Abstract

A LITERARY REVIEW ON PAEDIATRIC CONSTIPATION W.S.R TO ORGANIC PATHOLOGY, ITS DIAGNOSIS AND MANAGEMENT

*Dr. Bhagyashree Manohar Kachare and Dr. Deepnarayan V. Shukla

Abstract

Constipation is a severe concern in day today outpatient and indoor admission in infant and young children. The evaluation of constipation involves first determining whether the change in the frequency or consistency of stools is secondary to functional constipation or is related to an organic disorder. A detailed history of bowel pattern becomes necessary to identify the causes. Thus proper case taking becomes essential to reveal the medical history for chronic diseases, such as metabolic, neurological, physiological or anatomical abnormalities. A proper physical examination of patient helps to rule out anatomical disorder /defects which lead to paediatric constipation. These may be examination of spine and sacral area, the location of the anus, and digital rectal examination. This determination is based on identifying historical features and examination findings that suggest an underlying disorder and prompt further investigation. This alerts physician and parents for the need for further evaluation, diagnosis and management necessary.

Keywords: Paediatric Constipation, Hardstools, Feacal continence, Meconium ileus, bowel emptying.