Abstract | OBJECTIVE: STUDY DESIGN: Children with chronic constipation (n = 24) were treated with PEG for 8 weeks at an initial dose of 1 g/kg/d. The dose was adjusted every 3 days as required to achieve 2 soft stools per day. A diary was kept to monitor dose, stool frequency and consistency, soiling, and other symptoms. Stool consistency was rated from 1 (hard) to 5 (watery). Subjects were examined for fecal retention. The Student t test and the Fisher exact test were used for data analysis. RESULTS: All 20 children who completed the study found PEG to be palatable and were satisfied with the treatment. There were no significant adverse effects. Weekly stool frequency increased from 2.3 +/- 0.4 to 16.9 +/- 1.6 (P <.0001) during treatment and stool consistency from 1.2 +/- 0.1 to 3.3 +/- 0.1 (P <.0001). In 9 children with soiling, weekly soiling events declined from 10.0 +/- 2.4 to 1.3 +/- 0.7 (P =.003). The mean effective dose was 0.84 g/kg/d (range, 0.27-1.42 g/kg/d). CONCLUSION: Daily administration of PEG at a mean dose of 0.8 g/kg is an effective, safe, and palatable treatment for constipation.
|
Authors | D S Pashankar, W P Bishop |
Journal | The Journal of pediatrics
(J Pediatr)
Vol. 139
Issue 3
Pg. 428-32
(Sep 2001)
ISSN: 0022-3476 [Print] United States |
PMID | 11562624
(Publication Type: Clinical Conference, Journal Article, Research Support, Non-U.S. Gov't)
|
Chemical References |
- Cathartics
- Polyethylene Glycols
|
Topics |
- Cathartics
(therapeutic use)
- Child
- Child, Preschool
- Chronic Disease
- Constipation
(drug therapy)
- Defecation
(drug effects)
- Encopresis
(drug therapy)
- Female
- Humans
- Infant
- Male
- Patient Satisfaction
- Polyethylene Glycols
(therapeutic use)
|