Constipation

Question 1

Px

Answer 1

Infrequent BO
Bloating and abdo pain
Loss appetite
Vomiting
Pain and strain when try to go

Question 2

Causes

Answer 2

Once a hard stool, withold as previous pain
Toilet training
School toilets
Diet and exercise esp not drink enough
Hirschprungs aganglionic bowel- causes constipation from birth

Question 3

Red flags

Answer 3

From birth- hirschprungs needs biop dx
Meconium ileus
Neurological signs

Question 4

mx

Answer 4

Education and explanation
Disimpaction eg oral movicol, high dose init if severe
Maintenance-
Softener eg movicol (macrogol), lactulose
Stims eg senna, sodium picosulfate. Add this later if lifestyle and softener not work.