Dear Ms Kumar
First query is. did your child pass stools normally in the first few days/ weeks after birth.
if she was passing stools regularly initially and only for last 5 months she has constipation
, then as you have noted this is definitely linked to her diet. A good diet must include fibre. Fibre is found mainly in fruits and vegetables. As you have indicated, most children will refuse to eat these but one needs to distract them and cajole them and incorporate it into some fun activity like playing or favorite TV program and link it to a reward system. Small quantities of rage or banana powder and rice do not have fibre. You could consider adding green leafy vegetables (palak, etc) in the sambar/ curry. THe reason she sometimes has blood in stools is because the hard stool behaves like small rocks rubbing the gentle lining of her anal passage. This will lead to pain in passing stools and will cause her to hold back further worsening the constipation. I suggest you make her sit in a warm tub with warm water and a handful of salt (Sietz bath) for 15 min in the morning and 15 minutes in the evening. For the first 3 weeks, also add Syr Lactulose
5 ml at night. this acts as a stool softener
but the main treatment is the change in diet. All the best. Please keep me informed at robertantony at gmail