From: The ten “hard” questions in pediatric functional constipation
Must include for 1 month at least two of the following in infants up to 4 years of age: |
- Two or fewer defecations per week; |
- History of excessive stool retention; BLUE |
- History of painful or hard bowel movements; |
- History of large diameter stools; BLUE |
- Presence of a large fecal mass in the rectum. |
In toilet-trained children, the following additional criteria may be used: |
- At least one episode/week of fecal incontinence after the acquisition of toileting skills; |
- History of large-diameter stools that may obstruct the toilet.BLUE |
Must include 2 or more of the following occurring at least once per week for a minimum of 1 month with insufficient criteria for a diagnosis of irritable bowel syndrome in children older than 4 years: |
- 2 or fewer defecations in the toilet per week in a child of a developmental age of at least 4 years BLUE |
- At least 1 episode of fecal incontinence per week |
- History of retentive posturing or excessive volitional stool retention BLUE |
- History of painful or hard bowel movements |
- Presence of a large fecal mass in the rectum BLUE |
- History of large diameter stools that can obstruct the toilet. |