QuestionSBA
QuestionChoice
This answer is incorrect. Faecal incontinence is common in functional constipation where children retain stool, leading to overflow diarrhoea and soiling.
10007470
e
Faecal incontinence
QuestionChoice
This answer is incorrect. Children with functional constipation often have ongoing symptoms for many weeks or months. A history of constipation in the neonatal period is more concerning and points towards an underlying organic cause.
10007468
c
Ongoing constipation for 6 months
QuestionChoice
This answer is correct. Faltering growth in children is always a red flag. Children with constipation and faltering growth are more likely to have an underlying organic disease that is causing the constipation.
10007466
a
Faltering growth
QuestionChoice
This answer is incorrect. An empty rectum on PR examination is more likely to indicate an underlying organic disease, such as Hirshprung's disease.
10007467
b
Stool in the rectum on PR exam
QuestionChoice
This answer is incorrect. The presence of a distended abdomen in a child with constipation is more concerning and points towards an underlying organic cause.
10007469
d
Non-distended abdomen
Concept
Chapter
2693
4599
Constipation in children
Topic
153
Paediatrics
14040
A 6-year-old girl is brought to the GP with her mother who is concerned that she only opens her bowels once or twice a week. This has been the case for the last 6 months.

Which of the following findings indicates the presence of an underlying organic cause of her constipation?
a