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VOLUME 1 , ISSUE 1 ( January-March, 2019 ) > List of Articles

INVITED REVIEW ARTICLE

Functional Constipation in Children

Citation Information : Functional Constipation in Children. Ann Pediatr Gastroenterol Hepatol 2019; 1 (1):1-9.

DOI: 10.5005/jp-journals-11009-0001

License: CC BY-NC 4.0

Published Online: 04-07-2022

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

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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  1. Jennifer M. Colombo, Matthew C. Wassom and John M. Rosen. Constipation and Encopresis in Childhood. Pediatrics in Review 2015; 36; 369-392
  2. M.M. Tabbers, C. DiLorenzo, M.Y. Berger, C. Faure, M.W. Langendam, S. Nurko, A. Staiano, Y. Vandenplas, and M.A. Benninga. Evaluation and Treatment of Functional Constipation in Infants and Children: Evidence-Based Recommendations From ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr 2014; 58: 258-274.
  3. BR Thapa. Constipation in children. IAP Specialty Series on Pediatric Gastroenterology edited by Ashish Bavdekar, John Matthai, Malathi Sathiyasekaran, SK Yachha. Jaypee Brothers Medical Publisher's (P) Limited: 2nd edition 2013; p 126-144.
  4. Vera Loening-Baucke. Constipation and fecal incontinence from Pediatric Gastrointestinal and Liver Disease edited by Robert Wyllie, Jeffrey S. Hyams and Marsha Kay. Elsevier Saunders: 4th edition 2011; p 127-135.
  5. Ujjal Poddar. Approach to constipation in children. Indian Pediarics 2016; 53: 319-327
  6. Surender Kumar Yachha, Anshu Srivastava, Neelam Mohan, Lalit Bharadia and Moinak Sen Sarma. Management of childhood functional constipation: Consensus Practice Guidelines of Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition and Pediatric Gastroenterology Chapter of Indian Academy of Pediatrics. Indian Pediarics 2018;55:885-892.
  7. Manu Sood, Peter Lichtlen. Unmet needs in pediatric functional constipation. Clinical Pediatrics 2018, 57(13) 1489-1495
  8. Sujatha B, Velayutham DR, Deivamani N, Bavanandam S. Normal bowel pattern in children and dietary and other precipitating factors in functional constipation. J Clin Diag Res. 2015;9:SC12-5.
  9. Bongers ME, van Wijk MP, Reitsma JB, Benninga MA. Long-term prognosis for childhood constipation: clinical outcomes in adulthood. Pediatrics. 2010;126: e156-62.
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