Precipitants of XXXX during early childhood.

@entity1 @entity1142 @entity158
BACKGROUND: Childhood @entity1142 is a common problem, accounting for 3% of visits to pediatric clinics and 30% of visits to pediatric gastroenterologists. Estimates of the prevalence of childhood @entity1142 vary from 0.3% to 28% with younger @entity1 being affected most often. We were unable to find any studies that specifically examine the causes of @entity1142 in young @entity1 . Our objective of the study was to determine precipitants to @entity1142 during early childhood. METHODS: Findings from 125 families visiting their primary care physician for the first time with a @entity1 aged between 2 and 7 years with the complaint of @entity1142 were compared with findings from 95 @entity1 between 2 and 7 years without any history of @entity1142 . Parents answered questions concerning family history, toilet training, and bowel habits. Parents of constipated @entity1 were asked to describe events that occurred during the 3 months before the onset of @entity1142 and whether these events contributed to the @entity1 's @entity1142 . RESULTS: The age and sex of @entity1 who did and did not suffer from @entity1142 were comparable (P > .3). When compared with control @entity1 , constipated @entity1 were no more likely to have a parent (30% vs 40%, P = .14) or sibling (17% vs 14%, P = .54) with a history of @entity1142 . Constipated @entity1 did not begin toilet training earlier than did control @entity1 (28 +/- 7 vs 27 +/- 6 months, P = .30). When compared with parents of control @entity1 , parents of constipated @entity1 reported more difficulties with toilet training (P < .001). Parents of constipated @entity1 indicated their @entity1 had more difficult and more @entity158 experiences than did parents of control @entity1 (P < .001), and constipated @entity1 were more likely to express worry about future @entity158 than were control @entity1 (P < .001). Parents of constipated @entity1 described a number of events that occurred before the onset of @entity1142 ; however, they did not consider many of the events important contributors to the @entity1142 . @entity158 was the event most often reported as causing the @entity1142 . CONCLUSION: @entity158 is the primary precipitant of @entity1142 during early childhood. Parents should be counseled to be attentive to such experiences and taught to intervene quickly to lessen the risk that their @entity1 will develop persistent @entity1142 or fecal soiling.
