Abstract
This article has no abstract. The first 100 words appear below:
 A 4-year-old boy presenting with constipation for 1 month of his age. He used to defecate 3-4 days interval with rectal stimulation. The stool was semisolid, ribbon-like, and not associated with abdominal or perianal pain. He had a history of delayed passage of meconium. There was no history of the delayed developmental milestones. He received several medications including lactulose, magnesium hydroxide but there was a poor response.
 On examination, he was mildly pale, with no facial dysmorphism, anthropometrically well thrived. The back and spine were normal. There was no thyroid swelling. The skin was normal. The tone and jerk of lower limbs were normal.
Highlights
Cite this article: Benzamin M, Fathema K, Aalm R, Dey BP, Siddiqui MTH
Benzamin (Resident): A 4-year-old boy presenting with constipation for 1 month of his age
Dr Kaniz Fathema (Resident): As the child was well thriving with no facial dysmorphism, and no features suggestive of hypothyroidism, spinal cord defect or neurological disease, we differentially thought about functional constipation
Summary
Department of Pediatric Gastroenterology and Nutrition, Faculty of Pediatrics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh (MB, KF, RA); Department of Pathology, Faculty of Basic Science and Para Clinical Science, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh (BPD); Department of Pediatric Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh (MTHS) Received: Accepted: Available Online: 25 January 2020 11 August 2020 19 September 2020 Cite this article: Benzamin M, Fathema K, Aalm R, Dey BP, Siddiqui MTH. A 4-year-old boy presenting with chronic constipation and ribbon like stool. Bangabandhu Sheikh Mujib Med Univ J. 2020; 13: 8489. Copyright: The copyright of this article is retained by the author(s) [Atribution CC-By 4.0]
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