Managing Constipation in Children: A Comprehensive Approach for Community Nurses

Abstract

Constipation is a prevalent issue among children, with an estimated 3% of paediatric outpatient visits concerning this problem [1]. This paper presents a comprehensive examination of the strategies for diagnosing, investigating, and managing childhood constipation, with a focus on the role of community nurses. We explore clinical history pointers, examination findings, investigations, and treatments, emphasizing practical interventions that community nurses can implement to support affected children. Constipation is a common yet frequently overlooked paediatric condition, posing significant challenges to healthcare professionals due to its multifactorial aetiology and potential long-term consequences. This article provides a comprehensive review of the diagnostic and therapeutic strategies for managing constipation in children, emphasising the vital role of community nurses. A meticulous clinical history and detailed physical examination form the cornerstone of diagnosis. Investigations are typically reserved for cases with atypical presentations, red flag symptoms, or when initial treatment strategies have failed. Treatment approaches are largely dependent on the severity of constipation, ranging from lifestyle and dietary modifications in mild cases to pharmacological interventions, including polyethylene glycol, lactulose, or Senna, for moderate to severe cases. Home management strategies also play a significant role in symptom control and recurrence prevention. The article underscores the role of community nurses in early detection, education, initiating management, and referral to specialist services. Considering the substantial psychological implications of constipation in children, a holistic approach addressing both physical and emotional aspects is advocated for successful management.