What to do with the poo (S1 Ep. 2)

When constipation enters the acute care setting or is difficult to manage in primary care, use this podcast to consider the evidence-based practice guidelines and a few pearls of wisdom to assess a child’s presentation, diagnose constipation, and manage the cleanout at home with two essential medications.

References:

Chumpitazi, C.E., Rees, C.A., Camp, E.A., Henkel, E.B, Valdez, K.L., & Chumpitazi, B.P. (2017). Diagnostic approach to constipation impacts pediatric emergency department disposition. American Journal of Emergency Medicine, 35(10), 1490-1493.

Drossman, D.A., Hasler, W.L. (2016) Rome IV-functional GI disorders: disorders of gut-brain interaction. Gastroenterology, 150(6):1257–1261. doi: 10.1053/j.gastro.2016.03.035.

Ferguson, C.C., Gray, M.P., Diaz, M., & Boyd, K.P. (2017). Reducing unnecessary imaging for patients with constipation in the pediatric emergency department. Pediatrics, 140(1), e1-e7.

Freedman SB, Thull-Freedman J, Manson D, et al. Pediatric abdominal radiograph use, constipation, and significant misdiagnoses. The Journal of pediatrics. 2014;164(1):83-88.e82.

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. (2014). Evaluation and treatment of functional constipation in infants and children: Evidence-based recommendations from ESPGHAN and NASPGHAN. Journal of Pediatric Gastroenterology and Nutrition, 58(2), 258-274.

Varni, J.W., Burwinkle, T.M., Katz, E.R., Meeske, K., & Dickinson, P. (2002). The PedsQL™ in pediatric cancer. Cancer, 94(7), 2090-2106.

Youssef, N.N., Langseder, A.L., Verga, B.J., Mones, R.L., & Rosh, J.R. (2005). Chronic childhood constipation is associated with impaired quality of life: A case-controlled study. Journal of Pediatric Gastroenterology and Nutrition, 41(1), 56-60.