RT Book, Section
A1 Sood, Manu R.
A2 Rudolph, Colin D.
A2 Rudolph, Abraham M.
A2 Lister, George E.
A2 First, Lewis R.
A2 Gershon, Anne A.
SR Print(0)
ID 7035840
T1 Chapter 386. Constipation and Fecal Incontinence
T2 Rudolph's Pediatrics, 22e
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-149723-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=7035840
RD 2024/04/17
AB Constipation  is  a  common  problem  in  children  and  is  often  associated  with  maladaptive  behavior  triggered  by  a  painful  or  otherwise  unpleasant  defecation.  There  is  no  universally  accepted  definition  of  constipation,  although  the  term  is  generally  describes  infrequent  or  painful  bowel  movement  due  to  stool  that  is  too  large  or  hard  to  pass.1,2  The  Rome  Committee,  consisting  of  a  group  of  pediatric  gastroenterologist  from  Europe  and  North  America,  defined  constipation  as  2  or  more  of  the  following  symptoms  in  a  child  with  a  developmental  age  of  at  least  4  years:  2  or  fewer  defecations  in  the  toilet  per  week,  at  least  1  episode  of  fecal  incontinence  per  week,  history  of  retentive  posturing  or  excessive  volitional  stool  retention,  history  of  painful  or  hard  bowel  movements,  presence  of  a  large  fecal  mass  in  the  rectum,  and  history  of  large-diameter  stools  that  may  obstruct  the  toilet.3,4