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Suggest Treatment For Hard Stool And Anxiety Due To Painful Defecation In A Child

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Posted on Mon, 8 Apr 2024
Question: my granddaughter has hard stool problem and has lot of pain during defacation.she is only 7 yrs old
and due to pain she avoids to do the stools.
doctor
Answered by Dr. Deepak Kishore Kaltari (15 minutes later)
Brief Answer:
Ensure high fiber diet

Detailed Answer:

Hello,

Greetings of the day.

Majority of the cause of constipation in children is related to diet factors. Its more common among those children who have the following
1. Diet mainly consists of milk based feeds
2. Decreased intake of water
3. Presence of painful anal condition like anal fissure

I would suggest you the following which will definitely help

1. Reassessment of symptoms by Pediatric Surgeon: Who would like to rule out fissure in anus or Hirschsprung's disease as cause of symptoms
2. Ensuring adequate intake of water: One cup of plain water 1 hour before and one hour after feeds will ensure adequate intake of water which will help in making the consistency of stools soft
3. High fiber diet: 2 serving of vegetable salad and citrus fruits a day will be very helpful in ensuring adequate fiber intake
4. Retention Enema will be helpful in evacuating stools in rectum
5. Toilet training: Ensure that child sits on potty bin for 15-20 minutes everyday at fixed time. Do not be rigid.
6. Avoid diet containing maida(refined wheat flour) like Bread , biscuits, rusk


In case you need any further assistance, will be glad to assist you.

Wishing you happy and healthy life

Take Care

Best Regards
Dr Deepak K K
MBBS,MS,MCH
Consultant Paediatric Surgeon
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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Suggest Treatment For Hard Stool And Anxiety Due To Painful Defecation In A Child

Brief Answer: Ensure high fiber diet Detailed Answer: Hello, Greetings of the day. Majority of the cause of constipation in children is related to diet factors. Its more common among those children who have the following 1. Diet mainly consists of milk based feeds 2. Decreased intake of water 3. Presence of painful anal condition like anal fissure I would suggest you the following which will definitely help 1. Reassessment of symptoms by Pediatric Surgeon: Who would like to rule out fissure in anus or Hirschsprung's disease as cause of symptoms 2. Ensuring adequate intake of water: One cup of plain water 1 hour before and one hour after feeds will ensure adequate intake of water which will help in making the consistency of stools soft 3. High fiber diet: 2 serving of vegetable salad and citrus fruits a day will be very helpful in ensuring adequate fiber intake 4. Retention Enema will be helpful in evacuating stools in rectum 5. Toilet training: Ensure that child sits on potty bin for 15-20 minutes everyday at fixed time. Do not be rigid. 6. Avoid diet containing maida(refined wheat flour) like Bread , biscuits, rusk In case you need any further assistance, will be glad to assist you. Wishing you happy and healthy life Take Care Best Regards Dr Deepak K K MBBS,MS,MCH Consultant Paediatric Surgeon