Diagnosis and management of idiopathic childhood constipation: summary of NICE guidance.
نویسندگان
چکیده
Diagnosing idiopathic constipation If the child or young person has constipation take a history and exclude underlying causes. • “Red flag” findings and diagnostic clues to an underlying condition: constipation reported from birth or first few weeks of life, failure to pass meconium or delay in passing meconium (more than 48 hours after birth in term baby), long narrow ribbon-like stools (more likely in a child under 1 year), previously unknown or undiagnosed weakness in legs, locomotor delay, and abdominal distension with vomiting. • Diagnostic clues to idiopathic constipation: constipation that starts after a few weeks of life with obvious precipitating factors (fissure, change of diet, or infections in children under 1 year; fissure, change of diet, timing of potty or toilet training, and an acute event such as infection, moving house, starting nursery or school, fears and phobias, major change in family, taking medicine in children over 1 year); normal passage of meconium (within 48 hours after birth in term baby); child generally well, with normal weight and height; no neurological problems in legs; normal locomotor development; history of poor diet or insufficient fluid intake (or both); and changes in infant formula or weaning in child under 1 year. Perform a physical examination and exclude underlying causes. GuIdElInEs
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ورودعنوان ژورنال:
- BMJ
دوره 340 شماره
صفحات -
تاریخ انتشار 2010