Constipation in children

Question 1

What is the NICE diagnosis for constipation in children?

Answer 1

(For < 1 year, +2 or more of) Fewer than 3 complete stools per week (Bristol stool chart 3-4); hard large stool; type 1 stool; Distress on passing stool; Bleeding; straining
(For > 1 year, +2 or more of) Fewer than 3 complete stools per week; overflow soiling; hard large stool; type 1 stool; poor appetite improving after defecation; straining; retentive posturing

Question 2

What are some causes of constipation in children?

Answer 2

Functional constipation 
Imperforate anus
Meconium ileus 
Hirschprung's disease 
hypothyroidism

Question 3

How is idiopathic constipation treated?

Answer 3

(Faecal impaction present) polyethylene glycol 3350 + electrolytes (Movicol Paediatric Plain) + stimulant laxative (if treatment ineffective)