Chronic constipation.
The lack of information about management of chronic constipation in children amidst general physicians has necessitated this review. A literature search in PubMed was conducted with regard to epidemiology, clinical features, investigation and management of chronic constipation in children. English language studies published over the last 20 y were considered and relevant information was extracted. Constipation is a common problem among children; the commonest cause is functional (95 %). An elaborate history and thorough physical examination are only essential things required to make a diagnosis of functional constipation. Management consists of disimpaction, followed by maintenance therapy with oral laxative, dietary modification and toilet training. A regular follow-up with slow tapering of laxative is the must for effective treatment. Early withdrawal of laxative is the commonest cause of recurrence.
Division of Pediatric Gastroenterology, Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Andhra Pradesh, 500082, India, drjaya.agarwal@gmail.com.
Jaya
J
Agarwal
D002648:Child; D002908:Chronic Disease / Q000628:therapy; D003248:Constipation; D006801:Humans