Do no do examples

Do no do examples for Constipation in children and young people: diagnosis and management
Title Year published Impact Level
Do not use gastrointestinal endoscopy to investigate idiopathic constipation. May 2010 Unclassified
Do not use anorectal manometry to exclude Hirschsprung s disease in children and young people with chronic constipation. May 2010 Unclassified
Do not use a plain abdominal radiograph to make a diagnosis of idiopathic constipation. May 2010 Unclassified
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. May 2010 Unclassified
Do not use transit studies to make a diagnosis of idiopathic constipation. May 2010 Unclassified
Do not use abdominal ultrasound to make a diagnosis of idiopathic constipation. May 2010 Unclassified
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. May 2010 Unclassified
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. May 2010 Unclassified
Do not perform manual evacuation of the bowel under anaesthesia unless optimum treatment with oral and rectal medications has failed. May 2010 Unclassified
Do not use dietary interventions alone as first-line treatment for idiopathic constipation. May 2010 Unclassified
Do not use biofeedback for ongoing treatment in children and young people with idiopathic constipation. May 2010 Unclassified
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. May 2010 Unclassified