Pediatric emergency medicine trisk 0460 0460

and anorectal malformations Constipation is often the first presenting sign in infant botulism A recent viral illness accompanied by dehydration from vomiting, diarrhea, fever, and increased respiratory rate can precipitate acute constipation in an infant Paralytic ileus or decreased intake after gastroenteritis may slow transit through the colon, leading to hard stools Dietary protein allergy (i.e., cow’s milk protein allergy) may also present with constipation Anal fissures and/or diaper rash after a bout of diarrhea may precipitate painful defecation, resulting in stool retention