# ANORECTAL PROBLEMS Constipation

ANORECTAL PROBLEMS Constipation

The passage of  hard or infrequent stools may be secondary to an anal fissure, Hirschsprung’s disease, an anorectal malforma tion, a neuropathic bowel, a mega-rectosigmoid or idiopathic constipation. A detailed history and examination of  the abdo men, anus and spine identify most causes. A rectal biopsy may be needed to exclude late presenting Hirschsprung’ s disease. In the absence of  surgical pathology , the child is best managed by a paediatrician. ANORECTAL PROBLEMS Constipation

The passage of  hard or infrequent stools may be secondary to an anal fissure, Hirschsprung’s disease, an anorectal malforma tion, a neuropathic bowel, a mega-rectosigmoid or idiopathic constipation. A detailed history and examination of  the abdo men, anus and spine identify most causes. A rectal biopsy may be needed to exclude late presenting Hirschsprung’ s disease. In the absence of  surgical pathology , the child is best managed by a paediatrician. ANORECTAL PROBLEMS Constipation

The passage of  hard or infrequent stools may be secondary to an anal fissure, Hirschsprung’s disease, an anorectal malforma tion, a neuropathic bowel, a mega-rectosigmoid or idiopathic constipation. A detailed history and examination of  the abdo men, anus and spine identify most causes. A rectal biopsy may be needed to exclude late presenting Hirschsprung’ s disease. In the absence of  surgical pathology , the child is best managed by a paediatrician.