Pediatr. praxi. 2014;15(5):270-273
Constipation is a common problem encountered by general paediatricians. It is manifested by infrequency and difficulty in passing the stool.
Clinically, it is important to distinguish organic and functional constipation. Organic constipation is indicated by numerous warning signs
and any suspicion should result in early referral to a paediatric gastroenterologist. Functional constipation is much more frequent. It occurs
as a result of experience with painful defecation and the fear of it being repeated, with the child actively resisting defecation. The treatment
is based on several simultaneously occurring steps: education, release of retained stool, and long-term administration of laxatives. It can
be compared to a long-distance run with a number of obstacles and, despite optimal shape of all those involved, victory is not guaranteed.
Published: October 25, 2014 Show citation