Severe Pediatric Constipation Questions & Answers

Updated: Aug 14, 2019
  • Author: Marc A Levitt, MD; Chief Editor: Harsh Grewal, MD, FACS, FAAP  more...
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Questions & Answers

Overview

What are pediatric GI motility disorders?

What is the pathophysiology of pediatric GI motility disorders?

What causes severe pediatric constipation?

Presentation

Which clinical history findings are characteristic of pediatric constipation after surgery?

Which clinical history findings are characteristic of functional pediatric constipation?

What are the Roma IV diagnostic criteria for pediatric constipation?

Which clinical history findings are characteristic of severe constipation in infants?

Which clinical history findings are characteristic of fissure-related severe pediatric constipation?

Which clinical history findings of stool softener and laxative use characteristic of severe pediatric constipation?

Which clinical history findings are characteristic of impaction in severe pediatric constipation?

Which clinical history findings of soiling are characteristic of severe pediatric constipation?

How is severe functional pediatric constipation differentiated from Hirschsprung disease?

What is included in the physical exam to evaluate severe pediatric constipation?

Workup

What is the role of plain radiographs in the workup of severe pediatric constipation?

What is the role of contrast enema in the workup of severe pediatric constipation?

What is the role of MRI in the workup of severe pediatric constipation?

What is the role of anorectal manometry in the workup of severe pediatric constipation?

What is the role of colonic manometry in the workup of severe pediatric constipation?

What is the role of rectal biopsy in the workup of severe pediatric constipation?

Treatment

How is postoperative pediatric fecal incontinence treated?

How is postoperative severe pediatric constipation treated?

How is postoperative severe pediatric diarrhea treated?

How is continence and incontinence differentiated in postoperative severe pediatric constipation?

How is mild pediatric constipation treated?

How is severe functional pediatric constipation treated?

How is impaction treated in severe pediatric constipation?

How is severe pediatric constipation treated following disimpaction?

When is surgery indicated in the treatment of severe pediatric constipation?

What is the role of sigmoid resection in the treatment of severe pediatric constipation?

What is the role of appendicostomy or cecostomy in the treatment of severe pediatric constipation?

What are the possible complications of severe pediatric constipation?