![]() Red flags present, or concerns of an underlying organic pathology.Consider consultation with local paediatric team when Consider ceasing if child begins passing clear fluid per rectumĪrrange follow up with GP or paediatrician within 4 weeks.Ĭonsider referral to a continence or encopresis service for faecal/urinary incontinence, complex or difficult cases.Do not use if signs of obstruction or in renal impairment.Oral medication taken during or within the hour before administration of a bowel washout may be flushed from the gastrointestinal tract without absorption.Drink to thirst, liquids should include a variety of fruit juice, soft drinks, sport drinks etc Ensure adequate hydration to reduce the risk of dehydration and electrolyte disturbance (over 1 L recommended after a full sachet).Healthy infants (9 yo: 1 sachet BD (= 20 mg sodium picosulphate/day).Most children defaecate at least every 2–3 days however breastfed babies may defaecate as infrequently as once per week.Constipation affects 1/3 of children and frequently occurs during the introduction of solid foods, toilet training and school.Treatment is usually required for several months and if stopped early, may lead to recurrence.Medications are often required and should be titrated to achieve one, soft, easy to pass bowel action per day.Symptoms of constipation are under reported.Internal examination and X-ray are not required Constipation is a common condition and functional constipation is the most common cause.Abdominal pain Urinary incontinence Urinary tract infections Key Points
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |