Pediatric Constipation

Question 1

What is the most common cause of constipation in children?

Answer 1

functional retention - kids are tightening the external sphincter to prevent pooping!!

Question 2

What are the risk factors for pathologic disease

Answer 2

?

Question 3

Functional constipation vs pathologic disease

Answer 3

?

Question 4

Tx plan for child with chronic constipation

Answer 4

• complete evacuation or disimpaction (enema or meds)
• sustained evacuation to restore normal colorectal tone
• weaning from intervention

Question 5

constipation vs encopresis

Answer 5

constipation - hard stool, difficult to pass, less than 3 stools per week…etc

encopresis - fecal soiling result of looser stool leaking or overflowing from a rectum that has been distended by retained stool (loose poop going around hard poop)

Question 6

Normal thnigs a baby does when pooping?

Answer 6

cry

draw the legs up

Question 7

Bowel and bladder control by what age?

Answer 7

4 years

Question 8

Worry about hirschprungs disease when?

Answer 8

if newborn hasnt pooped within first 24-48 hours

Question 9

Was fecal continence ever attained - think?

Answer 9

spinal cord damage