constipation in children

Abstract

Objective: To present an update review of intestinal constipation in children, analysing the principal clinic characteristics and its diagnostic and therapeutic approachs. Methods: Recent articles on the topic were reviewed, supplemented by the clinical experience of the Gastroenterology Unit, of the Pediatric Departament- HCRP- USP. Results: The intestinal constipation is a commun problem in the pediatric clinics. Its definition is based on the elimination of painful, difficulted and dry feces. Infants usually present crying during the evacuations. In some children it can be observed important facael retention with or without soiling. The diagnosis is based on a deitailed clinical history and physical examination of the children. The diagnosis in the most of the cases may be done with a carefully clinical history and phisical examination. The treatment must be done according to the basal cause and in the most of the cases dietetic and comportamental changes are necessary. Conclusões: The diagnosis of the intestinal constipation must be done earlier because it is important for the therapeutic sucess, that depends on a adequate diet and a behavioral program to regulate bowel habits.