Causes of Pediatric Constipation - Differential Diagnosis Algorithm
Dietary / Functional:
• Insufficient Volume / Bulk
Neurologic:
• Hirschsprung's Disease
• Imperforate Anus
• Anal Atresia
• Intestinal Stenosis
• Intestinal Atresia
• Cystic Fibrosis
Dietary/Functional:
• Insufficient Bulk/Fluid
• Withholding
• Painful (e.g. Fissures)
• Drugs (Narcotics, Psychotropics)
Anatomic:
• Bowel Obstruction
• Pseudo-obstruction
Neurologic:
• Hirschsprung's Disease
• Spinal Cord Lesions
• Myotonia Congenita
• Guillain-Barré Syndrome
• Muscular Dystrophy
• Sexual Abuse
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