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Child have problem with eating, passing stool. No medication till now. What to do?

my 7 year old has not been eating as much as usual she has a very healthy appetite ususally.. since she is not eating normal she is also not pooping proper every day she has sticky poop in her underwear from the front to the back fair amount. she will go to the bathroom and wipe and wipe and poop is constantly there she has a bath cleans up and its there again she sits on the toilet and is only able to push out little tiny plops.. like only one or two, i do not know what to do
Asked On : Wed, 24 Apr 2013
Answers:  3 Views:  31
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Pediatrician 's  Response
Feb 2013

Thank you for your query on Healthcare Magic.

Passing of stool into clothes is called encopresis.

It is mostly due to constipation and retention of stool.

Your child is suffering from constipation with fecal retention due to which is not able to evacuate stool completely and passing stools into underwear.

I advise you to treat the child constipation first and once the constipation is being treated this problem will resolve.

Give dietary fiber rich food by giving cereals, legumes, vegetables, leafy vegetables, and fruits on daily basis.

Ask her to sit in the toilet daily for 5 to 10 minutes.

Encourage her to take plenty of oral fluids and water.

If there is still constipation and fecal retention, retention and fecal impaction should be treated by putting laxative suppository and oral stool softeners like lactulose in prescribed dose.

So consult the Pediatrician for examination for fecal retention and for management of child problem.

Hope I have answered your query.

Answered: Wed, 24 Apr 2013
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Pediatrician Dr. Y V Siva Sankara Murty's  Response

Thanks for writing to health care magic.

You should encourage your kid to have a diet rich in fruits and vegetables.

Avoid junk food like colas, chips etc.

Give her a diet rich in fiber.

Drinking water is important.

Medication prescribed by your doctor for constipation should be given till these dietary measures work.

Hope this helps.
Take care.
Answered: Wed, 24 Apr 2013
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Pediatrician Dr. Balaji Chinnasami's  Response
Hi dear,
Probably your child is suffering from constipation. You need to increase the fiber content of food, eat more vegetables and fruits. Increase more water intake. Stop givng junk foods with high oil content. You can discuss with doctor about giving laxatives like lactulose. Don't worry she will be fine.

Dr. Balaji Chinnasami MD
Assistant Professor, Pediatrics
Answered: Wed, 24 Apr 2013
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