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KMID : 0363420200340040101
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Journal of Korean Oriental Pediatrics
2020 Volume.34 No. 4 p.101 ~ p.107
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A Case Report of Fecal Impaction in a Child without Abdominal Symptoms
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Jeong Ji-Eun
Jang In-Soo
Jeong Min-Jeong
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Abstract
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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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KEYWORD
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Fecal impaction, Childhood constipation, Herbal medicine, Daeseunggi-tang
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