Functional constipation in preschool and school age children: ways to solve the problem

Functional constipation is a significant medical problem in pediatrics. Constipation often causes discomfort children of any age and, the absence timely and effective treatment, can lead to chronic intoxication development various complications, ultimately affecting patient's quality life. The article presents definition functional over 4 years accordance with Rome IV Criteria (2016), etiology, pathophysiological mechanisms, clinic, diagnostic criteria differential diagnosis organic preschool school children, possible complications. In draft Consensus Society Pediatric Gastroenterologists (2013), for more objective assessment nature stool, Bristol scale stool forms given. physiology colon role motor disorders occurrence are described. recommendations National School Gastroenterology, Institute Health Clinical Excellence (NICE) UK, ESPGHAN NASPGHAN, basic principles therapy main groups drugs that used treatment this described: stimulating osmotic laxatives, prokinetics. Numerous foreign studies clinical indicate stimulants safe constipation, including children's practice most demand. analysis use one group laxatives - sodium picosulfate numerous international Russian presented. effectiveness favorable safety profile picosulfate, possibility individual dose selection connection liquid form release shown. A example 6-year-old child