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 h English (en)[[File:Constipation(lots).png|thumb|Stool burden that may be consistent with constipation on [[Special:MyLanguage/KUB|KUB]]. '''Use of a KUB to diagnose constipation in pediatric patients is generally NOT indicated,''' as other serious pathology may also result in the imaging findings.]]
;Use of a KUB to diagnose constipation in pediatric patients is generally NOT indicated, as [[Special:MyLanguage/acute appendicitis|acute appendicitis]] and other serious pathology may also result in increased stool burden. If the abdominal exam is concerning, proceed to ultrasound/CT.
*''In many cases, may require no workup and diagnosis can be made clinically''
*Consider digital rectal exam
**Although generally not necessary, this may be done to assess for organic causes or to assess for disimpaction success
*Consider abdominal labs
**CBC
**Chemistry ([[Special:MyLanguage/hypokalemia|hypokalemia]] or [[Special:MyLanguage/hypercalcemia|hypercalcemia]]) 
**LFTs + lipase
**Coagulation studies (PT, PTT, INR), as a marker of liver function
*Consider [[Special:MyLanguage/TSH|TSH]] if concern for [[Special:MyLanguage/hypothyroid|hypothyroid]] related [[Special:MyLanguage/constipation|constipation]]
*Consider diagnostic imaging
**'''Constipation should not cause abdominal tenderness on exam'''
**Ultrasound if concern for [[Special:MyLanguage/intussception|intussception]], biliary pathology, and/or beginning of [[Special:MyLanguage/appendicitis|appendicitis]] workup
**CT abdomen/pelvis with IV contrast if concern for surgical abdomen
***CT may show stool burden in colon/rectum