Urotherapy Book

16 Section 3. Cases CASE 1: Constipation Treatment in a 7 year Old Boy Objectives: After completing this chapter, you will be able to:  Understand the basic anatomy and physiology of the gastrocolic system and be able to explain it to the patient and families.  Understand the impact on patient and family when constipation and faecal incontinence occur.  Know the symptoms of functional constipation in children  Know about both basic assessment and treatment of constipation  Know about non-pharmacological and pharmacological treatments of constipation. Keywords: Constipation, bowel diary, Rome IV criteria, toilet training, ultrasound Background; From outpatient clinic John is a 7 years old boy with normal weight and height. He has been suffering from faecal leakage 1-2 times per week for the last couple of years. He opens his bowel 4-7 times a week and has a stool that is 3-5 on the Bristol stool scale. He doesn’t like to use school toilets and avoids opening his bowels there. His stools are large and clog the toilet but are not painful to pass and are not hard.