dr Mridul Chandra Das
Pediatric Gastroenterologist
Centre for Child Health, BLK Super Speciality Hospital
About Author

In children with constipation almost 80 to 90% will be functional constipation. A child with functional constipation will usually have the following clinical features

  • Age of onset usually 1 to 2 year of age, mostly after introduction of semisolids.
  • Retentive posturing or withholding maneuver - Standing while straining to pass stools, against wall, cross legged, at times would hide behind doors or under a cot, with flushing of face - All these are attempts to retain stools but are perceived by parents the other way round
  • There can be retentive fecal incontinence- Means small amount of fecal matter staining undergarments in presence of impacted rectum. Incontinence is clinically significant if developmental age more than 4 years age and frequency is 2 or more per week.
  • Absence of red flags for any organic cause after detailed clinical evaluation

Posted On: 18/04/2019

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