CONSTIPATION: PEDIATRIC Infrequent Bowel Movements ? Hard, Small stools? Painful evacuation? Encopresis?Constipation Dietary/Functional Neurologic Dietary/Functional Anatomic Neurologic Older Child Neonate/Infant Insufficient Bulk/Fluid Withholding Painful (e.g. Fissures) Drugs (Narcotics, Psychotropics) Hirschsprung's Disease Imperforate Anus Anal Atresia Intestinal Stenosis Intestinal Atresia Cystic Fibrosis Bowel Obstruction Pseudo-obstruction Hirschsprung's Disease Spinal Cord Lesions Myotonia Congenita Guillain-Barré Syndrome Muscular Dystrophy Sexual Abuse Insufficient Volume/ Bulk

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