Stories about: constipation

Clinical Consult: Evaluation and treatment of encopresis

Encopresis imageConstipation is a common presentation in pediatric primary care. A diet rich in fiber and fluids, exercise and extra time for bowel movements is the first line of treatment for the condition that affects three percent of children worldwide.

But when constipation leads to encopresis, children suffering with fecal soiling not only experience physical discomfort, it may impact a child’s psychological or social wellbeing.

Boston Children’s Hospital’s gastroenterologist Leonel Rodriguez, MD, MS, with the Division of Gastroenterology, Hepatology and Nutrition, tackles this issue and offers tools to evaluate and manage encopresis in the primary care setting. …Read More

Clinical Consult: Miralax and other options for treating constipation

pediatric constipation Miralax alternatives

Functional constipation continues to be a common childhood problem, affecting 3 percent of children worldwide. While not a serious medical condition, functional constipation causes painful bowel movements, abdominal pain, fecal incontinence, and individual and family stress.

To ease the discomfort of chronic childhood constipation, pediatricians often recommend the over-the-counter laxative Miralax (polyethylene glycol 3350.)

The odorless, tasteless powder is typically mixed with 8 ounces of water and prescribed to children once or twice daily. Common side effects include loose bowel movements and sometimes diarrhea, bloating or nausea. These side effects typically improve when dosing is adjusted.

Miralax has lately become a topic of discussion—and scrutiny—among pediatricians, parents and the media because the Food and Drug Administration has not approved it for use in children.

…Read More