Differential Diagnosis

A. Functional Constipation. The most common type in patients showing no evidence of structural, endocrine, or metabolic disease.

B. Congenital Anomalies of Neuromuscular Function. Consider when constipation is evident in infancy. Includes congenital agan-glionic megacolon or Hirschsprung disease, intestinal neuronal dysplasia, and chronic intestinal pseudoobstruction.

C. Structural Anomalies. Often evident on inspection (eg, imperfo-rate or ectopic anus, anal stenosis, anteriorly displaced anus in girls). Intestinal defects include intestinal bands, intestinal stenosis, and strictures secondary to inflammatory bowel disease. Consider spinal cord defects (eg, tethered cord, spina bifida, spinal cord injury).

D. Metabolic Disorders. Hypokalemia, hypercalcemia, hypothyroidism.

E. Abdominopelvic Mass. Direct external pressure on GI tract.

F. Lead Poisoning. Causes constipation, microcytic anemia, and abdominal pain.

G. Infant Botulism. Progressive symptoms, including constipation, weak cry, and ascending paralysis.

H. Medication Side Effect. In particular, calcium supplements, opiates, and tricyclic antidepressants.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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