Clinical Approaches to Paediatric Faecal Impaction

Paediatrics · Gastroenterology

Paediatric faecal impaction requires a structured, evidence-based approach integrating clinical assessment and targeted therapy. Evaluation includes detailed history, identification of red flag signs, and focused physical examination to exclude organic causes. Oral polyethylene glycol is recommended as first-line disimpaction therapy, with rectal measures reserved for selected cases. Long-term management combines osmotic laxatives, behavioural interventions, and dietary optimisation. Sustained follow-up is essential to prevent recurrence and mitigate complications, including faecal incontinence and psychosocial impact. Please participate in the survey and share your opinion on clinical approaches to paediatric faecal impaction.

In children with refractory constipation, which step is most critical in initial evaluation?

• Detailed clinical history and symptom profiling
• Immediate radiological imaging
• Routine colonoscopy
• All of the above

In paediatric patients with faecal impaction, what is the preferred first-line disimpaction therapy?

• Stimulant laxatives
• Oral polyethylene glycol
• High-fiber diet alone
• Probiotics