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Clinical practice guidelines for pediatric constipation
1Department of Nursing, Angelo State University, San Angelo, Texas, USA. Beverly.Greenwald@angelo.edu
Purpose:
To discuss the diagnosis and management of pediatric constipation by nurse practitioners in primary care.
Data Sources:
Clinical practice guidelines and selected research articles.
Conclusions:
Pediatric constipation is a common complaint. Few children have an organic cause; more common is "functional constipation." Management may include medications, dietary interventions, and behavior modification. Patient and family education is essential.
Implications For Practice:
A successful outcome requires multiple management strategies. There are usually relapses and gradual progress, so follow-up is essential. A consult with a pediatric gastroenterologist is indicated when treatment fails, if there is concern about an organic cause, or for complex management.
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