Books and Chapters of Books
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Item Global prevalence and international perspective of pediatric gastrointestinal disorders(London: Radcliffe Publishing,, 2014) Devanarayana, N.M.; Rajindrajith, S.; Benninga, M.A.This chapter discusses the epidemiological trends and international perspectives of Functional gastrointestinal disorders (FGIDs) in children. FGIDs consist of a group of chronic gastrointestinal problems characterised by recurrent symptoms that cannot be explained by structural and biochemical abnormalities. The chronic and disabling nature of symptoms and their remarkably high prevalence across the globe has identified them as a concern for paediatric public health. Several studies have shown a significant percentage of children with non-organic recurrent abdominal pain to have functional gastrointestinal diseases. Aerophagia is a functional gastrointestinal disease characterised by repetitive swallowing of air that leads to abdominal distension, excessive belching and/or flatus. Cyclical vomiting syndrome is a clinical entity associated with recurrent episodes of severe nausea and vomiting that may last for hours to days with well-demarcated symptom-free intervals. Functional constipation is a cosmopolitan problem and with prevalence rates varying by geographical location and environmental cons.Item Clinical evaluation of children with constipation: history and physical examination(Nova Science Publishers Inc, 2013) Rajindrajith, S.; Devanarayana, N.M.; Benninga, M.A.Item Defecation disorders in children: constipation and functional fecal incontinence(Springer International Publishing, 2016) Rajindrajith, S.; Devanarayana, N.M.; Benninga, M.A.Defecation disorders denote a state of altered defecation dynamics leading to an array of clinical presentations. With the currently available epidemiological studies, it is evident that these disorders have become a set of rapidly spreading global health problems. Due to the broadening of the understanding of escalating health-care costs and poor quality of life, these diseases demand attention of clinicians and researchers, more than at any other time in history. However, it is regrettable that only a little guidance is available for health-care professionals to manage these disorders. Most of the therapeutic trials and investigation plans are archaic from the viewpoint of a twenty-first-century clinician and are not evidence based. However, new research ventures are being carried out, and the horizon of the knowledge base is expanding, perhaps indicating a brighter future. In this chapter, we discuss emerging concepts of definitions, epidemiology, pathophysiology, clinical evaluation, and management of defecation disorders in children and adolescents.