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A Unique Child: Health - A doctor's diary ... constipation

'Doctor, I hope you can help me, as I have no idea what to do - my child is constipated and hasn't been to the toilet properly for nearly two weeks.'

Constipation is a common problem affecting 5 to 30 per cent of children, according to guidelines from the National Institute for Health and Clinical Excellence. Fortunately, in most cases, constipation is transient. Nevertheless, it is highly distressing for the child and for the rest of their family.

Chronic constipation describes persistent constipation and it may have significant medical, psychological, educational and behavioural sequelae.

CAUSES

The causes of constipation are varied and include change in diet, dehydration, stool-holding, certain medications and family history. Often, the cause is not found - so-called idiopathic constipation.

Stool-holding deserves a particular mention. This occurs when a child gets the urge to pass stool, but resists going to the toilet. Eventually, constipation ensues.

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