Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The aim of the present study was to evaluate the effectiveness of daily anal stimulation in infants with intractable functional constipation. This retrospective analysis includes infants who had IFC treatment. The treatment protocol included administering daily rectal stimulation to babies and providing psychological counselling to parents. All 200 patients who underwent toilet training intervention shown a favourable reaction. Each patient completed a comprehensive therapeutic programme and was assessed for symptom improvement and changes in anorectal manometry within a year of follow‐up. In the current investigation, 52% of the participants were male, while 48% were female. The average period of toilet training was 1.5. This research aimed to assess the manometric parameters in newborns in order to identify any alterations in defecation dynamics and anorectal neuromuscular functioning before and after intervention. All children had an intact Rectoanal Inhibitory Reflex (RAIR), which is crucial for ruling out Hirschsprung’s disease (HSCR) and internal anal sphincter achalasia (IASA). The frequency of peristalsis in the lower part of the rectum remained unchanged before and after the intervention. Prior to surgery, the peristaltic wave of the distal rectum exhibited disorganization, characterized by a sluggish and uneven waveform with a low amplitude. Following the intervention, there was a substantial increase in the amplitude of peristalsis, accompanied by a considerable improvement in the rhythm. During the first procedure, one baby had an anal fissure, which was successfully treated by adjusting the size of the bougie. There were no instances of faecal incontinence or intestinal rupture seen in any of the patients. This research discovered that including daily anal stimulation into the early toilet training programme, starting as early as 3 months of age, might potentially be a beneficial approach for managing babies with Infant Functional Constipation (IFC). It consistently stimulates bowel movements and successfully promotes the development of appropriate toilet habits.
How to cite this article:
Ashutosh Kumar and Manish . A Retrospective Study Assessing Outcome of Daily Anal Stimulation for Intractable Functional
Constipation in Infants.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.209.214
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.209.214