Childhood constipation - Evaluation and treatment

Constipation is common in children, It is estimated that between 5% and 10% of pediatric patients have constipation and/or encopresis. Constipation is the second most referred condition in pediatric gastroenterology practices , accounting for up to 25% of all visits. In this article, a practical appr oach is laid out for those not familiar with constipation in children. Emph asis is placed on the evaluation and management options that are available to the treating practitioner. The diagnosis of constipation requires carefu l history taking and interpretation. Diagnostic tests are not often needed and are reserved for those who are severely affected. The daily bowel habit s of children are extremely susceptible to any changes in routine environme nt, Constipation and subsequent fecal retention behavior often be-ins soon after a child has experienced a painful evacuation. Childhood constipation can be very difficult to treat. It often requires prolonged support by phys icians and parents, explanation, medical treatment, and, most important, th e child's cooperation.