Obsessive compulsive disorder in a child being studied for constipation: case report

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Published

2011-04-30

How to Cite

García Ramos, P. R., Freund Llovera, N., Pelaz Antolín, A., & de Peratallada Jaumandreu, S. D. C. (2011). Obsessive compulsive disorder in a child being studied for constipation: case report. Revista De Psiquiatría Infanto-Juvenil, 28(4), 79–83. Retrieved from https://aepnya.eu/index.php/revistaaepnya/article/view/217

Issue

Vol. 28 No. 4 (2011)

Section

Case reports

Authors

  • P R García Ramos Hospital Universitario Príncipe de Asturias
  • N Freund Llovera Médico Interno Residente de Psiquiatría del Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid.
  • A Pelaz Antolín Centro de Salud Mental de Alcalá de Henares
  • S De Cruylles de Peratallada Jaumandreu Centro de Salud Mental de Alcalá de Henares

Keywords:

Children, obsessive compulsive disorder, constipation

Abstract

Constipation is a common disease whose etiology in children, after the neonatal period, is psychological usually. We report the case of a 7-years-old boy studied for chronic constipation and a suspected Hirschsprung disease, who was referred by the pediatrician to Mental Health services because of his obsessive thoughts. Clinical evaluation showed a parallelism between the two disorders, guessing a common origin. A great improvement in his psychopathology arose with psychotherapy and pharmacological treatment of Obsessive Compulsive Disorder and the constipation disappeared. In pediatric population, many physical symptoms may have a psychological bias. Indeed it is necessary to carry out a deep exploration to clarify the diagnosis and perform an appropriate treatment.

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Author Biographies

P R García Ramos, Hospital Universitario Príncipe de Asturias

Médico Interno Residente de Psiquiatría.

N Freund Llovera, Médico Interno Residente de Psiquiatría del Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid.

Médico Interno Residente de Psiquiatría.

A Pelaz Antolín, Centro de Salud Mental de Alcalá de Henares

Psiquiatra Infantil.

S De Cruylles de Peratallada Jaumandreu, Centro de Salud Mental de Alcalá de Henares

Psicólogo Clínico Infantil

References

1. Walitza S, Wendland JR, Gruenblatt E, Warnke A, Sontag TA, Tucha O, Lange KW. Genetics of early-onset obsessive-compulsive disorder. Eur Child Adolesc Psychiatry. 2010; 19: 227-35.

2. Lewin AB, Caporino N, Murphy TK, Geffken GR, Storch EA. Understudied clinical dimensions in pediatric obsessive compulsive disorder. Child Psychiatry Hum Dev. 2010; 41: 675-91.

3. Geller DA, MBBS, FRACP. Trastornos obsesivo-compulsivos y del espectro en niños y adolescents. Psychiatr Clin N Am. 2006; 29: 353-370.

4. Go FS, Malley EE, Birmaher B, et al. Manic behaviours associated with fluoxetine in three 12-to 18-year-olds with obsessive-compulsive disorder. J Child Adolesc Psychopharmacol. 1998; 8: 73-80.

5. Pauls DL. The genetics of obsessive-compulsive disorder: a review. Dialogues Clin Neurosci. 2010; 12: 149-63.

6. Aelterman N, De Clercq B, De Bolle M, De Fruyt F. General and maladaptive personality dimensions in pediatric obsessive-compulsive symptoms. Child Psychiatry Hum Dev. 2011; 42: 24-41.

7. Mancuso E, Faro A, Joshi G, Geller DA. Treatment of Pediatric Obsessive-Compulsive Disorder: a review. J Child Adolesc Psychopharmacol. 2010; 20: 299-308.

8. Micali N, Heyman I, Perez M, Hilton K, Nakatani E, Turner C, Mataix-Cols D. Long-term outcomes of obsessive compulsive disorder: follow-up of 142 children and adolescents. Br J Psychiatry. 2010; 197: 128-134.

9. Behrman RE, Kliegman RM. Nelson Compendio de Pediatría, 4ª edición. McGraw-Hill.Interamericana.2002. capitulo 11, paginas 527-529, 543-544.

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