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Severe constipation in a child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   My two year old granddaughter's diet consists mainly of cow's milk and rice. She is given approximately 6 baby bottles of milk daily in place of a normal meal.Her stools are pale yellow in color and dry. She suffers from constipation and there is sometimes blood and mucus in the stools. What are the long term effects of this condition if her diet is not improved.
Doctor :   Hi
User :   Hi
Doctor :   Let me read the query
Doctor :   Gimme a couple of minutes
Doctor :   Milk alone does not do good for her nutrition
User :   Her mother is of a different nationality. There is a language barrier and she refuses to be advised in regards to the child's diet.
Doctor :   She has to have a complete balanced diet
Doctor :   with cereals, veggies, fruits, dairy products and meat
User :   The mother has been advised of this several times.
Doctor :   Ok if she likes milk a lot
Doctor :   Mix the cereals with milk,
User :   She is also often given eggs
Doctor :   That is good
User :   The mother states that she does not like cereals
Doctor :   She need one egg a day to meet the daily requirements
Doctor :   Porridge with milk has cereals
Doctor :   Fill the bowl with milk with underlying cereal mix
Doctor :   Give her bananans
User :   The child likes vegetables, but the mother refuses to cook them for her
Doctor :   She presently constipated as I believe
Doctor :   Fresh vegetable purees help her a lot
User :   She has been constipated since JUly 2010 when she returned from an overseas visit, (Thailand). I suspect that she was fed only milk and rice for the 6 weeks that she was there
Doctor :   That is Ok but think what can be done now to improve her balanced diet
User :   I am aware of the foods that she requires. I cannot convince her parents. Can you please advise of the effects, both short and long term to her health.
Doctor :   Short term - Constipation, Anemia, Kwashiorkar
Doctor :   Long term - Hemorrhoids, Frequent Illness with Infections, Blurring of vision ( Vit A deficiency), Poor memory and concentration, Unable to study
User :   She no longer lives with me, so my influence is limited to the father now for 2 days a week
Doctor :   even now she needs a consult by a Pediatric Dietitian
Doctor :   Convince her mother to leave the child with you for a couple of months
User :   When she next visits, would it be appropriate to obtain a stool sample and have it analysed by a pathologist.
User :   Should I arrange for her to see a Doctor for blood tests.
Doctor :   It is Microbiologist not Pathologist
User :   OK
Doctor :   I would say yes, but improving her nutrition is the goal
User :   I have been aware of that for some time
Doctor :   She is leaking blood in the stool for quite sometime as I believe
Doctor :   She should be examined for anemia
Doctor :   Anemia malfunction entire body
User :   When there is blood in the stool it is only a small amount. There is mainly a lot of mucus.
Doctor :   Mucus means she might have problem in the absorption of key nutrients from the food
Doctor :   and also may indicate worm infestation
Doctor :   Where is her mother from?
User :   If she doesn't get the right foods, she isn't getting the right nutrients.
Doctor :   Can you speak to your son about this and expedite the process of consulting pediatrician and Pediatric Nutritionist
User :   Her mother is from Thailand. She has a 20 year old son. Her mother raised the son, so she has no experience in raising a child. And wont take advice.
User :   I will copy your advice and pass it on to my son
Doctor :   Yeah
Doctor :   I appreciate your knowledge and willing to help your grand daughter
Doctor :   I think you should do as fast as she is just 2 yr old
Doctor :   and needs proper care asap
User :   I agree. I have been very concerned for this child.
Doctor :   At least ask them to start on different fruits
Doctor :   and juices
Doctor :   This will loosen the stools
User :   that has been some of my advice to them.
User :   The stools become very powdery after she has passed them. Does that indicate that she is not getting enough water
Doctor :   yes
User :   I have her in my care this weekend and will endeavour to take her to a doctor
User :   Thank you for confirming that some action needs to be taken immediately.
Doctor :   Pleasure to assist you here
Doctor :   Bye for now
Doctor :   Hoping she recovers soon
User :   Thank You
Doctor :   Do you have more questions to ask?
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