CMC COMPENDIUM
  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction

Pediatric Constipation

Maintenance Plan:
  1. Educated family on importance of healthy diet.
  2. Reviewed diagnosis of constipation and its implications.
  3. Reviewed stooling habits, protected time for BM, and rewards system.
  4. Begin polyethylene glycol (Miralax) therapy:
    1.  1 capful mixed in 8 oz. clear fluid given daily/BID.
  5. Consider adding Senna to help with stool softening:
  • Ages 2-6: 8.8 mg sennosides/5 ml; give 2.5 - 7.5 ml daily
  • Ages 6-11: 15 mg sennosides/chocolate square; give 1 square daily
  • Age 12+: give 2 squares daily




Disimpaction Plan:
  1. Educated family on importance of healthy diet.
  2. Reviewed diagnosis of constipation and its implications.
  3. Reviewed stooling habits, protected time for BM, and rewards system.
  4. Begin disimpaction protocol:
  • <5 years or mild symptoms: 
    • 8 capfuls polyethylene glycol (Miralax) mixed in 64 oz. liquid
    • Administer 8 oz. every 15 min. until finished
  • >5 years or severe symptoms:
    • 16 capfuls polyethylene glycol (Miralax) mixed in 64 oz. liquid
    • Administer 8 oz. every 15 min. until finished
      5. Consider adding Senna to help with stool softening:
  • Ages 2-6: 8.8 mg sennosides/5 ml; give 2.5 - 7.5 ml daily
  • Ages 6-11: 15 mg sennosides/chocolate square; give 1 square daily
  • ​Age 12+: give 2 squares daily
Follow-up Text:
  1. Continue to provide a balanced diet with plenty of whole grains, fruits, vegetables
    1. Your child should be getting _ servings of fruits or vegetables per day.
    2. Make sure your child is staying hydrated with plenty of water intake.
  2. Continue to work on the behavioral parts of constipation:
    1. Have your child sit on the toilet at least 2 to 3 times per day for 5 to 10 minutes with protected toileting time.
    2. You should never punish your child for not having a bowel movement or having an accident.

We will begin to treat with Miralax as outlined here:
  1. Maintenance:
  • 1 to 2 capfuls of Miralax mixed in 8 oz of clear liquid per day.
  1. Disimpaction:
  • < 5 yrs or mild symptoms:
    • 8 capfuls polyethylene glycol (Miralax) mixed in 64 oz. liquid
    • Administer 8 oz. every 15 min. until finished
  • >5 years or severe symptoms:
    • 16 capfuls polyethylene glycol (Miralax) mixed in 64 oz. liquid
    • Administer 8 oz. every 15 min. until finished
  1.  It may be best to start the treatment on a Friday as your child will be going to the bathroom frequently.
Powered by Create your own unique website with customizable templates.
  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction