Treatment of constipation in pediatric (0-5 year)

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Management include-- A)Fecal disimpaction by 1)polyethylene glycol 1-1.5 g/ kg/day for 3 day 2)Enema - sodium phosphate enema 2.5ml /kg 3) glycerin suppositories B) Diatery changes- Increased fluid intake Balanced diet Milk restriction C) Toilet training- D) laxatives

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Toilet training,dietery fibers ,avoid milk and oral laxative syp gut clear for 3 month

PEG 1.5 gm/kg/day for 3 days for fecolith impaction. PEG 0.5 gm/kg/day maintenance. To be given in single dose, not divided doses. May consider lactulose syp or picosulfate for short term use to enhance motility. Dietary modification to include more fibre. Isabgol powder.

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