Are You Using the Guideline-Recommended Laxative for Pediatric Functional Constipation?, Muout, pediatrics, pediatric functional constipation, Paediatrician, FC: Functional constipation; PEG: Polyethylene glycol, MuOUT.
The prognosis of functional constipation in children significantly improves with prompt and proper management.2
Leading organizations recommend PEG as the first-line option for disimpaction and maintenance treatment:3,4
If PEG is unavailable, lactulose is recommended as an alternative.4
Laxatives such as PEG are recommended for use as maintenance therapy for 3 to 6 months. Gradual tapering over a period of 3 months should only occur after achieving a successful outcome.3
Abbreviations ▼
ESPGHAN: European Society for Paediatric Gastroenterology Hepatology and Nutrition, FC: Functional constipation, IAP: Indian Academy of Pediatrics, NASPGHAN: North American Society for Pediatric Gastroenterology, Hepatology and Nutrition PEG: Polyethylene glycol.
References ▼
1. Pashankar DS, Loening-Baucke V, Bishop WP. Safety of polyethylene glycol 3350 for the treatment of chronic constipation in children. Arch Pediatr Adolesc Med. 2003;157(7):661–664. 2. Tran DL, Sintusek P. Functional constipation in children: What physicians should know. World J Gastroenterol. 2023;29(8):1261–1288. 3. Yachha SK, Srivastava A, Mohan N, et al. Indian society of pediatric gastroenterology, hepatology and nutrition committee on childhood functional constipation; pediatric gastroenterology subspecialty chapter of indian academy of functional constipation; and pediatric gastroenterology subspecialty chapter of indian academy of pediatrics. Management of childhood functional constipation: Consensus Practice Guidelines of Indian Society of Pediatric Gastroenterology. Indian Pediatr. 2018;55(10):885–892.4. Tabbers MM, DILorenzo C, Berger MY, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition: North American Society for Pediatric Gastroenterology. Evaluation and treatment of functional constipation in infants and children: Evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014;58(2):258–274.
LMRC Code: GGI-CO-A1-AQS-300021153-ELC-H24-0883
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