Constipation in Pediatrics

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1. Treatment

    1. behavioral treatment

    2. night bells

    3. continue treatment for 6 months

    4. Syrup lactulose 1-3cc/w bid

        1. or syrup glycerin

        2. or syrup MOM 1-2cc/w bid

2. if refractory, check

    1. Total Alb, anti TTG Ab, serum IgA

    2. TSH, T3, T4

    3. CBC

    4. K, Ca

    5. U/A

3. infants can have low defecation up to 1 time/ week