Functional Constipation is one of the most common Functional Gastro-Intestinal disorders (FGIDs) in children1
A child trying to withhold faeces, while trying to avoid unpleasant defecation, causing stool retention –leading to absorption of water by the colon and thereby creating hard stools is termed as functional constipation (in absence of an organic condition such as anorectal malformations, Hirschsprung's disease or cystic fibrosis)2,3
The guideline algorithm for the management of childhood functional constipation that is relevant to Indian children is given below:
This kind of practical treatment protocol helps to streamline the management of complex challenges early in life like functional constipation.
References:
- Yachha, S. K., Srivastava, A., Mohan, N., Bharadia, L., Sarma, M. S., Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition Committee on Childhood Functional Constipation, and Pediatric Gastroenterology Subspecialty Chapter of Indian Academy of Pediatrics , & Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition Committee on Childhood Functional Constipation, and Pediatric Gastroenterology Subspecialty Chapter of Indian Academy of Pediatrics (2018). Management of Childhood Functional Constipation: Consensus Practice Guidelines of Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition and Pediatric Gastroenterology Chapter of Indian Academy of Pediatrics. Indian pediatrics, 55(10), 885–892
- Indrio, F., Enninger, A., Aldekhail, W., Al-Ghanem, G., Al-Hussaini, A., Al-Hussaini, B., Al-Refaee, F., Al-Said, K., Eid, B., Faysal, W., Hijazeen, R., Isa, H., Onkarappa, D., Rawashdeh, M., Rohani, P., & Sokhn, M. (2021). Management of the Most Common Functional Gastrointestinal Disorders in Infancy: The Middle East Expert Consensus. Pediatric gastroenterology, hepatology & nutrition, 24(4), 325–336. https://doi.org/10.5223/pghn.2021.24.4.325
- Vandenplas, Y., Hauser, B., & Salvatore, S. (2019). Functional Gastrointestinal Disorders in Infancy: Impact on the Health of the Infant and Family. Pediatric gastroenterology, hepatology & nutrition, 22(3), 207–216. https://doi.org/10.5223/pghn.2019.22.3.207
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