Synopsis

Source of validity: Scientific
Rating (out of 5): 4

Sodium phosphate is scientifically validated for use in treating constipation in children, primarily as a component of rectal enemas or oral solutions. Sodium phosphate acts as an osmotic laxative, drawing water into the intestines, which softens stool and promotes bowel movements. Its use is well-established in pediatric medicine, especially for acute constipation or for bowel cleansing prior to procedures such as colonoscopy.

Clinical guidelines, such as those from the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN), recognize sodium phosphate enemas as an option for disimpaction in children. Multiple studies and reviews support its efficacy and rapid onset of action. However, concerns about electrolyte disturbances (notably hyperphosphatemia and hypocalcemia) have led to caution, particularly in infants, young children, or those with renal or cardiac dysfunction. Serious adverse events are rare with appropriate dosing in otherwise healthy children.

Sodium phosphate preparations are available over-the-counter and are included in treatment algorithms for pediatric constipation by several professional societies. Thus, its use is not based on tradition, but on scientific evidence, with a robust if not perfect safety and efficacy profile when used following established guidelines.

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