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Chronic constipation

Jaya Agarwal1

  • 1Division of Pediatric Gastroenterology, Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Andhra Pradesh, 500082, India, drjaya.agarwal@gmail.com.

Indian Journal of Pediatrics
|August 15, 2013
PubMed

Insights

General physicians often lack knowledge on managing chronic constipation in children, which is commonly functional. Effective treatment involves disimpaction, maintenance therapy, and regular follow-up to prevent recurrence.

Area of Science:

  • Pediatrics
  • Gastroenterology

Background:

  • Chronic constipation is a prevalent pediatric issue.
  • Functional constipation accounts for 95% of pediatric cases.
  • General physicians require updated information on management strategies.

Purpose of the Study:

  • To review the epidemiology, clinical features, investigation, and management of chronic constipation in children.
  • To provide evidence-based guidance for general physicians.

Main Methods:

  • A literature search was conducted in PubMed.
  • English language studies published within the last 20 years were included.
  • Relevant information on pediatric constipation was extracted.

Main Results:

  • Functional constipation is the predominant cause in children.
  • Diagnosis relies heavily on detailed patient history and physical examination.
  • Management includes disimpaction, oral laxatives, dietary changes, and toilet training.

Conclusions:

  • A structured approach involving disimpaction, maintenance therapy, and gradual laxative tapering is crucial.
  • Regular patient follow-up is essential for successful treatment outcomes.
  • Premature cessation of laxative therapy frequently leads to relapse.

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