management of constipation in kids

New guidelines will help management of constipation in kids.

These are aimed at kids with "functional" constipation...usually due to a child withholding bowel movements to avoid pain.

If disimpaction is needed, recommend using oral PEG (Miralax, etc) instead of enemas or digital disimpaction. Oral PEG works as well as enemas and is better tolerated.

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