Management of chronic constipation in children

Children are commonly affected by constipation. Optimal management of chronic constipation requires a good understanding of the underlying pathophysiology. The presentation and management of constipation varies by age. This review aims to give the reader a clear guide to diagnosis, investigation, pharmacological and non-pharmacological management of chronic constipation in children. We describe the features typically evident in the clinical history and how the pathology can interrupt normal physiology. We outline the age dependent presentation and management of chronic, functional constipation based on the best available evidence and examine the NICE guideline for laxative use in children.