Paediatric Constipation;Think Beyond Thyroid Causes

Authors

  • Ekta Malik Debnath Lady Hardinge Medical College and Associated Hospitals
  • Rashmi Rasi Datta Lady Hardinge Medical College and Associated Hospitals
  • Pinaki Ranjan Debnath Lady Hardinge Medical College and Kalawati Saran Children's Hospital
  • Anju Jain Lady Hardinge Medical College and Associated Hospitals

DOI:

https://doi.org/10.3126/jnps.v36i2.14533

Keywords:

Functional, Hypothyroidism, Paediatric Constipation, Thyroid Function Test, Treatment

Abstract

Introduction: This study was designed to evaluate the importance of proper detailed history and examination of the patient as well as to determine the prevalence of unrecognized hypothyroidism among the paediatric patients with constipation attending the outpatient paediatric units in our hospital.

Material and Methods: A retrospective review of medical records of paediatric patients ordered for thyroid function tests between July 2014 and June 2015 was performed. Total of 2210 paediatric patients were included in the study. A complete review of the medical records of these patients were performed which included indications for ordering thyroid tests, medical history, drug history, radiologic evaluation, other laboratory tests and subspeciality consultation.The samples were analyzed in the hormone unit of the Clinical Biochemistry Laboratory by a fully automated analyzer (Cobas e411, Roche). Data analysis was done using SPSS statistical software. Clinical diagnosis was made according to the paediatric reference ranges used in our clinical laboratory.

Results: Out of all patients, 149 had history of constipation and 11 patients out of 149 had abnormal thyroid function. Repeat measurements after three months showed normal results for nine, while only two patients had results suggestive of hypothyroidism.

Conclusion: Functional constipation is a condition which is to be diagnosed only by history or clinical examination. Thyroid profile where necessary is to be done after proper examination, to reduce the burden of cost to laboratory and society as well as exposing the pediatric patient to trauma.

J Nepal Paediatr Soc 2016;36(2):143-146

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Author Biographies

Ekta Malik Debnath, Lady Hardinge Medical College and Associated Hospitals

Associate Professor, Department of Biochemistry

Rashmi Rasi Datta, Lady Hardinge Medical College and Associated Hospitals

Senior Resident, Department of Biochemistry

Pinaki Ranjan Debnath, Lady Hardinge Medical College and Kalawati Saran Children's Hospital

Assisstant Professor, Department of Paediatric Surgery,

Anju Jain, Lady Hardinge Medical College and Associated Hospitals

Director, Professor and Head, Department of Biochemistry

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Published

2016-12-31

How to Cite

Debnath, E. M., Datta, R. R., Debnath, P. R., & Jain, A. (2016). Paediatric Constipation;Think Beyond Thyroid Causes. Journal of Nepal Paediatric Society, 36(2), 143–146. https://doi.org/10.3126/jnps.v36i2.14533

Issue

Vol. 36 No. 2 (2016)

Section

Original Articles

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