Journey of KK Children's Hospital — Collective Memories

This paper presents the collective memories of many individuals who were closely associated with the growth and development of the Children's Hospital. It is based on the perspective of the authors' personal recollections and by no means the whole of this exciting story. The focus is on the development of paediatric medicine in KK Women's and Children's Hospital (KKH). Neonatology will be discussed in a separate paper

Obstructive Uropathy in a Child with Severe Chronic Constipation

Urinary symptoms are well-described in children with chronic constipation which include enuresis, urgency and recurrent urinary infections. Renal tract obstruction is a rare complication of severe chronic constipation. We describe a case of a 10-year-old boy with a history of long-standing constipation who presented with obstructive uropathy. Treatment strategies involved intensive medical therapy, parental education, behaviour modification strategies and close follow-up in a specialised constipation clinic. The obstruction was reversed and medications were discontinued after six months. Successful management of children with chronic constipation involves a multi-disciplinary approach in a specialised constipation clinic