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What Causes Pain During Bowel Movement In A Child?

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Posted on Tue, 29 Sep 2015
Question: hi dr
i have a 3 yo girl, who is constantly says she is in pain when trying to go to the toilet, she its been 6 months and we have done so many tests with no results,she goes a week or 2 at a time so she is constantly backed up.
I'm thinking it may be a psycoloical event as no medication is or has worked
she has anxiety and behaviour is up and down she is number 4 out of 4 children and we haver seen the others behave like she does
she is so clingy and her sleep is terrible
doctor
Answered by Dr. Pradeep Kumar Jain (1 hour later)
Brief Answer:
Please provide investigations and treatment history

Detailed Answer:
Hello

Thanks for the query

Before labelling the condition a psychological disorder,I would like to know the investigations done and medication history.
There can be so many causes of irregular bowel with pain abdomen one of which is irritable bowel syndrome (has psychological component).But in this age this cause or other psychological causes are much less common.
Proper investigation with some conservative treatment helps in most of the cases.
So please provide me the details so that I better able to help you out.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (6 hours later)
thank you i will do my best to answer this
so far no abnormalities has been detected the following has been done
numerous blood tests inc blood cell count liver counts etc etc - both gp and peadatrian said they did complete testing
abdominal X-rays
ultrasounds
motor skills tests
reflexes testing etc
learning tests
speech test
hieght was in the lowest percentage
and weight was too
she has had only one injury when she was 18 months old which was a cut just above her eyebrow requiring 4 stitches after her cousin threw a toy at her head


doctor
Answered by Dr. Pradeep Kumar Jain (1 hour later)
Brief Answer:
An evaluation by child psychologist is needed

Detailed Answer:
Thanks for writing back

If symptoms persist even after thorough investigations(including thyroid function test,vitamin D level,calcium level,celiac screening and ultrasound abdomen)and treatment with positive family history of psychiatric disorder,I would like to get her evaluated by a child psychologist to rule out any underlying psychiatric cause.

Take care.
Wishing for your baby's good health.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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What Causes Pain During Bowel Movement In A Child?

Brief Answer: Please provide investigations and treatment history Detailed Answer: Hello Thanks for the query Before labelling the condition a psychological disorder,I would like to know the investigations done and medication history. There can be so many causes of irregular bowel with pain abdomen one of which is irritable bowel syndrome (has psychological component).But in this age this cause or other psychological causes are much less common. Proper investigation with some conservative treatment helps in most of the cases. So please provide me the details so that I better able to help you out. Regards