Constipation resident survival guide (pediatrics): Difference between revisions

Constipation resident survival guide (pediatrics) Microchapters
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

← Older edit Newer edit →

VisualWikitext

Revision as of 11:41, 15 August 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

Constipation occurs when waste or stool moves too slowly through the digestive tract, causing the stool to become hard and dry.

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

the most factors can contribute to constipation in children, including:

Ignoring .

A child may ignore the urge to have a bowel movement or uncomfortable using public toilets.

Painful bowel movements caused by large, hard stools also may lead to withholding and try to avoid a repeat of the distressing experience.

Toilet training issues .

Diet.

Not enough fiber-rich fruits and vegetables or fluid in a child's diet may cause constipation.

Changes in routine.

Any changes in routine — such as travel, hot weather, stress or start school — can affect bowel function.

Medications.

Certain antidepressants and various other drugs can contribute to constipation.

Cow's milk allergy.

Family history

Medical conditions.

irritable bowel syndrome Hirschsprung’s disease hypothyroidism cystic fibrosis

FIRE: Focused Initial Rapid Evaluation

The most common kind is primary and not life-threatening.

Complete Diagnostic Approach

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

Do's

The content in this section is in bullet points.

Don'ts

The content in this section is in bullet points.

References

Template:WikiDoc Sources

@@ Line 40: / Line 40: @@
 * [[ Ignoring]] .
-A child may ignore the urge to have a bowel movement because he or she is afraid of the toilet or doesn't want to take a break from play. Some children withhold when they're away from home because they're uncomfortable using public toilets.
+A child may ignore the urge to have a bowel movement or uncomfortable using public toilets.
-* Painful bowel movements caused by large, hard stools also may lead to withholding. If it hurts to poop,a child may try to avoid a repeat of the distressing experience.
+* Painful bowel movements caused by large, hard stools also may lead to withholding and try to avoid a repeat of the distressing experience.
 * [[ Toilet training issues]] .
-The begin toilet training too soon, a child may rebel and hold in stool. If toilet training becomes a battle of wills, a voluntary decision to ignore the urge to poop can quickly become an involuntary habit that's tough to change.
 * [[ Diet]].
-Not enough fiber-rich fruits and vegetables or fluid in a child's diet may cause constipation. One of the more common times for children to become constipated is when they're switching from an all-liquid diet to one that includes solid foods.
+Not enough fiber-rich fruits and vegetables or fluid in a child's diet may cause constipation.
 * [[Changes in routine]].
-Any changes in routine — such as travel, hot weather or stress — can affect bowel function. Children are also more likely to experience constipation when they first start school outside of the home.
+Any changes in routine — such as travel, hot weather, stress or start school  — can affect bowel function.
 * [[Medications]].
 Certain antidepressants and various other drugs can contribute to constipation.
 * [[Cow's milk allergy]].
-An allergy to cow's milk or consuming too many dairy products (cheese and cow's milk) sometimes leads to constipation.
 * [[Family history]]
-Children who have family members who have experienced constipation are more likely to develop constipation. This may be due to shared genetic or environmental factors.
 * [[Medical conditions]].
-Rarely, constipation in children indicates an anatomic malformation, a metabolic or digestive system problem, or another underlying condition.
 [[irritable bowel syndrome]]