Currently, the knowledge and awareness among paediatricians in India regarding diagnosis and treatment strategies of chronic constipation are far from satisfactory, creating barriers to optimal disease management. Recently the Indian Society of Paediatric Gastroenterology, Hepatology and Nutrition (ISPGHAN) have proposed guidelines on constipation for use in Indian children. Constipation is a common problem among children; the commonest cause is functional (95 %). An elaborate history and meticulous physical examination to exclude red flags is the key to make a diagnosis of functional constipation. Management consists of disimpaction, followed by maintenance therapy with osmotic laxative, dietary modification and toilet training. Stimulant laxatives should be reserved only for rescue therapy. A regular follow-up with slow tapering of laxative is essential for successful treatment outcome.
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