True/False MCQ · Childhood Constipation
Regarding childhood constipation, the following statements are TRUE:
- AA faecal mass is never palpable in the abdomen in constipation
- BWithholding behaviour argues against functional constipation
- COver 95% of cases are functional
- DA plain abdominal X-ray is required to make the diagnosis in every child
- EIt is a clinical diagnosis
Show answers and explanation
- A. False: A faecal mass may be palpable in constipation.
- B. False: Withholding is a feature of, not against, functional constipation.
- C. True
- D. False: A plain abdominal X-ray is not required to make the diagnosis; childhood constipation is a clinical diagnosis and the X-ray has no place in routine management.
- E. True
Childhood constipation: core facts
Most childhood constipation is benign and functional, diagnosed clinically.
Key points
- Over 95% of cases are functional.
- It is a clinical diagnosis (history and examination, Rome IV).
- A faecal mass may be palpable in the abdomen.
- Withholding/retentive posturing is characteristic.
Investigations
- A plain abdominal X-ray has no place in routine diagnosis; investigations are reserved for red flags.
Statement-by-statement verdict
Why A is false
A faecal mass may be palpable in the abdomen in constipation.
Why B is false
Withholding (retentive posturing) is a recognised FEATURE of functional constipation.
Why C is true
Over 95% are functional.
Why D is false
A plain abdominal X-ray is not required to diagnose constipation; it is a clinical diagnosis.
Why E is true
It is a clinical diagnosis.
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