your limit has been reached. plz Donate us to allow your ip full access, Email: sshnevis@outlook.com

Typical regimen for a child with recurrent or chronic constipation without fecal impaction or incontinence

Step 1	Start 2 to 4 teaspoons (4.5 teaspoons = 17 g) of PEG 3350 (eg, MiraLax, GlycoLax) once daily in 4 to 8 ounces (120 to 240 mL) of noncarbonated beverage (or appropriate dose of another laxative). Dietary counseling to add dietary fiber and extra liquids to the diet each day.
Step 2	Increase or decrease PEG 3350 by 1 to 2 teaspoons every 2 to 3 days, until the desired result of daily soft stools is achieved. Maximum dose is 1 heaping tablespoon (17 g) twice daily.
Step 3	Follow-up by phone or a return visit within 1 month to be sure the laxative is effective.
Step 4	Continue to add dietary fiber and extra liquids to the diet each day.
Step 5	After 6 to 8 weeks of soft daily bowel movements, begin to taper the dose of PEG 3350 by 0.5 to 1 teaspoon every 2 weeks, until daily movements continue without the need for a laxative.
Step 6	If stools become hard again, increase the dose slightly and retry weaning off the laxative in another 6 to 8 weeks.
Step 7	This process may take from 2 to 4 weeks to 6 months, but the end result should be resolution of the constipation.

This table describes a typical regimen for children older than 3 years with mild or moderate constipation without fecal impaction. Children with mild chronic constipation may be treated with dietary changes alone rather than medication, if desired. Children with fecal impaction, with or without overflow incontinence, should first be disimpacted with a regimen of oral and/or rectal medications. In most cases, these steps should be combined with family education and behavior modification (toileting) to enhance efficacy and prevent relapse. For details, refer to the UpToDate topic on chronic constipation in children.

PEG 3350: polyethylene glycol without electrolytes, also known as macrogol.

Graphic 61175 Version 11.0