Constipation in Children (cont.)
Constipation in Children Diagnosis
- A health care practitioner will perform an examination to assess the child's general appearance and growth. The
health care practitioner will look for signs of diseases that may cause constipation.
- Close attention to the abdominal exam may reveal distention, tenderness, or hard stool that can be felt.
- Anal inspection will be performed to check for problems. The The health care
practitioner may perform a digital rectal exam with his or her finger to check for hard stool in the rectum or to see if the rectum is dilated.
- The stool may need to be tested for blood.
- Usually no diagnostic tests or
X-rays have to be performed if the history and exam suggest constipation. Sometimes an abdominal
radiograph (X-ray) is obtained and shows stool in the colon. If a medical problem is suspected as the cause of constipation, blood tests or other abdominal
imaging studies may need to be performed.
- The most useful tool the doctor can use to diagnose constipation is the history given by the parents. A doctor needs to know the following:
- What is meant when parents use the term constipation and how long has the condition been present?
- What is the size and consistency of the stools?
- How frequent are the bowel movements?
- Is pain present with stooling and is there blood present?
- Is abdominal pain a problem?
- Is there poor appetite, weight loss, or poor weight gain?
- Are episodes of fecal soiling present?
- Does the child use the bathroom at school?
- What over-the-counter, herbal, or prescription medications are being taken?
- What type of diet is the child on?
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