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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Constipated. Tried Glycerin Suppository. Thyroid Test. Active Baby. Treatment?

Hi,

My son who is 43 days old has been continuously constipated for 5,6 days now. We usually use a Glycerin Suppository which does the trick. We've tried changing his formula as well, but it isn't really helping.

Our pediatrician asked us to get a retest of the Thyroid Function as an earlier test showed normal T3 and T4 levels but a slightly lowser TSH level. The current test shows normal TSH and T4 Free levels (3.05 uIU/ml and 1.31 ng/dL) but a slightly evelvated T3 Total (1.81 ng/mL). I'm not sure if this has anything to do with the constipation.
The baby feeds excessively, both mother and formula feed. The baby is also very playful and active, not sluggish at all.

Any advice?
Tue, 23 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
With the available described symptoms, there could be possibility of constipation due to weak development of gastrointestinal neuronal system.
You should consult with pediatric surgeon/ gastroenterologist and should go for thorough check up.
You should also go for x ray abdomen to rule possibility of Hirschsprung's disease.
You should give him soft diet along with plenty of water.
As per thyroid details are available, it appears to be normal.
You should continue feeding habits.
take care,
Dr. Mayank Bhargava
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Child Constipated. Tried Glycerin Suppository. Thyroid Test. Active Baby. Treatment?

Hi, Thanks for posting your query. With the available described symptoms, there could be possibility of constipation due to weak development of gastrointestinal neuronal system. You should consult with pediatric surgeon/ gastroenterologist and should go for thorough check up. You should also go for x ray abdomen to rule possibility of Hirschsprung s disease. You should give him soft diet along with plenty of water. As per thyroid details are available, it appears to be normal. You should continue feeding habits. take care, Dr. Mayank Bhargava