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At around age 4, children develop an adult-like pattern of bowel movements (1-2 stools/day). The median onset of functional constipation in children is at 2.3 years old, with girls and boys being similarly affected. [2] Children benefit from scheduled toilet breaks, once early in the morning and 30 minutes after meals.
Macrogol, also called polyethylene glycol (PEG), is used as a laxative to treat constipation in children and adults. [3] It is taken by mouth. [3] Benefits usually occur within three days. [4] Generally it is only recommended for up to two weeks. [5] It is also used as an excipient. [6]
Constipation is the most common chronic gastrointestinal disorder in adults. Depending on the definition employed, it occurs in 2% to 20% of the population. [18] [58] It is more common in women, the elderly and children. [58] Specifically constipation with no known cause affects females more often affected than males. [59]
The main use is for treatment of constipation. In surgery it is used for pre-operative evacuation of the bowel. [3] In diagnostic testing it is used before x-ray examinations or physical examinations of the colon. It is safe for use in children. [4] If used in children under 3 years, it is recommended that the nozzle is only inserted half way. [5]
For both adults and children, glycerine or bisacodyl suppositories provide an alternative to enemas. [13] The first-choice maintenance treatment advised for functional constipation is osmotic laxatives. [14] [16] Other often used laxatives include milk of magnesia (magnesium hydroxide) and mineral oil, a lubricant. [13]
Mineral oils, such as liquid paraffin, are generally the only nonprescription lubricant laxative available, but due to the risk of lipid pneumonia resulting from accidental aspiration, mineral oil is not recommended, especially in children and infants. [10] [11] Mineral oil may decrease the absorption of fat-soluble vitamins and some minerals. [9]
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