CLEAR Pediatric Constipation

Clinical History

Gather relevant history to characterize constipation and identify red flags.

Clinical Reasoning Guide: Click "Why ask this?" below each question to understand its diagnostic significance and how it contributes to your provisional diagnosis.

Demographics

Age (months)

Weight (kg)

Stool Pattern

Bowel movements per week

Stool consistency (Bristol Scale)

Painful or hard bowel movements

Not assessed

History of large-diameter stools

Not assessed

Retentive posturing / stool withholding behavior

Not assessed

Fecal incontinence (soiling/encopresis)

Not assessed

Blood in stool or rectal bleeding

Not assessed

Duration of symptoms (months)

Diet

Current feeding

Adequate fruit/vegetable intake (5 servings/day)

Not assessed

Adequate fluid intake for age

Not assessed

Excessive cow's milk intake (>500mL/day)

Not assessed

Medical History

Delayed passage of meconium (>48 hours after birth)

Not assessed

Onset in neonatal period (first month of life)

Not assessed

Failure to thrive / poor weight gain

Not assessed

Bilious vomiting

Not assessed

Significant abdominal distension

Not assessed

Family history of constipation

Not assessed

Family history of Hirschsprung disease

Not assessed

Current medications

NoneOpiatesAnticholinergicsAntidepressantsIron supplementsAntacids (aluminum)Anti-hypertensivesOther

Toilet training status

Recent stressful life events (school change, new sibling, etc.)

Not assessed

School/public bathroom avoidance

Not assessed

Neurological

Lower limb weakness or abnormal gait

Not assessed

Urinary incontinence or recurrent UTIs

Not assessed