Differential ROME III definition. So, when a child

Differential Diagnosis

Although functional constipation is
the most common cause of constipation, other differential diagnosis should be
considered and should be ruled out in history and examination. The following
differential diagnosis should be considered 13

We Will Write a Custom Essay Specifically
For You For Only $13.90/page!


order now

·        
Hirschprung’s disease

·        
Hypothyroidism

·        
Celiac disease

·        
Electrolyte abnormalities (Hypercalcaemia,
hypokalemia)

·        
Dietary protein allergy

·        
Diabetes mellitus

·        
Toxins/drugs

Ø  Opiates,
anticholinergics

Ø  Chemotherapy

Ø  Antidepressants

Ø  Heavy
metal ingestion (e.g. lead)

·        
Botulism

·        
Spinal cord anomalies, trauma, tethered
cord

·        
Anatomic malformations

Ø  Imperforate
anus

Ø  Anal
stenosis

·        
Vitamin D intoxication

·        
Cystic fibrosis

·        
Anal achalasia

·        
Pelvic mass (e.g. sacral teratoma)

·        
Colonic inertia

·        
Abnormal abdominal musculature ( prune
belly, gastroschisis, Down syndrome)

·        
Multiple endocrine neoplasia type 2B

·        
Pseudo obstruction (visceral
neuropathies, myopathies, mesenchymopathies)

The following alarm signs and
symptoms would help to identify presence of an underlying disease causing
constipation 6,13

·        
Passage of meconium  after 48 hours of birth

·        
Constipation starting very early in life
(