Abstract

The exact cause of constipation in children is not fully understood, but many factors are thought to be involved, including pain, fever, dehydration, poor diet, poor fluid intake, psychological issues and reluctance to toilet train. If the constipation cannot be explained by anatomical or physiological abnormalities, it is referred to as ‘idiopathic’. If the constipation lasts longer than 8 weeks it is considered to be ‘chronic’ ( National Institute for Health and Care Excellence (NICE), 2010 ). As many of the causes of constipation are related to diet, behaviour and lifestyle, health visiting teams have an important role in preventing acute admissions and referrals to secondary services. This article will focus on managing and treating constipation in children at home; when parents should be advised to attend A&E; and when to call an ambulance.

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