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Complementary and alternative medicine (CAM) is frequently used by parents for the treatment of functional constipation in children.
Nelson, Jana; Mayer, Steffi; Neininger, Martina P; Bertsche, Astrid; Lacher, Martin; Gosemann, Jan-Hendrik.
Affiliation
  • Nelson J; Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany.
  • Mayer S; Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany.
  • Neininger MP; Department of Clinical Pharmacy, Leipzig University and Drug Safety Center, Institute of Pharmacy, Medical Faculty, Leipzig University and University Hospital, Leipzig, Germany.
  • Bertsche A; Department of Pediatric Neurology, University Medicine Greifswald, Greifswald, Germany.
  • Lacher M; Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany.
  • Gosemann JH; Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany.
J Pediatr Gastroenterol Nutr ; 78(3): 573-582, 2024 Mar.
Article in En | MEDLINE | ID: mdl-38284644
ABSTRACT

OBJECTIVES:

Complementary and alternative medicine (CAM) has gained increasing attention as a supportive treatment for chronic diseases such as epilepsy, migraine, autism, and cancer in children. This study aimed to determine the frequency, motivation, and outcomes of CAM in children with functional constipation.

METHODS:

From January 2018 till September 2019, parents of patients (0-18 years) who were treated for functional constipation (ROME IV-criteria) at our colorectal center were asked to complete a questionnaire on the utilization of CAM. Demographic data and clinical assessments were documented and analyzed for patients with and without CAM treatment.

RESULTS:

A total of 115 patients were included (mean age 5.1 years; 49% males), of whom 29 (25%) used CAM as an alternative (4/29,14%) or in addition to conventional therapy (CT), including osteopathy (48%), homeopathy (45%), and natural/herbal remedies (17%). The main reason parents reported for the use of CAM was the urge to leave no treatment option unattempted (76%). Multivariate analysis also identified persistent constipation under CT (72%), adverse effects of CT (24%), and parental use of CAM themselves (83%) as independent variables associated with CAM use. Parents reported positive changes in stool frequency (38%) and fecal incontinence (21%) with CAM. The vast majority (93%) plan to use CAM in the future, and even non-CAM users showed high interest (60%).

CONCLUSION:

One in four children with functional constipation receives CAM. Significant improvement in stool frequency and continence is missing in the majority. However, parental interest in CAM remains high. Physicians should be aware of CAM when counseling families for functional constipation in children.
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Full text: 1 Database: MEDLINE Main subject: Complementary Therapies / Epilepsy Type of study: Prognostic_studies Limits: Child / Child, preschool / Female / Humans / Male Language: En Journal: J Pediatr Gastroenterol Nutr Year: 2024 Type: Article

Full text: 1 Database: MEDLINE Main subject: Complementary Therapies / Epilepsy Type of study: Prognostic_studies Limits: Child / Child, preschool / Female / Humans / Male Language: En Journal: J Pediatr Gastroenterol Nutr Year: 2024 Type: Article