Constipation G

Question 1

constipation

Answer 1

child not passing stools more than three weeks

Question 2

causes

Answer 2

stress
fear of toilet
Hirschsprung disease 
dehydration
low fibre diet 
associated pain on passing stool

Question 3

conservative management

Answer 3

ensure enough fluid and fibre intake

encourage going to toilet, make it an enjoyable experience

Question 4

medical management

Answer 4

movicol
stimulant laxative
osmotic laxative

Question 5

hirschprung disease

Answer 5

chronic constipation

Question 6

causes of HD

Answer 6

in utero distal colon not innervated properly so is unable to distend properly
results in back pressure of stool

Question 7

signs

Answer 7

delayed meconium passing
forceful evacuation of meconium on DRE
distended abdomen

Question 8

investigation

Answer 8

rectal suction biopsy

Question 9

management

Answer 9

rectal wash out

removal of aganglionic colon