Journal List > Korean J Pediatr Gastroenterol Nutr > v.9(1) > 1110255

Korean J Pediatr Gastroenterol Nutr. 2006 Mar;9(1):31-38. Korean.
Published online Mar 31, 2006.
Copyright © 2006 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Clinical Feature and Dietary Pattern of Infantile Constipation Under Two Years of Age
Hye Jin Kim, Jin Soo Moon, Jong Hee Hwang, Hyun Oh Jang, Seung Yeun Nam, Dong Wook Kim and Chong Guk Lee
Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.


Infantile constipation is one of the most common problems in pediatric gastrointestinal outpatient clinic. We planed to show the clinical feature of infantile constipation and explore the possible relationship between diets and symptoms of constipation.


We analyzed the medical records and telephone questionnaire about infants under 2 years of age with constipation, who visited outpatient clinic of Department of Pediatrics, Ilsan Paik Hospital during the time from March 2002 to February 2005. Data including the symptoms and signs of constipation, diet history, and past-medical history were analyzed.


Total 96 infants, 40 male and 56 female, were enrolled in this study. The mean age was 9 months. Twenty-three infants were exclusively breast milk fed (BMF), 20 infants were cow's milk fed (CMF) and 53 infants had a history of mixed feeding with cow's milk and breast milk (MMF). Patients showed painful defecation (95.8%), abdominal distension (53.1%), palpable rectal stool (35.1%), hard stool (30.2%), blood-tinged stool (29.2%) and anal fissure (16.7%). Patients with exclusive cow milk feeding had prominent clinical features, such as anal fissure (p=0.03), hematochezia (p=0.04) and palpable rectal stool (p=0.025). Patients who had a history of larger intake of liquid food had a tendency to get anal skin tag (p<0.05).


Exclusive breast milk feeding seemed important to avoid constipation with clinical significance. To educate caregivers in appropriate way of the weaning food may help the infants with constipation.

Keywords: Infant; Constipation; Diet; Cow's milk; Breastfeeding