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Management of chronic constipation in children
Authors:Lucy J. HowarthPeter B. Sullivan
Affiliation:Lucy J Howarth BM MRCPCH is a Specialist Registrar in Paediatric Gastroenterology in the University Department of Paediatrics, Children''s Hospital, John Radcliffe Hospital, Headington, Oxford, UK. Conflict of interest: none; Peter B Sullivan MA MD FRCP FRCPCH is Reader in Paediatric Gastroenterology, Honorary Consultant Paediatrician, University Department of Paediatrics, Children''s Hospital, John Radcliffe Hospital, Headington, Oxford, UK. Conflict of interest: none
Abstract:Children are commonly affected by constipation. Management of chronic constipation requires a good understanding of the underlying pathophysiology. The presentation and management of constipation varies by age. This review aims to give the reader a clear guide to diagnosis, investigation, pharmacological and non-pharmacological management of chronic constipation in children. The way in which pathology can interrupt normal physiology and features of the clinical history are described. It will outline the age dependent presentation and management of chronic, functional constipation based on the best available evidence and examine the NICE guideline for laxative use in children.
Keywords:chronic constipation   clinical diagnosis   age dependent presentation   red flag symptoms and signs   investigations   laxative treatment   non-pharmacological treatment
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