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[Approach to constipation in children]
M Cinquetti1, P Bertamini, P Bonetti
1Divisione e Cattedra di Pediatria, Ospedale Maggiore, Università di Verona, Italia.
Insights
Pediatric constipation is diagnosed and treated by evaluating organic or functional causes. A thorough history and physical exam are key, with most children not needing further lab or imaging tests.
Area of Science:
- Pediatrics
- Gastroenterology
Context:
- Constipation is a common pediatric issue.
- Causes include organic and functional factors.
- Functional constipation can lead to fecal retention.
Purpose:
- To outline a diagnostic and therapeutic strategy for pediatric constipation.
- To emphasize the importance of clinical evaluation.
- To guide appropriate use of investigations.
Summary:
- The article details an approach to diagnosing and treating constipation in children.
- It differentiates between organic and non-organic (functional) causes.
- Clinical history and physical examination are highlighted as primary diagnostic tools.
- Routine laboratory and radiologic tests are generally not required.
Impact:
- Provides a practical framework for clinicians managing pediatric constipation.
- Aims to reduce unnecessary investigations, saving costs and patient burden.
- Facilitates effective management of functional fecal retention.
Abstract:
This article presents a diagnostic and therapeutic approach to children with constipation. Causes of constipation can be organic or non-organic (functional). Functional constipation may lead to functional fecal retention. The history and physical examination are most important. Laboratory and radiologic examinations are not warranted in the majority of children.