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Functional constipation in infants and children: Clinical features and differential diagnosis

Author
Manu R Sood, FRCPCH, MD
Section Editor
B UK Li, MD
Deputy Editor
Alison G Hoppin, MD

INTRODUCTION

Functional constipation is responsible for more than 95 percent of cases of constipation in healthy children one year and older, and is particularly common among preschool-age children [1]. Although it is common, the complaint should not be ignored because children with functional constipation will benefit from prompt and thorough treatment interventions. Delayed or inadequate intervention may result in stool withholding behavior with worsening constipation and psychosocial consequences.

The clinician also has an important role in identifying the small fraction of children with organic causes of constipation. Organic causes of constipation are more likely among young infants, and among infants and children presenting with atypical features or "alarm signs" (table 1).

The clinical features that are typical for functional constipation are described in this topic review, and features of specific organic causes of constipation are summarized briefly. Other aspects of managing the infant or child with constipation are discussed in the following topic reviews:

(See "Constipation in infants and children: Evaluation".)

(See "Functional fecal incontinence in infants and children: Definition, clinical manifestations and evaluation".)

                   

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Literature review current through: Nov 2016. | This topic last updated: Fri May 27 00:00:00 GMT+00:00 2016.
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