61 peds

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frequent or difficult passage of stool most common on toddler or preschool years bc of toilet training

constipation
cause of constipation
- lack of BRP
- lack of fruit/vegs/grains/exercise
- stress
- too much milk
- certain meds
manifstation of constipation
- abdominal pain
- cramping
- HA
- malaise
- anorexia
med mgt of constipation
- xray for enlarged stool and gas
- enema for impaction
pharm mgt for constipation
- mineral oil
- laxative/stool softener
diet for constipation
- water/fiber intake
- decrease milk intake
constipation health promotion
- diet
- exercise
- toileting habits
mineral should not be mistaken for

encopresis (passage of watery colonic contens around hard fecal mass)
intestinl parasitic infection most common in children
- helminths (round/pin/ hookworms)
- giardiasis (protozoan)
med mgt for intestinl parasitic infection
- fecal smear
- cellophane for pinworm detection
pharm mgt for helminth
- antimynth
- vermox
- *repeat 2-3 weeks later
- *treat all family members
pharm mgt for giardiases
- flagyl
- hydrochloride
diet for intestinl parasitic infection

protein and iron
intestinl parasitic infection health promotion

sanitation