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Published on: February 5, 2019
[Management of chronic constipation in the infant]
1Service de gastroentérologie et nutrition pédiatriques, hôpital Necker-Enfants-Malades, Paris, France.
Constipation, often chronic idiopathic constipation, stems from intestinal motility issues. Management involves fecal evacuation, preventative measures like diet and hydration, and parental reassurance.
Area of Science:
- Gastroenterology
- Pediatric Gastroenterology
- Digestive Health
Context:
- Constipation is a prevalent symptom linked to intestinal motility disorders.
- Chronic idiopathic constipation is the most common form encountered.
- Organic diseases like Hirschsprung disease are suspected in severe or refractory cases.
Purpose:
- To outline the diagnostic approach and management strategies for constipation, particularly in pediatric populations.
- To differentiate between functional and organic causes of constipation.
- To provide guidance on treating chronic idiopathic constipation.
Summary:
- Constipation arises from intestinal dysmotility, with chronic idiopathic constipation being most frequent.
- Investigations for organic causes are reserved for specific red flag symptoms or treatment resistance.
- Management focuses on initial fecal disimpaction followed by long-term strategies including diet, hydration, and lifestyle modifications.
Impact:
- Provides a clear framework for diagnosing and managing constipation in clinical practice.
- Emphasizes conservative management for chronic idiopathic constipation, reducing unnecessary investigations.
- Highlights the importance of parental education and reassurance in successful treatment outcomes.
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