[Functional constipation in pediatrics, diagnosis and treatment]

Area of Science:

• Pediatric Gastroenterology
• Clinical Practice Guidelines

Background:

• Functional constipation is a prevalent pediatric condition, frequently leading to clinic visits.
• Existing diagnostic and treatment protocols required updating.

Purpose of the Study:

• To update the diagnosis and treatment guidelines for functional constipation in pediatric patients.
• To provide evidence-based recommendations for clinicians.

Main Methods:

• A comprehensive literature search was conducted to evaluate evidence quality.
• The Rome IV Criteria were utilized for diagnostic guidelines.
• Recommendations were developed by the Constipation Working Group.

Main Results:

• A thorough patient history and physical examination are crucial for diagnosis.
• Rome IV Criteria aid in diagnosing functional constipation, minimizing unnecessary tests.
• Diagnostic studies are reserved for cases unresponsive to treatment or with alarm signs.

Conclusions:

• Functional constipation diagnosis in children relies on clinical assessment and Rome IV criteria.
• Treatment involves disimpaction, dietary changes, habit modification, and laxatives.
• Polyethylene glycol is recommended as the primary pharmacological treatment.