Clinical practice guidelines for pediatric constipation.
OBJECTIVE
To discuss the diagnosis and management of pediatric constipation by nurse practitioners in primary care.


METHODS
Clinical practice guidelines and selected research articles.


CONCLUSIONS
Pediatric constipation is a common complaint. Few children have an organic cause; more common is "functional constipation." Management may include medications, dietary interventions, and behavior modification. Patient and family education is essential.


CONCLUSIONS
A successful outcome requires multiple management strategies. There are usually relapses and gradual progress, so follow-up is essential. A consult with a pediatric gastroenterologist is indicated when treatment fails, if there is concern about an organic cause, or for complex management.
Greenwald
Beverly J
BJ
Department of Nursing, Angelo State University, San Angelo, Texas, USA. Beverly.Greenwald@angelo.edu
D000367:Age Factors; D003248:Constipation / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D003937:Diagnosis, Differential; D006801:Humans; D015994:Incidence; D054368:Laxatives / Q000627:therapeutic use; D015995:Prevalence; D011379:Prognosis; D012307:Risk Factors; D014481:United States / Q000453:epidemiology
D054368:Laxatives