Elimination Issues in Children

Question 1

What are the most common causes of daytime wetting in children?

Answer 1

Bladder functional issues and constipation

Question 2

What are the red flags of constipation?

Answer 2

Red flags: no stooling on own since birth, thin, ribbon like stools, significant abdominal distension, gush of air/stool with DRE, associated neuro/endocrine/muscular disease

Question 3

A 3 year old presents with complaints of constipation. Mom and dad say that when he does go the stools are pencil thin. What must you rule out?

Answer 3

Hirschsprung’s disease!