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Pediatric Constipation Dietary Management

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1. 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

2. 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

3. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutritio

© ESPGHAN and NASPGHAN. All rights reserved. Child with Typical Symptoms of GERD History and Physical Exam Lifestyle and Dietary Educaon Acid Suppression for 4-8 weeks Presence of Alarm Sign Tailor Tesng to Address Alarm Signs and Refer Appropriately Refer to Pediatric GI Endoscopy Connue Management Connue for a total of 4-8 weeks and then aempt wean pH-MII or pH-metry Symptoms Recur with weaning No Erosions, Persistent symptoms despite PPI Erosions or Eosinophilic Esophagis Treat Appropriately (...) Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutritio Copyright © ESPGHAN and NASPGHAN. All rights reserved. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

2018 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

4. Pediatric Constipation Etiologies

Pediatric Constipation Etiologies Pediatric Constipation Etiologies 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 Etiologies Pediatric Constipation Etiologies Aka: Pediatric Constipation Etiologies , Pediatric Constipation Causes , Constipation Causes in Children From Related Chapters II. Causes: Common is most common cause Infants Consider maternal medications in fed infants Congenital disorders Anteriorly displaced anus Older children Neuromuscular disorders References Claudius in Majoewsky (2012) EM:RAP - C3 2(3):2 III. Causes: Dietary Excessive cows milk Cow's Transition from to formula Transition

2018 FP Notebook

5. Pediatric Constipation

Pediatric Constipation Pediatric Constipation 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 Pediatric (...) 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

6. 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

2015 FP Notebook

7. Constipation in children

treatment for idiopathic constipation. The NICE GDG found no evidence that increasing fibre-rich foods such as fruit, vegetables, and cereals is effective in managing constipation in children who eat a healthy balanced diet. Excessive dietary fibre may exacerbate symptoms and increase the risk of soiling, and both the NICE guideline and the ESPGHAN/NASPGHAN clinical guideline found insufficient evidence to recommend fibre supplements, such as prune and fig concentrate, for the treatment of constipation (...) is termed idiopathic (functional) if it cannot be explained by any anatomical or physiological abnormality. Contributing factors for constipation include pain, fever, inadequate fluid intake, reduced dietary fibre intake, toilet training issues, the effects of drugs, psychosocial issues, and a family history of constipation. Two or more of the following clinical features indicate that a child is constipated: Fewer than three complete stools per week (unless exclusively breastfed, when stools may

2019 NICE Clinical Knowledge Summaries

8. Treatments for Constipation

Report: Summary with Critical Appraisal). [cited 2014 Nov 13]. Available from: http://www.cadth.ca/media/pdf/htis/jul-2014/RC0561%20Stool%20Softeners%20Final.pdf Furuta GT, Williams K, Kooros K, Kaul A, Panzer R, Coury DL, et al. Management of constipation in children and adolescents with autism spectrum disorders. Pediatrics. 2012 Nov;130 Suppl 2:S98-105. PubMed: PM23118260 Ahmedzai SH, Boland J. Constipation in people prescribed opioids. Clin Evid (Online). 2010;2010. Available from: http (...) the definition of constipation used. 1 Several treatment options are available and include dietary or bulking agents, osmotic or stimulant laxatives, stool softeners, and 5-HT4 agonists. 1-3 Bulking agents include soluble fibre (i.e. psyllium, ispaghula) and insoluble fibre (i.e. wheat bran), which, when taken with water, increase stool bulk and stool frequency. 4 Osmotic laxatives (i.e. lactulose, polyethylene glycol [PEG], macrogol, milk of magnesia), are poorly absorbed by the gut and act as hyperosmolar

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

9. Sacral nerve stimulation for faecal incontinence and constipation: a European consensus statement

not encountered in the early assessments have been reported - and their management has largely been based on trial and error. There have been many studies on the initial selection criteria for SNS for FI, such as excluding patients with a sphincter defect. The sensitivity of the currently existing assessment procedure, such as the period of peripheral nerve evaluation (PNE), incontinence scores and bowel diaries, has been questioned. There is little information on the long‐term outcome of SNS for constipation (...) approach to severe constipation . Urol Nurs 2011 ; 31 : 348 – 50 . 37 Sharma A , Liu B , Waudby P , Duthie GS . Sacral neuromodulation for the management of severe constipation: development of a constipation treatment protocol . Int J Colorectal Dis 2011 ; 26 : 1583 – 7 . 38 Govaert B , Maeda Y , Alberga J , Buntzen S , Laurberg S , Baeten CG . Medium‐term outcome of sacral nerve modulation for constipation . Dis Colon Rectum 2012 ; 55 : 26 – 31 . 39 Ortiz H , de Miguel M , Rinaldi M , Oteiza F

2015 Palliative Care Evidence Review Service (PaCERS)

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

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 (...) (Barrscoresofthejuniorphysicianandthestudentwerepoorer,with AUCs of 0.76 and 0.61 (95% CI 0.69–0.82 and 0.53–0.69). In conclusion, evidence supports not using an abdominal radiography to diagnose functional constipation. 3.3 CTT (Fig. 2, Box 25) Four studies were included evaluating the value of CTT in diagnosingclinicallydefinedchildhoodconstipation.Gutie ´rrezetal TABLE3. Differentialdiagnosesofconstipationininfants/toddlersand children/adolescents Celiac disease Hypothyroidism, hypercalcemia, hypokalemia Diabetes mellitus y Dietary protein

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

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

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 (...) 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

2018 Clinical Trials

12. Iron Deficiency – Diagnosis and Management

ferritin may indicate hemoglobinopathies such as thalassemia. Long term iron therapy is harmful for these patients. Individualize disease-specific management depending on underlying cause. Even when there is an apparently obvious cause the etiology may be multifactorial. Dietary iron intake To help prevent iron deficiency, encourage all individuals to consume a diet with sufficient iron. This may include establishing individualized iron intake goals according to recommended daily intake based on sex (...) can also call a dietitian at 8-1-1. Refer to for recommended dietary intake and a list of foods high in heme and non-heme iron. Recommend infants and toddlers with iron deficiency begin treatment with liquid oral iron salts. Refer to Appendix B: Liquid Iron Formulations and Pediatric Doses for recommended treatment doses, strengths and bottle sizes of liquid iron products for use in children, and guidance on tolerability. Blood transfusion is very rarely required for iron deficiency anemia

2019 Clinical Practice Guidelines and Protocols in British Columbia

13. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition

this item(s) I saw at Pediatric Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Export to End Note Procite Reference Manager Save my selection doi: 10.1097/PCC.0000000000001134 Special Article Free This document represents the first collaboration between two organizations, American Society of Parenteral and Enteral Nutrition and the Society of Critical Care (...) Illness ,” “Intensive Care,” and “Critical Care” were searched for relevant citations. To meet our search criteria, these citations had to also be indexed in MeSH folders for “Nutritional Support,” “ Malnutrition ,” “Nutrition Assessment,” “ Energy Intake,” “ Energy Metabolism,” or “Dietary Proteins.” To further restrict citations to our chosen population, the terms were cross-referenced in the MeSH folders for “Pediatrics,” “ Infant ,” “ Child ,” “ Adolescent ,” or “Young Adult.” Alternatively, we

2017 Society of Critical Care Medicine

14. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient

for “critical illness,” “intensive care,” and “critical care” were searched for relevant citations. To meet our search criteria, these citations also had to be indexed in MeSH folders for “nutritional support,” “malnutrition,” “nutrition assessment,” “energy intake,” “energy metabolism,” or “dietary proteins.” To further restrict citations to our chosen population, the terms were cross‐referenced in the MeSH folders for “pediatrics,” “infant,” “child,” “adolescent,” or “young adult.” Alternatively, we (...) reported ARDS, acute respiratory distress syndrome; BMR, basal metabolic rate; CRRT, continuous renal replacement therapy; DRI, Dietary Reference Intake; EN, enteral nutrition; FAO/WHO/UNU, Food Agriculture Organization / World Health Organization / United Nations University; IC, indirect calorimetry; IQR, interquartile range; MREE, measured resting energy expenditure; OR, odds ratio; PAL, physical activity level; PICU, pediatric intensive care unit; PN, parenteral nutrition; RQ, respiratory quotient

2017 American Society for Parenteral and Enteral Nutrition

15. Dietary Fiber Mixture in Constipated Pediatric Patients

Dietary Fiber Mixture in Constipated Pediatric Patients Dietary Fiber Mixture in Constipated Pediatric Patients - 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. Dietary Fiber Mixture in Constipated Pediatric (...) , parallel, double-blind, controlled was performed to evaluate the effect of a dietary fiber mixture in constipated pediatric patients. Children aged between 4 and 12 years were included in the study and the initial diagnosis of functional chronic constipation was made in accordance with the Rome III criteria. The children having attended the Pediatric Gastroenterology Ambulatory of the Federal University of Sao Paulo and the Santa Casa de Misericórdia hospital in Sao Paulo city. All of the children were

2011 Clinical Trials

16. 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

2015 FP Notebook

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

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 (...) 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

2017 Clinical Trials

18. Coping with Common GI Symptoms in the Community: A Global Perspective on Heartburn, Constipation, Bloating, and Abdominal Pain/Discomfort

in abdomen o Vomiting of blood or black material o Black or bloody bowel movements • Self-medication/self-help o Where appropriate: OTC medication for diarrhea and constipation • Lifestyle changes and dietary interventions 4.6.2 Pharmacist • Management: o The current standard treatment for IBS generally consists of a symptom- directed approach, with medication aimed at alleviating pain, constipation, and/or diarrhea [51,52]. o Evidence is now beginning to suggest that specific dietary intolerances should (...) 4.6.3 Primary care doctor 23 4.6.4 Specialist 24 5 Bloating 25 5.1 Definition and description 25 5.2 Epidemiological notes 26 5.3 Diagnostic/symptoms remarks 26 5.4 Differential diagnosis 27 5.5 Alarm features 27 5.6 Bloating—management cascade 27 5.6.1 Bloating self-help 27 5.6.2 Pharmacist 28 5.6.3 Primary care doctor 28 5.6.4 Specialist 29 6 Constipation 29 WGO Global Guidelines Common GI symptoms (long version) 3 © World Gastroenterology Organisation, 2013 6.1 Definition and description 29 6.2

2013 World Gastroenterology Organisation

19. BSG consensus guidelines on the management of inflammatory bowel disease in adults

apheresis and stem cell transplantation • Nutrition and dietary therapy • Lifestyle factors including smoking • Pain and fatigue • Psychological aspects • Service delivery • Primary care management of IBD Where substantial up to date guidance existed on special circumstances for example, pregnancy, osteoporosis, iron deficiency, immunosuppression in the context of prior malignancy, or histology, extensive systematic review would not be performed but summary data would be presented to encourage best (...) BSG consensus guidelines on the management of inflammatory bowel disease in adults 1 Version accepted by Gut 10 th June 2019 British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults Authors Christopher A. Lamb 1,2 *, Nicholas A. Kennedy 3,4 , Tim Raine 5 , Philip Hendy 6,7 , Philip J. Smith 8 , Jimmy K. Limdi 9,10 , Bu’Hussain Hayee 11,12 , Miranda Lomer 12,13 , Gareth C. Parkes 14,15 , Christian P. Selinger 16,17 , Kevin J. Barrett 18

2019 British Society of Gastroenterology

20. UK guidelines on the management of iron deficiency in pregnancy

UK guidelines on the management of iron deficiency in pregnancy UK guidelines on the management of iron deficiency in pregnancy - Pavord - - British Journal of Haematology - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term Guideline Free Access UK guidelines on the management of iron deficiency in pregnancy Department of Haematology, Oxford University Hospitals, Oxford, UK Women's Health Research (...) . I have read and accept the Wiley Online Library Terms and Conditions of Use. Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues. Copy URL Share a link Share on ). The prevalence of anaemia in pregnancy remains high. In order to minimise adverse outcomes, including use of blood transfusion, further research is required to define optimal management, as many current recommendations are not supported by high quality evidence. Methods

2019 British Committee for Standards in Haematology

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