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Table 2 Alarm signs and symptoms

From: The ten “hard” questions in pediatric functional constipation

- Delayed meconium passage

- Onset of symptoms <1 month

- Starting in neonatal period

- Ribbon stools

- Absent anal/cremasteric reflex

- Blood in the stools in the absence of anal fissures

- Failure to thrive or weight loss

- Abdominal distension

- Bilious vomiting

- Abnormal position of anus

- Tuft of hair on spine

- Deep sacral dimple

- Alteration lower extremity strength/tone/reflex