Progress on diagnosis and treatment of infant dyschezia / 中国小儿急救医学

ABSTRACT

Infant dyschezia is one of the most common functional gastrointestinal disorders in infants.The main clinical features include an emotionally state of strain, with scream, cry and red or purple in the face with each effort to defecate, which usually lasting 10-20 minutes and normal stool passes several times a day.The current diagnostic criteria of infant dyschezia is based on the Rome Ⅳ criteria.Pathogenesis of infant dyschezia is still unclear, which may be related to immature defecation pattern in infants, intestinal flora imbalance, brain-gut-microbiota axis disturbances and complementary feeding starting too early.Infant dyschezia is self-limited, and there is no need of specific treatment.The caregivers are recommended to avoid rectal stimulation and laxative intervention.