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The updated 2026 constipation guidelines, made practical for clinic.

A focused live workshop for busy clinicians caring for children. Cut through the newly released 2026 ESPGHAN/NASPGHAN recommendations, master disimpaction vs. maintenance dosing, and walk away with an evidence-based algorithm you can actually implement starting this week.

Live Nov 10, 2026 12:00 PM Central ~60 minutes
Clinician feedback: Thank you so much Phil, this was so helpful!
Verified M.D. AttendeeLive chat reaction
Free access

Save your spot

Live · Nov 10 · 12:00 PM CT · ~60 minutes.

By registering you confirm you are a licensed clinician. We'll use your contact details to send workshop information, educational support tools, and maybe some free stuff!

This educational workshop is supported by an educational grant from Hiya Health.

ESPGHAN / NASPGHAN guidelines for treatment of functional constipation in children aged 0-18 years — JPGN 2026 practice guideline
ESPGHAN / NASPGHAN GuidelineJPGN · 2026
The 2026 Updated Standard of Care

Turn newly released practice guidelines into your everyday clinic workflow.

Functional constipation (FC) affects 9.5% of children worldwide. The landmark joint 2026 practice guideline from ESPGHAN and NASPGHAN synthesizes 102 RCTs into 11 GRADE recommendations, 19 good practice statements, and an authoritative new treatment algorithm.

Disimpaction vs. Maintenance: Clear Pharmacological Separation

Why high-dose oral PEG (or enemas for 1–3 days) is required for impaction before transitioning to maintenance, and how to avoid early treatment failure.

First-Line & Second-Line Agents Clarified

Strong moderate-certainty backing for PEG ± electrolytes, conditional support for magnesium hydroxide, stimulant laxatives as adjuncts, and clear steps when therapy stalls.

The essentials, at a glance

When

Nov 10, 2026

12:00 PM Central · ~60 min

Format

Live workshop

Join us in real time

Audience

Clinicians only

For clinicians who see children in their practice.

Cost

Free

Registration required

Focus

2026 Constipation Guidelines

Disimpaction, PEG maintenance & stepped care

This educational workshop is supported by an educational grant from Hiya Health.

What you'll walk away with

Built for clinicians who don't have time to sift through 100+ pages of guideline text — just the decisions, doses, and clinical pearls that change your next clinic day.

102 RCTs, synthesized into practice

The key takeaways from the joint ESPGHAN/NASPGHAN 2026 guideline: what the evidence strongly supports, what is only conditional, and what we should stop ordering.

Disimpaction vs. Maintenance mastery

Exact regimens for oral high-dose PEG vs. enemas for 1–3 days, assessing response, and seamlessly stepping down to maintenance without triggering immediate relapse.

Second-line agents & adjuncts

When to add stimulant laxatives (senna, bisacodyl, sodium picosulfate), when to consider magnesium hydroxide or lactulose, and how to counsel families on long-term safety.

When to escalate & refer

Clear criteria for cow's milk-free trials, pelvic floor PT/biofeedback, rectal therapies, linaclotide, and multidisciplinary pediatric motility referral for refractory cases.

Guideline Flowchart Preview

The 2026 Functional Constipation Treatment Algorithm

We'll walk through the complete stepwise management pathway live so you can handle everything from first presentation to refractory soiling with confidence.

Complete 2026 ESPGHAN/NASPGHAN treatment algorithm flowchart for functional constipation in children
Official Treatment FlowchartESPGHAN / NASPGHAN 2026
Prevalence & Burden
Prevalence excerpt: Functional constipation is a common problem in childhood, with a worldwide prevalence of 9.5%

Infrequent, hard, and painful stools often accompanied by fecal incontinence, without organic cause.

Two Distinct Phases
Treatment categories: Pharmacological treatments divided into management of fecal impaction and maintenance therapy

Clear protocol separation: manage fecal impaction first, followed by structured maintenance.

GRADE Recommendations
Pharmacological maintenance treatment: Polyethylene glycol with or without electrolytes is recommended (strong recommendation); Magnesium hydroxide suggested

Strong recommendation for PEG ± electrolytes as the first-line foundation; magnesium hydroxide as conditional option.

Journal Club Feedback

What clinicians have said during previous journal clubs

Unfiltered chat reactions from pediatricians and clinicians who joined previous journal clubs.

Clinician feedback: Thank you so much for this amazing breakdown on the new guidelines. Super practical. Thanks! Cia..
Verified MD Attendee"Super practical"
Clinician feedback: Yes because we are no longer part of larger practices and academic centers. So it's harder to remain current.
Community PediatricianHarder to stay current without this
Clinician feedback: Would love to have journal club. Thankyou!! This was so helpful
Live Attendee"This was so helpful"
Clinician feedback: Thank you so much Phil, this was so helpful!
Live AttendeeActionable & high-yield
Clinician feedback: Thank you very much!! Looking forward to more topics !
Live AttendeeMore topics requested

Register for the live workshop

Join us November 10 at 12:00 PM Central for the 2026 constipation guidelines journal club.

Register free

This is for you if…

  • You see children in outpatient, inpatient, academic, or community settings
  • You want to stay current on pediatric constipation without reading 100+ pages
  • You want clear, guideline-backed disimpaction and maintenance dosing
  • You want to know when to add adjuncts vs. refer to pediatric GI

Not for you if…

  • You're seeking a personal diagnosis or treatment plan for a specific child
  • You don't currently care for children in a clinical setting

Spend an hour now, save hours of catch-up later.

Register free and join us live on November 10 at 12:00 PM Central. Walk away with an evidence-based constipation workflow you can put into practice immediately.

  • Live ~60-minute workshop with Q&A
  • 2026 ESPGHAN/NASPGHAN constipation algorithm cheat sheet
  • Slides + clinic resources delivered to your inbox
Free access

Save your spot

Live · Nov 10 · 12:00 PM CT · ~60 minutes.

By registering you confirm you are a licensed clinician. We'll use your contact details to send workshop information, educational support tools, and maybe some free stuff!

This educational workshop is supported by an educational grant from Hiya Health.

Frequently asked questions

Is this really free?

Yes. Registration is completely free for clinicians. We just ask that you register so we can send you the full recording and your resources.

Will there be a replay if I can't make it live on November 10th at 12:00 central?

Yes. Register even if you cannot join live — we'll send the full workshop recording and all accompanying algorithm cheat sheets straight to your inbox immediately after.

Will you cover exact dosing for PEG, magnesium, and stimulant laxatives?

Yes — that's a central focus. We'll walk through high-dose disimpaction regimens, maintenance dosing strategies, when to add adjuncts like senna or bisacodyl, and how long to maintain treatment before considering weaning.

This educational workshop is supported by an educational grant from Hiya Health.