Management of Childhood Functional Constipation

Constipation is a common problem during childhood, and 0.7% to 29.6% of children are constipated worldwide (Mugie, Benninga, & Di Lorenzo, 2011). This condition accounts for 3% to 5% of pediatric primary care visits and up to 25% of gastroenterology consultations (Di Lorenzo, 2000; Youssef & Di Lorenzo, 2001). Children presenting to the emergency department with abdominal pain are most often diagnosed with constipation (Caperell, Pitetti, & Cross, 2013). Constipated children have more outpatient and emergency department visits, and their overall annual medical cost is approximately twice as much as that of children without constipation (Choung et al., 2011).

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