Constipation

If your child has Constipation please print and answer these questions before seeing your clinician:

1. How many weeks or months has child been constipated?

2. How how many bowel movement in one week?

3. Please describe the stools?

Hard?

Big?

Soiling the underwear?

4. Is there blood in the stool?

5. Is there abdominal pain? Back Pain?

6. Is there pain on urination?

7. Is there weakness or pain in the lower extremities?

8. Is there lead exposure?

9. Did it started since infancy?

10. Is there any weight loss?

You child's clinician might ask more questions depending on your answers.