Massage With Senna-based Laxatives Versus Senna-based Laxatives in Managing Overflow Retentive Stool Incontinence

Massage With Senna-based Laxatives Versus Senna-based Laxatives in Managing Overflow Retentive Stool Incontinence in Pediatrics

This study aimed to evaluate the effect of abdominal massage with senna-based laxative in managing overflow retentive stool incontinence in pediatrics.

Much attention has been devoted to children with overflow retentive stool incontinence (ORSI) by the pediatric surgeons, as the referral of such cases from pediatric facilities is constantly increasing. An important initial step in managing these children is the exclusion of Hirschsprung's disease starting by water-soluble contrast enema.

Conservative management of ORIS is generally successful. The aim of the treatment is to achieve and maintain regular bowel movements free of symptoms Laxatives remain the mainstay of maintenance therapy of ORSI; yet, there is no standard laxative therapy despite the varieties of medication currently available. New information to these queries can be beneficial to medical staff involved in managing overflow retentive stool incontinence in pediatrics, Possibly it may add new guideline of treatment with more good result , short time and decrease the laxative dose.

Inclusion Criteria:

• Pediatric patients with ORSI according to Rome III criteria
• Contrast enema suggestive of fecal loading
• the absence of anatomic, physiologic or pathologic reason for their constipation

Exclusion Criteria:

• radiological suspicion of Hirschsprung's disease,
• anorectal malformation,
• mechanical obstruction,
• failed to comply with the offered treatment (mainly if cramping abdominal pain or vomiting occurred),
• Required bowel surgery.
• spina bifida, spinal cord injury,