Constipation G Flashcards
1
Q
constipation
A
child not passing stools more than three weeks
2
Q
causes
A
stress fear of toilet Hirschsprung disease dehydration low fibre diet associated pain on passing stool
3
Q
conservative management
A
ensure enough fluid and fibre intake
encourage going to toilet, make it an enjoyable experience
4
Q
medical management
A
movicol
stimulant laxative
osmotic laxative
5
Q
hirschprung disease
A
chronic constipation
6
Q
causes of HD
A
in utero distal colon not innervated properly so is unable to distend properly
results in back pressure of stool
7
Q
signs
A
delayed meconium passing
forceful evacuation of meconium on DRE
distended abdomen
8
Q
investigation
A
rectal suction biopsy
9
Q
management
A
rectal wash out
removal of aganglionic colon
