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Pediatric Constipation Dietary Management

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1. Osmotic and stimulant laxatives for the management of childhood constipation. Full Text available with Trip Pro

Osmotic and stimulant laxatives for the management of childhood constipation. Constipation within childhood is an extremely common problem. Despite the widespread use of osmotic and stimulant laxatives by health professionals to manage constipation in children, there has been a long standing paucity of high quality evidence to support this practice.We set out to evaluate the efficacy and safety of osmotic and stimulant laxatives used to treat functional childhood constipation.We searched (...) for childhood constipation. GRADE analyses indicated that the overall quality of the evidence for the primary outcome (number of stools per week) was low or very low due to sparse data, inconsistency (heterogeneity), and high risk of bias in the studies in the pooled analyses. Thus, the results of the pooled analyses should be interpreted with caution because of quality and methodological concerns, as well as clinical heterogeneity, and short follow-up. There is also evidence suggesting the efficacy

2016 Cochrane

2. Pediatric Constipation Dietary Management

Pediatric Constipation Dietary Management Pediatric Constipation Dietary Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Pediatric Constipation Dietary Management Pediatric Constipation Dietary Management Aka: Pediatric Constipation Dietary Management From Related Chapters II. Indications over age 1 year III. See Also IV. Stop all milk products for 6 weeks Substitute Soyarella for Cheese Substitute Tofutti for Ice cream Use milk substitute on Breakfast cereal Non-dairy creamer Soy bean milk (e.g. Isomil, Prosobee) Provide ation while off milk Calcium 250 mg qd (or Tums qd) (Poly-Vi-Sol or Vi-daylin chewable) V. Stop

2018 FP Notebook

3. Pediatricians lack knowledge for the diagnosis and management of functional constipation in children over 6 mo of age Full Text available with Trip Pro

Pediatricians lack knowledge for the diagnosis and management of functional constipation in children over 6 mo of age To assess the knowledge of general pediatricians througout Indonesia about the diagnosis and treatment of childhood constipation.A comprehensive questionnaire was distributed to general pediatricians from several teaching hospitals and government hospitals all over Indonesia.Data were obtained from 100 pediatricians, with a mean of 78.34 ± 18.00 mo clinical practice, from 20 (...) had no longer complaints.These data provide an insight on the diagnosis and management of constipation in childhood in Indonesia. Although general pediatricians are aware of some important aspects of the diagnosis and mangement of constipation, overall knowledge is limited. Efforts should be made to improve the distribution of existing guidelines. These findings highlight and confirm the difficulties in spreading existing information from guidelines to general pediatricians.

2018 World journal of clinical pediatrics

4. Constipation in children and young people: diagnosis and management

or learning disabilities, and to people who do not speak or read English. Families and carers should have the opportunity to be involved in decisions about treatment and care. Where appropriate, for example for older children, this should be with the child's agreement. Families and carers should also be given the information and support they need. Care of young people in transition between paediatric and adult services should be planned and managed according to the best practice guidance described (...) Constipation in children and young people: diagnosis and management Constipation in children and y Constipation in children and young oung people: diagnosis and management people: diagnosis and management Clinical guideline Published: 26 May 2010 nice.org.uk/guidance/cg99 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

5. Constipation in children

and management of idiopathic childhood constipation in primary and secondary care [ ], which based its recommendations on a narrative review of moderate-quality observational studies and the experience and opinion of the guideline development group (GDG). They are supported by a literature review and expert opinion in the European and North American clinical guideline Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN (...) allergy as a differential cause of constipation in infants and toddlers [ ]. Management Management : covers the management of idiopathic constipation in children. Scenario: Management Scenario: Management of constipation in children From birth to 18 years. Overview of management How should I manage a child with idiopathic constipation in primary care? Treat a child for constipation in primary care only if a working diagnosis of has been made and have been excluded. Liaise with other members

2019 NICE Clinical Knowledge Summaries

6. Evaluation and Management of Constipation

and operator expertise. 43,44 Nonoperative Management of Constipation 1. The initial management of symptomatic constipation is dietary modification, including fiber and fluid supple - mentation. Grade of Recommendation: Strong recom- mendation based on moderate-quality evidence, 1B Diet modification to increase water and fiber consump- tion is considered an important, first-line component in the management of constipation and is typically recom- mended before technical investigations of pelvic floor (...) of fecal incontinence. 149 6. Antegrade colonic enema with appendicostomy or ce- costomy may be an effective bowel management strat- egy in select highly motivated patients with refractory chronic constipation, although this is not a common al- ternative. Grade of Recommendation: Weak recommen- dation based on low-quality evidence, 2C a lthough most commonly used in the treatment of con- stipation and fecal incontinence in children, antegrade en- ema therapy has been described in adults with neurogenic

2016 American Society of Colon and Rectal Surgeons

7. Management of Constipation in Adult Patients Receiving Palliative Care

-5.4), 6 (6.1-6.2) and 7 relate to the use of medications in the management of constipation or its complications. No specific medication is recommended and therefore there are no specific costing impacts; rather guidance is provided on best practice in selection, initiation, titration and discontinuation of medications. As a general principle it is advised to use the medication with the lowest cost base where there is no differential benefit between medications, which is supported in feedback from (...) recommendations to provide clear practical guidance on the management of constipation in palliative care. These recommendations reflect best clinical practice in the countries represented. Following assessment using the AGREE II and ADAPTE tools this document was also chosen to inform the development of this guideline as the recommendations are particularly relevant to the Irish context. 1.8.5 Definition of health questions In parallel with the above guideline search process, the GDG identified relevant

2015 National Clinical Guidelines (Ireland)

8. Management of symptomatic hypermobility in children and young people

advice and management should be sought from the GP Additional but rare symptoms Gastrointestinal and urinary tract symptoms – non-specific symptoms such as nausea, stomach ache, diarrhoea, constipation, fecal and urinary incontinence can be a feature of the condition however they are also very common symptoms in children and young people generally and may not be related to their hypermobility. ? Routine treatment of paediatric constipation effective with these symptoms ? Advice about toilet habits (...) than others. Current evidence suggests during childhood it may be better to enjoy a variety of sports rather than focus on one. Current guidance suggests that “age” should be an approximate guide to the number of hours of high level sport participation per week. (Jayanthi et al 2015) ? Weight management: maintaining optimum body weight is important. Extra weight can significantly strain lower limb joints and increase symptoms of pain and fatigue. Healthy diet advice may be helpful in weight

2019 British Society for Rheumatology

9. Pediatric Constipation Management

Constipation Management Pediatric Constipation Management Aka: Pediatric Constipation Management From Related Chapters II. Indications over age 1 year III. See Also IV. Prevention: Behavioral and Dietary Management See Sit, practice pushing on toilet 5-10 minutes per day Sit on toilet after meals Makes use of gastrocolic reflex Keep a calendar and bring to clinic appointments Record s Soiling ( ) Enema use Pushing and relaxing s V. Management: Approach Step 1: Disimpaction procedure See protocol below Step (...) Pediatric Constipation Management Pediatric Constipation Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pediatric

2018 FP Notebook

10. Managing functional constipation in children

Managing functional constipation in children Constipation is a common childhood problem, with both somatic and psychological effects. The etiology of paediatric constipation is likely multifactorial, and seldom due to organic pathology. Children benefit from prompt and thorough management of this disorder. The goal of treatment is to produce soft, painless stools and to prevent reaccumulation of feces. Education, behavioural modification, daily maintenance stool softeners and dietary (...) modification are all important components of therapy. Fecal disimpaction may be necessary at the outset of treatment. Investigations are rarely necessary. Polyethylene glycol is a safe, effective and well-tolerated long-term treatment for constipation. Regular follow-up for children with constipation is important. Referral to a gastroenterologist should be made in refractory cases or when there is a suspicion of organic pathology. Key Words: Constipation; Encopresis; Laxative; Paediatric

2011 Canadian Paediatric Society

11. Constipation

Do Get Involved Education/CPD Publications Careers > Share PRACTICE POINT Managing functional constipation in children Posted: Dec 1 2011 Reaffirmed: Feb 1 2016 The Canadian (...) Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our . Principal author(s) A Rowan-Legg; Canadian Paediatric Society , Paediatr Child Health 2011;16(10):661-5 Abstract Constipation is a common childhood (...) of constipation . Two or more of the following clinical features indicate that a child is constipated : Fewer than three complete stools per week (unless 2015 6. Constipation in children 2017 7. Managing functional constipation in children Managing functional constipation in children | Position statements and practice points | Managing functional constipation in children | Canadian Paediatric Society Protecting and promoting the health and well-being of children and youth CPS Member Login | Who We Are What We

2018 Trip Latest and Greatest

12. Peristeen anal irrigation system (Coloplast) for bowel management in pediatric populations

constipation, and/or time-consuming bowel management procedures. This health technology assessment is limited to an evaluation of the Peristeen AI system in children, adolescents, and transitional adolescents. Clinical Alternatives: Other approaches to bowel management in pediatric populations include alterations in diet and fluid consumption, laxatives, suppositories, enemas, digital evacuation, anorectal or perianal stimulation, abdominal massage, electrical or magnetic stimulation, pelvic floor muscle (...) irrigation system (Coloplast) for bowel management in pediatric populations. Lansdale: HAYES, Inc. Healthcare Technology Brief Publication. 2016 Authors' objectives Description of Technology: The Peristeen Anal Irrigation (AI) System (Coloplast) is designed to minimize the likelihood of involuntary bowel leakage or constipation. The device includes a rectal catheter with an incorporated inflatable balloon, a control unit with pump, a water bag, and tubing. AI introduces water into the colon via

2017 Health Technology Assessment (HTA) Database.

13. Evaluation and Treatment of Functional Constipation in Infants and Children: Evidence-Based Recommendations from ESPGHAN and NASPGHAN

–0.96), indicating that CTT is a good discriminator between children with and without clinical constipation who were referred to a pediatric TABLE 4. Key points of history and physical examination to guide in the evaluation of constipation in infants/toddlers and children/adolescents Infant/toddler Child/adolescent Functional constipation Functional constipation History History Starts after a few weeks to months of life (not at birth) Starts after a few weeks to months of life (not at birth) Obvious (...) Background:Constipationisapediatricproblemcommonlyencounteredby many health care workers in primary, secondary, and tertiary care. To assist medical care providers in the evaluation and management of children with functional constipation, the North American Society for Pediatric Gastro- enterology,Hepatology,andNutritionandtheEuropeanSocietyforPediatric Gastroenterology, Hepatology, and Nutrition were charged with the task of developing a uniform document of evidence-based guidelines. Methods: Nine clinical questions addressing diagnostic, therapeutic

2014 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

14. Screening for Emotional, Behavioral and Developmental Disorders in Children With Functional Constipation.

information, Layout table for eligibility information Ages Eligible for Study: 4 Years to 18 Years (Child, Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Children presenting for the first time at the department of Pediatrics of the Universitair Kinderziekenhuis Brussel with complaints of constipation will be included regardless of previously diagnosed behavioral and developmental health problems and regardless of any previous treatment for functional (...) Screening for Emotional, Behavioral and Developmental Disorders in Children With Functional Constipation. Screening for Emotional, Behavioral and Developmental Disorders in Children With Functional Constipation. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2018 Clinical Trials

15. The Use of Lactobacillus Reuteri in Functional Constipation in Children

). The recovery rate is 50% to 60% after 1 year of treatment, with 50% of the children having relapse within 5 years. Studies in adults have established the effectiveness of some lactic acid bacteria in the treatment of chronic constipation. Condition or disease Intervention/treatment Phase Functional Constipation Dietary Supplement: probiotic - Lactobacillus reuteri Other: placebo - with no active ingredient Not Applicable Detailed Description: Functional constipation (FC) is a common condition in childhood (...) The Use of Lactobacillus Reuteri in Functional Constipation in Children The Use of Lactobacillus Reuteri in Functional Constipation in Children - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. The Use

2017 Clinical Trials

16. Constipation and paediatric emergency department utilization Full Text available with Trip Pro

Constipation and paediatric emergency department utilization Constipation is a common condition in children. Little is known about the acute health care utilization of constipated children, including how many present to the paediatric emergency department (ED), the spectrum of presenting complaints, investigations and treatments used.We conducted a cross-sectional chart review of all 42,875 visits to British Columbia Children's Hospital ED between August 31, 2012 and September 1, 2013. All (...) to the gastrointestinal tract. Abdominal radiographs were obtained in nearly one-third of patients and almost half of the patients received a fleet enema in the ED. Only a quarter of patients were discharged home on longer-term management. Measures of ED flow were similar between groups, with no meaningful difference in WT or LOS. The vast majority of children (99.7%) were discharged home.Constipation can be treated as an out-patient, rather than burdening the paediatric ED unnecessarily. This study demonstrates over

2017 Paediatrics & child health

17. Synbiotic, Prebiotics and Probiotics in Children With Cerebral Palsy and Constipation

and confirmed by a pediatric neurologist, and that belong to levels IV or V of the Gross Motor Function Classification System (GMFCS). Participants with constipation according to the Rome IV criteria. Signed informed consent by one of the child's parents or legal guardians Exclusion Criteria: Refusal to continue in the study Use of antibiotics during the study, consumption of laxatives, food fibers, lactulose, magnesia or products containing probiotics, prebiotics or both as infant formulas (NOTE: Glycerin (...) Synbiotic, Prebiotics and Probiotics in Children With Cerebral Palsy and Constipation Synbiotic, Prebiotics and Probiotics in Children With Cerebral Palsy and Constipation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before

2017 Clinical Trials

18. Personalized diet management can optimize compliance to a high-fiber, high-water diet in children with refractory functional constipation. (Abstract)

Personalized diet management can optimize compliance to a high-fiber, high-water diet in children with refractory functional constipation. Diet modification to increase water and fiber consumption is considered an important component in the management of constipation. This prospective randomized study aimed to evaluate the compliance of 86 children with refractory functional constipation (mean age 4.4 years, range 1 to 11 years)-to a high-fiber, high-water diet following either physician's (...) dietary advice (PI group) (n=42) or physician's dietary advice plus personalized diet management by a registered dietitian (DM group) (n=44). Dietary intake was assessed by a 24-hour dietary recall at baseline and 1 month later. The changes in water and fiber consumption were used as compliance criteria. DM group had comparable anthropometric measurements; sex distribution; and baseline intakes of energy, macronutrient, water, and dietary fiber compared with the PI group. Comparison of nutrient

2012 Journal of the Academy of Nutrition and Dietetics Controlled trial quality: uncertain

19. Constipation

to this topic. February 2011 — topic structure revised to ensure consistency across CKS topics. No changes to clinical recommendations have been made. September 2010 — updated. The management of constipation in children has been removed from this topic, and is now covered in the separate CKS topic on Constipation in children. Issued in September 2010. August 2009 — minor update. Advice from the National Institute for Health and Care Excellence (NICE) guideline on when to suspect child maltreatment has been (...) of chronic constipation should include: Management of any underlying secondary causes, and advice to reduce or stop any drug treatment that may be causing or contributing to symptoms. Advice on lifestyle measures, such as increasing dietary fibre, fluid intake, and activity levels. Management of any faecal loading and/or impaction first, if present. Offering drug treatment with oral laxatives using a stepped approach, such as bulk-forming laxatives first-line, then adding or switching to an osmotic

2019 NICE Clinical Knowledge Summaries

20. Pediatric Constipation

Constipation Aka: Pediatric Constipation , Constipation in Children From Related Chapters II. Epidemiology Responsible for 3% of pediatric primary care visits (and 10-25% of pediatric gastroenterology visits) III. Definition Decrease in stool frequency Fewer than 3 stools per week Decreased fluidity of s Most stools are hard, pebble-like or scybalous IV. Physiology See Mean stool frequency varies by age fed infants under age 3 months: 2.9 stools/day (but healthy fed infants may go days without a stool (...) biopsy by surgery Assess for Transit study Administer radiopaque marker rings over 3 days Perform Abdominal XRAy (KUB) on third day Consider evaluation ( ) XV. Evaluation Initial evaluation in all patients Careful history and examination as above Consider Constipation in Children causes Red flag symptoms or signs present Pediatric Gastroenterology referral Diagnostic testing as directed by history No red flag symptoms or signs Empiric management for functional causes (see below) If no improvement

2018 FP Notebook

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