Do Not Do Recommendation
Do not use abdominal ultrasound to make a diagnosis of idiopathic constipation.
Do Not Do Recommendation Details
- Do not use abdominal ultrasound to make a diagnosis of idiopathic constipation.
- abdominal ultrasound
Source guidance details
- Constipation in children and young people (CG99)
- Published date:
- May 2010
- Paragraph number:
- Page number:
View all NICE do not do from this Guidance
- Do not use gastrointestinal endoscopy to investigate idiopathic constipation.
- Do not use anorectal manometry to exclude Hirschsprung s disease in children and young people with chronic constipation.
- Do not use a plain abdominal radiograph to make a diagnosis of idiopathic constipation.
- Do not perform rectal biopsy unless any of the following clinical features of Hirschsprung s disease are or have been present: delayed passage of meconium (more than 48 hours after birth in term babies); constipation since first few weeks of life; chronic abdominal distension plus vomiting; family history of Hirschsprung s disease; faltering growth in addition to any of the previous features.
- Do not use transit studies to make a diagnosis of idiopathic constipation.
- Do not use rectal medications for disimpaction unless all oral medications have failed and only if the child or young person and their family consent.
- Do not administer phosphate enemas for disimpaction unless under specialist supervision in hospital/health centre/clinic, and only if all oral medications and sodium citrate enemas have failed.
- Do not perform manual evacuation of the bowel under anaesthesia unless optimum treatment with oral and rectal medications has failed.
- Do not use dietary interventions alone as first-line treatment for idiopathic constipation.
- Do not use biofeedback for ongoing treatment in children and young people with idiopathic constipation.
- Do not routinely refer children and young people with idiopathic constipation to a psychologist or child and adolescent mental health services unless the child or young person has been identified as likely to benefit from receiving a psychological intervention.