasındaydı.

Sonuç:  Maliyet
düşünüldüğünde kabızlığı olan her çocukta tiroid fonksiyon testleri, kalsiyum,
fosfor, potasyum ve glukoz gönderilmesi uygun değildir. Ancak bölgemiz koşullarında
2 yaş altı çocuklarda kalsiyum gönderilmesi faydalı olabilir. Bu konuda daha
fazla araştırmaya ihtiyaç vardır.

Anahtar Kelimeler

kabızlık, çocuk, tetkik

Kaynakça

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