A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation.What should the therapeutic plan initially include?
A) Bowel cleansing
B) Dietary modification
C) Structured toilet training
D) Behavior modification

Question

Quizplus · Accepted Answer

The first step in the treatment of chronic constipation is to empty the bowel and allow the distended rectum to return to normal size.Dietary modification is an important part of the treatment.Increased fiber and fluids should be gradually added to the child's diet.A 2-year-old child is too young for structured toilet training.For an older child,a regular schedule for toileting should be established.Behavior modification is part of the overall treatment plan.The child practices releasing the anal sphincter and recognizing cues for defecation.

A 2-Year-Old Child Has a Chronic History of Constipation and Is