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Related Experiment Videos

Constipation in children

A K Leung1, P Y Chan, H Y Cho

  • 1Alberta Children's Hospital, Calgary, Canada.

American Family Physician
|August 1, 1996
PubMed
Summary
This summary is machine-generated.

Childhood constipation, often functional, can signal organic disorders. Diagnosis relies on history and physical exam, guiding treatment for this common pediatric issue.

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Area of Science:

  • Pediatrics
  • Gastroenterology

Background:

  • Constipation affects 5-10% of children, frequently functional.
  • Organic causes, though less common, require prompt identification.

Purpose of the Study:

  • To differentiate functional from organic constipation in children.
  • To outline diagnostic approaches and treatment strategies.

Main Methods:

  • Review of clinical presentation, history, and physical examination findings.
  • Emphasis on differentiating congenital, acute, and chronic constipation.
  • Guidance on when laboratory investigations are indicated.

Main Results:

  • Functional constipation is the most common cause.
  • Congenital causes are suspected in neonatal-onset constipation.

Related Experiment Videos

  • Hirschsprung's disease suggested by failure to thrive and abdominal distention.
  • Rectal exam differentiates stool-filled (functional) from empty/tight (Hirschsprung's) rectum.
  • Conclusions:

    • Diagnosis of childhood constipation primarily relies on thorough history and physical exam.
    • Treatment is cause-directed, with functional constipation managed via diet, habits, and pharmacologic therapy/biofeedback.
    • Organic causes necessitate specific interventions based on the underlying disorder.