Peds

Pediatric Constipation Etiologies

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Pediatric Constipation Etiologies, Pediatric Constipation Causes, Constipation Causes in Children

  • Causes
  • Common
  1. Functional Constipation is most common cause
  2. Infants
    1. Consider maternal medications in Breast fed infants
    2. Cystic Fibrosis
    3. Hirschsprung's Disease
    4. Congenital disorders
    5. Anteriorly displaced anus
  3. Older children
    1. Hypothyroidism
    2. Anorexia
    3. Neuromuscular disorders
  4. References
    1. Claudius in Majoewsky (2012) EM:RAP - C3 2(3):2
  • Causes
  • Dietary
  1. Excessive cows milk
  2. Cow's Milk Protein Intolerance
  3. Transition from Breast Milk to formula
  4. Transition from strained foods to table foods
  5. Lack of privacy (e.g. start of daycare or school)
  6. Lack of bulk in diet
  7. Under-nutrition
  8. Pediatric Dehydration
  9. Celiac Disease
  • Causes
  • Medications and toxins
  • Causes
  • Structural defects
  1. Duodenal atresia
  2. Anal stenosis
  3. Small colon Syndrome
  4. Intussusception
  5. Volvulus
  6. Malrotation
  7. Presacral teratoma
  8. Meconium plug
  9. Rectal Prolapse
  10. Inflammatory Bowel Disease
  11. Imperforate anus
  12. Anteriorly displaced anus
  13. Anal Fissure
  • Causes
  • Muscle Diseases
  1. Scleroderma
  2. Dermatomyositis
  3. Systemic Lupus Erythematosus
  4. Absence of abdominal musculature
  • Causes
  • Abnormal mysenteric Ganglion cells
  1. Aganglionic Megacolon (Hirschprung's Disease)
  2. Chagas' Disease
  3. Von Recklinghausen's Disease
  4. Multiple Endocrine Neoplasm (MEN) Type 2
  • Causes
  • Spinal Cord defects
  1. See Spinal Dysraphism
  2. Spina Bifida Occulta
  3. Myelomeningocele
  4. Meningocele
  5. Diastematomyelia
  6. Paraplegia
  7. Cauda equina tumor
  8. Sacral agenesis
  9. Cerebral Palsy
  • Causes
  • Infectious conditions
  • Causes
  • Neurologic or Psychiatric Conditions
  1. Myotonic dystrophy
  2. Amyotonia congenita
  3. Mental Retardation
  4. Psychosis
  5. Prune-Belly Syndrome
  6. Pseudo-obstruction syndrome