Pediatric Constipation - Differential Diagnosis Algorithm

Dietary/Functional

 • lnsufficient Volume / Bulk

Neurologic

 • Hirschsprung's Disease

 • Imperforate Anus

 • Anal

 • Intestinal Stenosis

 • Intestinal Atresia

Dietary/Functional

 • Insufficient Bulk/Fluid

 • Withholding

 • Painful (e.g Fissures)

Anatomic

 • Bowel Obstruction

 • Pseudo--obstruction

Neurologic

 • Hirschsprung's Disease

 • Spinal Cord Lesions

 • Myotonia Congenita

 • Guillan-Barré Syndrome



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