[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 184.73.122.162. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
May 1, 1987

Infrequent Defecation in Children-Reply

Author Affiliations

Wyler Children's Hospital University of Chicago Medical Center

Wyler Children's Hospital University of Chicago Medical Center

JAMA. 1987;257(17):2293. doi:10.1001/jama.1987.03390170049026

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

In Reply.—  I think that Dr Conn's comments on my response to the question on infrequent defecation or Hirschsprung's disease are not supported by others who have written about disorders in the passage of stools in infants.The first paragraph specifically states that the spontaneous passage of large soft stools is unusual for Hirschsprung's disease. I discussed this disorder in some detail to address the specific questions raised by the corresponding physician. In my experience, the absence of abdominal distention has not proved to be a reliable sign to exclude Hirschsprung's disease in children with unusual difficulty with defecation.Certainly no pediatrician would oppose performing a sweat test on any child with malodorous stools, although a weight gain of 3 kg in four months would make this diagnosis an unlikely explanation.Of note, the first recommendation for infrequent stooling was that adequate fluid intake be provided. The other recommendations were

×