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Childhood constipation.

Michelle Waterham, Jonathan Kaufman, Susan Gibb

Australian Family Physician

|February 22, 2018

Summary

This summary is machine-generated.

Childhood functional constipation, a common issue, is best managed in primary care with structured evaluation and treatment. Early intervention improves quality of life for children and families.

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Area of Science:

Pediatrics
Gastroenterology

Background:

Childhood constipation affects 3-30% globally, often functional and behavioral.
It involves infrequent, painful stools and stool retention.
Primary care can manage most cases, reserving specialist referral for complex situations.

Purpose of the Study:

To outline a framework for evaluating, diagnosing, and managing functional constipation in children within general practice.

Main Methods:

Structured history taking to identify red flags for organic pathology.
Clinical examination to assess constipation severity and type.
Guidance on appropriate management strategies for primary care.

Main Results:

A systematic approach can effectively screen for serious conditions requiring specialist care.
Routine investigations like abdominal X-rays are generally not indicated.
Early and consistent management significantly enhances patient and family well-being.

Conclusions:

Primary care physicians can confidently manage most childhood functional constipation cases.
Continuity of care and long-term family support are crucial for successful outcomes.
Prompt diagnosis and management improve children's quality of life.