Activity Action
AssessmentEvaluate and document constiaption using self-report wherever possible (usually in children 8 years of age and older) and by asking guardians where not possible (for children 2-7 years of age).
PreventionEncourage age-appropriate fluid and dietary fiber intake and daily physical activity.
Provide privacy during toileting (if age appropriate).
TreatmentPossible center decision: Administer polyethylene glycol 365 (PEG) in escalating doses.

Add sennosides (patients who cannot swallow tablets) or bisacodyl if PEG alone is insufficient.
Do not use suppositories or enemas in neutropenic patients.
If receiving regular opioids, consider methylnaltrexone.