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Painful defecation

MedGen UID:: 68641
•Concept ID:: C0237326
•: Sign or Symptom

Synonym:	Dyschezia
SNOMED CT:	Painful defecation (225595004); Defecation painful (225595004); Dyschezia (225595004); Bowel action painful (225595004); Pain associated with defecation (225595004)

HPO:	HP:6000222

Definition

An unpleasant sensation characterized by physical discomfort that occurs when passing stool. [from HPO]

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVPainful defecation

Phenotypic abnormality
- Constitutional symptom
  - Pain
    - Painful defecation

Professional guidelines

PubMed

The care of constipated children in primary care in different countries.

Burgers R, Bonanno E, Madarena E, Graziano F, Pensabene L, Gardner W, Mousa H, Benninga MA, Di Lorenzo C
Acta Paediatr 2012 Jun;101(6):677-80. Epub 2012 Feb 29 doi: 10.1111/j.1651-2227.2012.02632.x. PMID: 22353231

Clinical practice : diagnosis and treatment of functional constipation.

Tabbers MM, Boluyt N, Berger MY, Benninga MA
Eur J Pediatr 2011 Aug;170(8):955-63. Epub 2011 Jun 24 doi: 10.1007/s00431-011-1515-5. PMID: 21701812

Emergency department management and short-term outcome of children with constipation.

Miller MK, Dowd MD, Fraker M
Pediatr Emerg Care 2007 Jan;23(1):1-4. doi: 10.1097/01.pec.0000248690.19305.a5. PMID: 17228212

See all (13)

Recent clinical studies

Etiology

Treatments for intractable constipation in childhood.

Gordon M, Grafton-Clarke C, Rajindrajith S, Benninga MA, Sinopoulou V, Akobeng AK
Cochrane Database Syst Rev 2024 Jun 19;6(6):CD014580. doi: 10.1002/14651858.CD014580.pub2. PMID: 38895907 Free PMC Article

Efficacy and safety of probiotics and synbiotics for functional constipation in children: A systematic review and meta-analysis of randomized clinical trials.

Liu L, Wang A, Shi H, Tao H, Nahata MC
Clin Nutr 2023 Oct;42(10):1817-1826. Epub 2023 Aug 18 doi: 10.1016/j.clnu.2023.08.015. PMID: 37625312

Diagnostic accuracy of clinical symptoms and rapid diagnostic test in group A streptococcal perianal infections in children.

Cohen R, Levy C, Bonacorsi S, Wollner A, Koskas M, Jung C, Béchet S, Chalumeau M, Cohen J, Bidet P
Clin Infect Dis 2015 Jan 15;60(2):267-70. Epub 2014 Oct 13 doi: 10.1093/cid/ciu794. PMID: 25313248

Polyethylene glycol 4000 for treatment of functional constipation in children.

Dziechciarz P, Horvath A, Szajewska H
J Pediatr Gastroenterol Nutr 2015 Jan;60(1):65-8. doi: 10.1097/MPG.0000000000000543. PMID: 25162362

No-enema therapy for idiopathic constipation and encopresis.

Gleghorn EE, Heyman MB, Rudolph CD
Clin Pediatr (Phila) 1991 Dec;30(12):669-72. doi: 10.1177/000992289103001203. PMID: 1764874

See all (70)

Diagnosis

Efficacy and safety of probiotics and synbiotics for functional constipation in children: A systematic review and meta-analysis of randomized clinical trials.

Liu L, Wang A, Shi H, Tao H, Nahata MC
Clin Nutr 2023 Oct;42(10):1817-1826. Epub 2023 Aug 18 doi: 10.1016/j.clnu.2023.08.015. PMID: 37625312

Reported Prevalence and Nutritional Management of Functional Constipation among Young Children from Healthcare Professionals in Eight Countries across Asia, Europe and Latin America.

West LN, Zakharova I, Huysentruyt K, Chong SY, Aw MM, Darma A, Hegar B, Ng RT, Hasosah M, Toro-Monjaraz E, Cetinkaya M, Chow CM, Muhardi L, Kudla U, Delsing DJM, Vandenplas Y
Nutrients 2022 Sep 30;14(19) doi: 10.3390/nu14194067. PMID: 36235719 Free PMC Article

Perivascular epithelioid cell tumour (PEComa): an unusual cause of painful defaecation.

Chua D, Loh AH, Tan E, Seow-En I
BMJ Case Rep 2022 Feb 9;15(2) doi: 10.1136/bcr-2021-247686. PMID: 35140096 Free PMC Article

Profile of Functional Constipation in Children at a Referral Hospital.

Makhwana VA, Acharyya K, Acharyya S
Indian Pediatr 2022 Apr 15;59(4):287-289. Epub 2022 Jan 9 PMID: 35014616

Diagnostic accuracy of clinical symptoms and rapid diagnostic test in group A streptococcal perianal infections in children.

Cohen R, Levy C, Bonacorsi S, Wollner A, Koskas M, Jung C, Béchet S, Chalumeau M, Cohen J, Bidet P
Clin Infect Dis 2015 Jan 15;60(2):267-70. Epub 2014 Oct 13 doi: 10.1093/cid/ciu794. PMID: 25313248

See all (50)

Therapy

Efficacy and safety of probiotics and synbiotics for functional constipation in children: A systematic review and meta-analysis of randomized clinical trials.

Liu L, Wang A, Shi H, Tao H, Nahata MC
Clin Nutr 2023 Oct;42(10):1817-1826. Epub 2023 Aug 18 doi: 10.1016/j.clnu.2023.08.015. PMID: 37625312

Anal Fissure in Children.

Patkova B, Wester T
Eur J Pediatr Surg 2020 Oct;30(5):391-394. Epub 2020 Sep 13 doi: 10.1055/s-0040-1716723. PMID: 32920798

Children and adolescents with chronic constipation: how many seek healthcare and what determines it?

Rajindrajith S, Devanarayana NM, Benninga MA
J Trop Pediatr 2012 Aug;58(4):280-5. Epub 2011 Dec 6 doi: 10.1093/tropej/fmr096. PMID: 22147280

Constipation in children.

Tabbers MM, Boluyt N, Berger MY, Benninga MA
BMJ Clin Evid 2010 Apr 6;2010 PMID: 21718570 Free PMC Article

5. Constipation and toileting issues in children.

Catto-Smith AG
Med J Aust 2005 Mar 7;182(5):242-6. doi: 10.5694/j.1326-5377.2005.tb06677.x. PMID: 15748137

See all (56)

Prognosis

Real-world outcomes of the levonorgestrel-releasing intrauterine system for heavy menstrual bleeding or dysmenorrhea in Japanese patients: A prospective observational study (J-MIRAI).

Harada T, Ota I, Kitawaki J, Momoeda M, Maeda N, Akira S, Umeyama M, Sunaya T, Hirano K
Contraception 2022 Dec;116:22-28. Epub 2022 Aug 31 doi: 10.1016/j.contraception.2022.08.006. PMID: 36057322

Patient-Reported Outcomes in the Acute Phase of the Randomized Hypofractionated Irradiation for Prostate Cancer (HYPRO) Trial.

Sinzabakira F, Heemsbergen WD, Pos FJ, Incrocci L
Int J Radiat Oncol Biol Phys 2022 Mar 15;112(4):870-879. Epub 2021 Nov 3 doi: 10.1016/j.ijrobp.2021.10.139. PMID: 34740766

General practitioners and endometriosis: Level of knowledge and the impact of training.

Roullier C, Sanguin S, Parent C, Lombart M, Sergent F, Foulon A
J Gynecol Obstet Hum Reprod 2021 Dec;50(10):102227. Epub 2021 Sep 11 doi: 10.1016/j.jogoh.2021.102227. PMID: 34520875

5. Constipation and toileting issues in children.

Catto-Smith AG
Med J Aust 2005 Mar 7;182(5):242-6. doi: 10.5694/j.1326-5377.2005.tb06677.x. PMID: 15748137

No-enema therapy for idiopathic constipation and encopresis.

Gleghorn EE, Heyman MB, Rudolph CD
Clin Pediatr (Phila) 1991 Dec;30(12):669-72. doi: 10.1177/000992289103001203. PMID: 1764874

See all (23)

Clinical prediction guides

Efficacy of Bacillus clausii in Pediatric Functional Constipation: A Pilot of a Randomized, Double-Blind, Placebo-Controlled Trial.

Lojanatorn P, Phrommas J, Tanpowpong P, Getsuwan S, Lertudomphonwanit C, Treepongkaruna S
Indian Pediatr 2023 Jun 15;60(6):453-458. Epub 2023 Feb 9 PMID: 36757002

Real-world outcomes of the levonorgestrel-releasing intrauterine system for heavy menstrual bleeding or dysmenorrhea in Japanese patients: A prospective observational study (J-MIRAI).

Harada T, Ota I, Kitawaki J, Momoeda M, Maeda N, Akira S, Umeyama M, Sunaya T, Hirano K
Contraception 2022 Dec;116:22-28. Epub 2022 Aug 31 doi: 10.1016/j.contraception.2022.08.006. PMID: 36057322

Case-control study to develop and validate a questionnaire for the secondary prevention of endometriosis.

Ricci G, Castelpietra E, Romano F, Di Lorenzo G, Zito G, Ronfani L, Biffi S, Monasta L
PLoS One 2020;15(3):e0230828. Epub 2020 Mar 30 doi: 10.1371/journal.pone.0230828. PMID: 32226031 Free PMC Article

Timing of episiotomy and outcome of a non-instrumental vaginal delivery.

Rusavy Z, Karbanova J, Kalis V
Acta Obstet Gynecol Scand 2016 Feb;95(2):190-6. Epub 2015 Dec 8 doi: 10.1111/aogs.12814. PMID: 26563626

Constipation in children.

Abhyankar A, Carcani-Rathwell I, Clayden G
BMJ Clin Evid 2006 Oct 1;2006 PMID: 19454102

See all (32)