Question

A 3-year-old girl presents with severe idiopathic constipation and faecal impaction, confirmed on examination. What is the most appropriate first-line treatment for disimpaction?

Accepted Answer

Oral Macrogol (e.g., Movicol Paediatric) escalating doses

Answer

Oral Lactulose escalating doses

Answer

Oral Senna escalating doses

Answer

Phosphate enema

Answer

Manual evacuation under anaesthesia

Practice question

A 3-year-old girl presents with severe idiopathic constipation and faecal impaction, confirmed on examination. What is the most appropriate first-line treatment for disimpaction?