What is the most effective way for relieving constipation in children aged >1 year?
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A combination of laxatives, behavioral therapy, and balanced diet is the treatment of choice for pediatric constipation (strength of recommendation [SOR]: B, based on randomized, nonrandomized, controlled and uncontrolled clinical trials). Laxatives are used for disimpaction and maintenance therapy. Trials that compare different laxatives have shown similar effectiveness, although polyethylene glycol (PEG) 3350 (MiraLax) may be better tolerated (SOR: B). The roles of dietary changes and acupuncture have been minimally studied.
Clinical Inquiries, 2004 (MU)
Journal of Family Practice, 53(9) 2004: 744-746.