Rare Diseases Symptoms Automatic Extraction
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A random Abstract
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Evaluation and treatment of constipation in children and adolescents.
[hirschsprung disease]
Childhood
constipation
is
common
and
almost
always
functional
without
an
organic
etiology
.
Stool
retention
can
lead
to
fecal
incontinence
in
some
patients
.
Often
,
a
medical
history
and
physical
examination
are
sufficient
to
diagnose
functional
constipation
.
Further
evaluation
for
Hirschsprung
disease
,
a
spinal
cord
abnormality
,
or
a
metabolic
disorder
may
be
warranted
in
a
child
with
red
flags
,
such
as
onset
before
one
month
of
age
,
delayed
passage
of
meconium
after
birth
,
failure
to
thrive
,
explosive
stools
,
and
severe
abdominal
distension
.
Successful
therapy
requires
prevention
and
treatment
of
fecal
impaction
,
with
oral
laxatives
or
rectal
therapies
.
Polyethylene
glycol-based
solutions
have
become
the
mainstay
of
therapy
,
although
other
options
,
such
as
other
osmotic
or
stimulant
laxatives
,
are
available
.
An
increase
in
dietary
fiber
may
improve
the
likelihood
that
laxatives
can
be
discontinued
in
the
future
.
Education
is
equally
important
as
medical
therapy
and
should
include
counseling
families
to
recognize
withholding
behaviors
;
to
use
behavior
interventions
,
such
as
regular
toileting
and
reward
systems
;
and
to
expect
a
chronic
course
with
prolonged
therapy
,
frequent
relapses
,
and
a
need
for
close
follow-up
.
Referral
to
a
subspecialist
is
recommended
only
when
there
is
concern
for
organic
disease
or
when
the
constipation
persists
despite
adequate
therapy
.
Diseases
Validation
Diseases presenting
"failure to thrive"
symptom
22q11.2 deletion syndrome
alexander disease
child syndrome
congenital diaphragmatic hernia
cystinuria
familial hypocalciuric hypercalcemia
hirschsprung disease
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
krabbe disease
neonatal adrenoleukodystrophy
omenn syndrome
papillon-lefèvre syndrome
pyruvate dehydrogenase deficiency
triple a syndrome
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated