Objective: To discuss the case of a 9-year-old boy with chronic constipation and encopresis who was co-managed by multiple providers, including chiropractic care.
Clinical report: A 9-year-old boy sought care for a lifelong history of constipation and recent episodes of encopresis. His past medical history was non-contributory. A health history and physical exam, in addition to ultrasound and radiography, ruled out organic causes of the constipation and encopresis.
Intervention and outcome: Interventions included chiropractic adjustments that were performed using high velocity, low amplitude diversified techniques and craniosacral therapy (Upledger Protocol). A naturopathic physician managed the patient with supplements, and a psychological referral was made. Nine months after beginning treatment, the patient reported having improved bowel movements and reduced incidents of encopresis. Furthermore, he experienced a significant reduction in his daily use of MiraLax.
Conclusion: Chiropractic care, with co-management from other health professionals, reduced the episodes of constipation and encopresis for this patient. Controlled studies are warranted to determine the effectiveness of chiropractic management of pediatric constipation and encopresis.
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