The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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A Case Report of Fecal Impaction in a Child without Abdominal Symptoms

분변 감입을 동반한 무증상의 심한 소아변비 치험례

  • Jeong, Ji Eun (Department of Pediatrics, College of Korean Medicine, Woosuk University) ;
  • Jang, In Soo (Department of internal Medicine, College of Korean Medicine, Woosuk University) ;
  • Jeong, Min Jeong (Department of Pediatrics, College of Korean Medicine, Woosuk University)
  • 정지은 (우석대학교 한의과대학 소아과학교실) ;
  • 장인수 (우석대학교 한의과대학 내과학교실) ;
  • 정민정 (우석대학교 한의과대학 소아과학교실)
  • Received : 2020.10.23
  • Accepted : 2020.11.24
  • Published : 2020.11.30
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Abstract

Objectives The purpose of this study is to report the case of fecal impaction in a child without any abdominal symptoms treated by taking herbal medicine. Methods We examined a 7-year-old girl who had normal bowel movement and defecation per day, and had no particular abdominal symptoms. Abdominal radiography was taken, and unexpected severe fecal impaction was observed throughout the abdominal cavity, filled with intestinal gas and feces. According to the subject's parents, she had no generalized symptoms, such as abdominal pain or distension, and had on a regular diet and normal bowel movement daily. She was treated with herbal medicine (Daeseunggi-tang) for 23 days. While she was on the therapy, numbers, doses, bowel movements, and radiography were checked and recorded. Results During the treatment, her stool was softened, and fecal impaction was relieved as showed by abdominal radiography. Conclusions We have identified that there are cases where subjects have no symptoms of abdominal pain, despite presence of severe fecal impaction. In addition, it was found that Daeseunggi-tang is effective in fecal impaction in childhood.

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References

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