PERSPECTIVE
Constipation and incontinence
Constipation and incontinence in childhood: two sides of the same coin?
King’s College London and the Evelina Children’s Hospital of Guy’s and St Thomas’ NHS Foundation Trust, London, UK
Correspondence to:
Correspondence to:
Graham Clayden
King’s College London and the Evelina Children’s Hospital of Guy’s and St Thomas’ NHS Foundation Trust, Lambeth Palace Road, London SE1 7EH, UK; graham.clayden@kcl.ac.uk
Perspective on the paper by Loening-Baucke (see page486)
| The first 150 words of the full text of this article appear below. |
The relationship between constipation and faecal and urinary retention is very familiar to paediatricians, but the prevalence of these distressing symptoms appears to vary in the medical literature. We will explore the background to the development of continence and how this may be disturbed by constipation.
As Loening-Baucke stresses in the article, the problem with literature review has been the lack of an agreed set of definitions for constipation. The Paris consensus has improved on the Rome II definitions and she has shown how valuable it is to apply these even in a retrospective notes survey.1 Her study also avoids the problem of extrapolating data from a referral centre to the whole community. As with any epidemiological study there may be characteristics of the community being studied that limit its generalisability. Loening-Baucke’s population is based on a university and so may not have an average socio-economic profile.
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