By A. Catto-Smith
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Extra info for Constipation - Causes, Diagnosis and Treatment
The frequency of the generated slow wave determines the contractile frequency of the gut. Additionally to acting as a mere pacemaker for the guts peristalsis, ICC seem to play an important role in transducing inputs from enteric motor neurons. Ultrastructural studies have found synapse-like membrane densities between ICC-IM and enteric nerve terminals. Accessorily, a variety of receptors for neurotransmitters have been identified in ICC. In murine fundus it was shown that ICC-IM were closely associated with cholinergic neurons (Huang and Xu, 2010).
At this time, defaecation occurs and faecal matter is evacuated from the body. 20 Constipation – Causes, Diagnosis and Treatment In instances where the environment or social situation is unsuitable for defaecation to occur, the external anal sphincter voluntarily remains contracted with the help of the pelvic floor muscles. This occurs for a few seconds until the rectal wall is able to adapt and distend to allow for storage of the additional rectal volume. Some children may achieve voluntary bowel control around the age of 18 months but there is variability in the age of attainment of complete bowel control.
2004). Functional faecal retention with encopresis in childhood. Journal of Pediatric Gastroenterology and Nutrition, Vol. 38, pp. 79-84. Diagnostic Approach to Constipation in Children 17 Loening-Baucke, V. & Swidsinski, A. (2007). Constipation as a cause of Acute Abdominal Pain in Children. Journal of Pediatrics, Vol. 151, pp. 666-669. P. (2008). The frequency of constipation in children with nocturnal enuresis: a comparison with parental reporting. Journal of Paediatrics and Child Health, Vol.
Constipation - Causes, Diagnosis and Treatment by A. Catto-Smith