Massage With Senna-based Laxatives Versus Senna-based Laxatives in Managing Overflow Retentive Stool Incontinence

South Valley University

Status

Completed

Conditions

Massage

Treatments

Other: Abdominal massage

Study type

Interventional

Funder types

Other

Identifiers

NCT04273295

P.T.REC/012/002277

Details and patient eligibility

About

This study aimed to evaluate the effect of abdominal massage with senna-based laxative in managing overflow retentive stool incontinence in pediatrics.

Full description

Much attention has been devoted to children with overflow retentive stool incontinence (ORSI) by the pediatric surgeons, as the referral of such cases from pediatric facilities is constantly increasing. An important initial step in managing these children is the exclusion of Hirschsprung's disease starting by water-soluble contrast enema.

Conservative management of ORIS is generally successful. The aim of the treatment is to achieve and maintain regular bowel movements free of symptoms Laxatives remain the mainstay of maintenance therapy of ORSI; yet, there is no standard laxative therapy despite the varieties of medication currently available. New information to these queries can be beneficial to medical staff involved in managing overflow retentive stool incontinence in pediatrics, Possibly it may add new guideline of treatment with more good result , short time and decrease the laxative dose.

Enrollment

50 patients

Sex

All

Ages

4 to 14 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Pediatric patients with ORSI according to Rome III criteria
Contrast enema suggestive of fecal loading
the absence of anatomic, physiologic or pathologic reason for their constipation

Exclusion criteria

radiological suspicion of Hirschsprung's disease,
anorectal malformation,
mechanical obstruction,
failed to comply with the offered treatment (mainly if cramping abdominal pain or vomiting occurred),
Required bowel surgery.
spina bifida, spinal cord injury,