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Red Flags Suggesting an Organic Cause of Constipation in Children Physical examination should include a review of growth parameters, an abdominal examination, an external examination of the perineum and perianal area, an evaluation of the thyroid and spine, and a neurologic evaluation for appropriate reflexes (cremasteric, anal wink, patellar)

You may opt to continue treatment with methimazole to control hyperthyroidism and manage any clinical signs of chronic renal insufficiency that develop

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