Introduction
Organic constipation, Acupuncture, constipation, multifactorial disorder, improves bowel movement, constipation bowel, Constipation
AIDS, FUNCTIONAL CONSTIPATION, PATHOLOGY
Functional chronic constipation is a multifactorial disorder that is mostly related to socioeconomic status, low fiber consumption, and lack of adequate fluid intake [There are two types of constipation (functional and organic). Functional constipation (FC) presents after the neonatal period, is not associated with any pathology, and accounts for 90% of all cases. Organic constipation accounts for the remaining 10% of cases and is characterized by the presence of pathology and presents in the neonatal period [Basic and advanced treatment of FC consists of lifestyle modifications and behavioral changes, medical treatment with oral or rectal laxatives, sacral nerve stimulation, biofeedback, and alternative therapy such as acupuncture, massage, and herbal therapy [Acupuncture is intended to re-establish internal homeostasis through the stimulation of specific acupuncture points using laser acupuncture, acupressure, and electro-acupuncture [First-line laxatives are osmotic laxatives. It promotes bowel movements by drawing water from the surrounding body tissues into the intestine. This aids in the formation of soft stool and improves bowel movement, making it easier to pass bowel movements. Some commonly used osmotic laxatives include lactulose, polyethylene glycol (PEG), and milk of magnesia [One of the most important factors in constipation is diet. Constipation occurs in people of all ages as a result of a lack of fiber or fluid consumption. Fiber is the most effective constipation bowel regulator because it softens hard stool and bulks up loose stool. A well-balanced diet must include both soluble and insoluble fibers. Soluble fiber dissolves quickly in the intestines and takes on a softer, gel-like texture, aiding digestion. On the other hand, insoluble fiber passes almost unchanged through the intestines, resulting in a bulky stool [Consuming fiber may reduce whole-gut transit time by increasing luminal volume and thus peristalsis. It can also have an immediate effect on bulking by causing water retention, which normalizes stool shape and improves stool volume by increasing microbial biomass and fermentation byproducts such as short-chain fatty acids. Gut transit time may be increased indirectly by lowering luminal pH, with possible consequences for gut flora [Combining behavior therapy and dietary modification with frequent toileting for 5–10 min after meals, as well as a reward system, is generally beneficial. Parents should be advised to maintain a positive and encouraging attitude throughout therapy and to expect gradual improvements despite relapses [The objective of this study was to compare the effects of laser acupuncture and the commonly used osmotic laxative, lactulose (as the control), both combined with behavioral therapy and dietary modification, on children with FCC in a randomized controlled trial (RCT).