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Adolescent constipation: evaluation and management.

Nader N Youssef1, Leslie Sanders, Carlo Di Lorenzo

  • 1Division of Pediatric Gastroenterology, Children's Medical Center/Atlantic Health System, University of Medicine and Dentistry of New Jersey, Morristown 07962, USA. Nader.Youssef@ahsys.org

Adolescent Medicine Clinics
|July 24, 2004
PubMed
Summary

Physicians should understand adolescent constipation, a common issue causing significant distress. Most cases resolve with lifestyle changes and medication, but persistent symptoms warrant further investigation.

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Area of Science:

  • Pediatrics
  • Gastroenterology

Background:

  • Constipation is a common symptom in adolescents, causing significant emotional distress and life disruption.
  • While not life-threatening, untreated constipation negatively impacts adolescent well-being.

Purpose of the Study:

  • To emphasize the importance of physician familiarity with adolescent constipation.
  • To guide the evaluation and management of constipation in adolescent patients.

Main Methods:

  • Comprehensive patient history taking.
  • Thorough physical examination to identify predisposing factors.
  • Assessment of treatment response and compliance.

Main Results:

  • The majority of contributing factors to constipation can be identified through history and physical examination.

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  • Most adolescent constipation cases are effectively managed with behavioral, lifestyle, and pharmacologic interventions.

    • Conclusions:

    • Physicians must be knowledgeable about the multifaceted nature of adolescent constipation.
    • Persistent constipation despite adherence to treatment necessitates re-evaluation of the diagnosis and potential subspecialist referral.