Pediatric Constipation and Pediatric Encopresis – Pedriatics

by Carlo Raj, MD

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    Our topic here is constipation in the young. Infrequent passage. Now, here will be true pathology. Earlier when we talked about diarrhea, high in the differential in a child will be infections for obvious reasons. Constipation, more systemic issues, we’ll talk about congenital as well. Here, because of constipation, you can expect the stool obviously not to be watery but hard and dry. It could be functional and, even with functional, many of you have probably noticed or maybe even memorized that, “Oh, functional type of constipation, that means that the intestine isn’t working properly.” And many of you would jump down to an answer choice and choose Hirschsprung's disease Be careful, do not do that. Remember as a child, how often did you like to go poop or, you know, go the bathroom? You’re playing with your friends, you didn’t want to go to the bathroom. so it’s actually voluntary holding on to the stool. So functional, most common cause will be something like a voluntary withholding very much keep that in mind. There might be absolutely nothing wrong with your child. Why do investigations and invade the child with doing tests when you know that it could be just the fact that the child wants to play? Functional. Other causes: Meconium ileum, once you’ve ruled out functional type of constipation and other causes. For example, cystic fibrosis, extremely common in young Caucasian children. With cystic fibrosis, you know what there isn’t enough chloride channels that properly lubricate the stool. Meconium, which is the stool that should be passing in the young, might then become ileus. In other words, stuck. In addition, anterior displaced anus, Hirschsprung's disease is here botulism, and hypothyroidism are possible differentials for pediatric constipation. You go step by step by step and every time you...

    About the Lecture

    The lecture Pediatric Constipation and Pediatric Encopresis – Pedriatics by Carlo Raj, MD is from the course Pediatric GI Pathology.

    Included Quiz Questions

    1. Functional constipation
    2. Hirschsprung disease
    3. Meconium ileus due to cystic fibrosis
    4. Anteriorly displaced anus
    5. Hypothyroidism
    1. Laxatives
    2. Stool softeners
    3. High fiber diet
    4. Counselling
    5. Adequate hydration
    1. Cystic fibrosis
    2. Botulism
    3. Functional constipation
    4. Hirschsprung disease
    5. Hypothyroidism
    1. Liquid stool may pass around the hard stool and gives a false impression of diarrhea
    2. Blood mixed with stool
    3. Fresh blood in stool
    4. Passing of dark colored stools
    5. Infrequent passage of hard stool
    1. More than 4 years
    2. More than 3 years
    3. More than 2 years
    4. More than 1 year
    5. More than 6 months

    Author of lecture Pediatric Constipation and Pediatric Encopresis – Pedriatics

     Carlo Raj, MD

    Carlo Raj, MD

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