Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
198 Doctors are Online

Child with constipation and stomach pain, eats little food. Suggested barium enema test. Any other alternative tests?

User rating for this question
Very Good
Answered by

Pediatrician, Neonatology
Practicing since : 1970
Answered : 891 Questions
My son is four and half years old. His weight is about 13 kgs. He eats little food and hardly any fibre. He often has constipation and many times stomach pain. We have consulted several paediatricians . One examined his anal passage with fingers and opined that it was okay. Then to rule out any problem in stomach he prescribed Barium enema test to be taken on empty stomach. My query is this test suitable for children, are there any other/alternative tests that he should undergo to rule out stomach problems
Posted Thu, 23 May 2013 in Child Health
Answered by Dr. Uma Rajah Ananth 10 hours later
The main cause of constipation as you said is lack of fibres in food and also enough fluids.
Barium enema can be done in a child - it is done to rule out a condition called hirsprung's disease.
It is not for stomach but for rectum,sigmoid and colon.

You can get a second opinion from a pediatric surgeon or gastroenterologist in your place.
Barium enema all should be done in a good centre to interpret the results properly.

Meanwhile try to give more fruits ( not juice) whole grain lentils,vegetables,palak,etc and see.
Good luck
God bless
Dr Uma
Above answer was peer-reviewed by
Follow-up: Child with constipation and stomach pain, eats little food. Suggested barium enema test. Any other alternative tests? 6 minutes later
Thank you,Madam, what other tests would you recommend to be done to rule out any problems in stomach/digestive area/rectum/colon. Money is not an issue, but we wish to confirm once and for all
Answered by Dr. Uma Rajah Ananth 11 minutes later
For poor weight gain - check Cbc hemoglobin,
FOr constipation check thyroid function if not done earlier.( T3T4TSH). Routine liver function tests and renal function tests in blood to be done if not done earlier!
For constipation when you have tried all the dietary management and if it has failed,you can go in for barium enema.
There is a condition called habitual constipation which is also visualised in the barium enema.
A ultrasound of the abdomen is also mandatory if not done earlier.
God bless the child XXXXXXX !

Dr Uma
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Pediatrician

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor