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J Wound Ostomy Continence Nurs · Mar 1994
Assessment, diagnosis, and treatment of constipation in childhood.
- V Loening-Baucke.
- J Wound Ostomy Continence Nurs. 1994 Mar 1; 21 (2): 49-58.
AbstractThe evaluation of chronic constipation with or without fecal soiling in children must begin with a careful history and physical examination. Constipation and fecal soiling is caused in fewer than 10% of patients by anatomic, neurologic, endocrine, or metabolic conditions. No specific organic cause can be found in more than 90% of affected children, but anorectal functions--such as rectal sensation, rectal contractility, and relaxation of the external anal sphincter and pelvic floor muscles during straining for defecation--are impaired. Most patients will benefit from a program designed to clear fecal impaction with enemas, prevent fecal impaction with enemas, prevent fecal impaction with laxatives, and promote regular bowel habits with scheduled toilet sittings.
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