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Child had trouble passing stools, pain in buttocks. Given movicol. Now blood in stools

Hi i have a son his 3yrs old since last yr before the 6wks holidays he had trouble going poo i taken him to doctors, they gave him lactolose for a few months which didnt help he was crying in pain saying my bum harts i then taken him back they then gave him sencol which didnt help so i keep taken him back as when he was pooing there was a bit of blood in it, they keep saying its him holding it, in the end they changed med to movicol which works well on him at 1st he was having 2 a day then after a month i started to ween his down which at this point i only give one if i can see it happing again which is normaly once a week, but can sometimes see a bit of blood, the doctors wanted me to keep him taking it every day but cant see y as he dont need it all the time
Asked On : Sat, 9 Feb 2013
Answers:  3 Views:  39
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Pediatrician 's  Response
Thanks for your query.
Your son is having chronic constipation.It is mostly related to diet.but hypothyroidism,fissures,hircshprung's disease needs to be ruled out.
Laxatives should not not be used for longer duration.
I suggest you to give him plenty of leafy vegetables.
Do sitz bath (make him sit in lukewarm water fo 5 to 10 minutes 3 to 4 times a day.

If symptoms persist get him evaluated by pediatrician.
Wishing your son good health.
God bless.
Answered: Sun, 10 Feb 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Thank you for your query on Healthcare Magic,
Your child seems to have functional constipation.
Medication like lactulose will help to make the stool soft so for easy passage and they will give temporary relief.
For regular passage of stool is important as retained stool will be harder and cause pain, bleeding and fissures while passing stool.
Dietary fiber is to be added to his regula food as it makes stools bulky, soft by retaining water for easy passage. It is present in vegetables, green leafy vegetables, fruits.
Make him to sit in the toilet every day for atleast 5 to 10 minutes and give plenty of water.
Hope I have answered your query.
Answered: Sun, 10 Feb 2013
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Pediatrician Dr. Vivek Gupta's  Response
its dr vivek
your son is suffering from rectal fissure

give your baby stool softner for few day more then stop gradually
sitz bath twice daily
if pain persist daily apply local anesthic prior to each stool rectally

Answered: Sat, 9 Feb 2013
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