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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.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|August 7, 2001
PubMed
Summary
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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.

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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.