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Table 1 Red Flags: Common symptoms and signs to suggest organic causes of constipation

From: Constipation in children

History Examination
Failure to thrive Absent/Brisk lower limb reflexes
Delayed passage of meconium Mouth ulcers
Abnormal bowel habit since birth Blood/mucus mixed in with stool
Sensitivity to cold, fatigue, dry skin, pallor Perianal skin tags or fistulae
Change of bowels with introduction of cow's milk Associated hypotonia
Weight loss Fever