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Management of constipation in children and adolescents with autism spectrum disorders

Glenn T Furuta1, Kent Williams, Koorosh Kooros

  • 1Digestive Health Institute, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital Colorado, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.

Pediatrics
|November 3, 2012
PubMed

Insights

Primary health care providers can use a new algorithm to identify, evaluate, and manage constipation in children with autism spectrum disorder (ASD). This systematic approach addresses constipation and its causes in children with ASD.

Area of Science:

  • Pediatric Gastroenterology
  • Autism Spectrum Disorders (ASDs) Research

Background:

  • Constipation is a common issue in children with autism spectrum disorder (ASD).
  • Identifying and managing constipation in this population presents unique challenges due to potential atypical symptom presentation.

Purpose of the Study:

  • To develop a practical, evidence-based algorithm for primary health care providers.
  • To guide the identification, evaluation, and management of constipation in children with ASDs.

Main Methods:

  • Expert opinion and literature review by the Autism Speaks Autism Treatment Network (ATN) Gastroenterology Committee.
  • Algorithm development guided by consensus and field testing by ATN autism medical specialists.
  • Systematic review and grading of existing literature on constipation in children with ASDs.

Main Results:

  • Consensus identified that subtle or atypical symptoms may indicate constipation in children with ASDs.
  • A deliberate approach to screening, identification, and treatment of underlying causes is recommended.
  • Diagnostic-therapeutic intervention and careful follow-up are crucial for effective management.
  • Limited evidence exists in the literature for evaluating and treating constipation in children with ASDs.

Conclusions:

  • A systematic approach can effectively identify and manage constipation and its underlying causes in children with ASDs.
  • The lack of existing research highlights a critical need for further investigation in this area.
Abstract

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