Peer Reviewed
Feature Article Gastroenterology

Constipation in infants and children

Andrew Stewart Day
Abstract
Many events may precipitate functional constipation in children. Informed parental involvement is essential for its successful management.
Key Points
  • One of the commonest gastrointestinal complaints in childhood, constipation affects almost one in six children.
  • Most children presenting with constipation have functional or reservoir constipation related to withholding-behaviour, and not a pathological disorder.
  • Careful history and examination should detect any underlying pathological causes.
  • Management of functional constipation in children involves education, disimpaction, maintenance and ongoing review.
  • Educating the parent about constipation encourages long term compliance. Education messages should be repeated at every visit.
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