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Stool hard, dark and black, diet changes frequently, on fluids. What is wrong?

hi i have a 2 year and 4 month old daughter she has had problems pooping for a good few months now its very hard, dark or black and rips her on the way out she only goes every 2 to 4 days ive been going to the doctors about this and have been told to change her diet witch i did about 5 months ago and she drinks loads of fluids she has loads of fruit and a lot of grapes and veg any ideas
Asked On : Wed, 9 Jan 2013
Answers:  2 Views:  26
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Diseases and Conditions
Pediatrician 's  Response

Thank you for your query.

Chronic constipation can be very troublesome and take some time to be controlled. You mentioned that your child passes stool every 2-4 days and it "rips her on the way". I suggest that you get her anal canal examined to rule out any anal fissure which can be very painful and can be a reason why she does not want to pass motion daily thereby aggravating her constipation.

Discuss with your doctor and start a two pronged management:
1. Help your daughter clear the hard stools by giving appropriate rectal suppositories
2. Continue with diet modifications till her stools become normal. Help of laxatives may have to be taken but that should be only temporarily so that she does not develop a habit for it.

I hope I have responded to your query to your satisfaction.

Wishing your daughter an early recovery.


Answered: Thu, 10 Jan 2013
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Pediatrician Dr. Synthyia Bhagat's  Response
Thanks for your query,
hypothyroidism needs to be ruled out in chronic constipation.
Dietary modification plays an important part in bowel regulation.give plenty of fluids.increase fibre in her diet.give her green leafy vegetables.
constipation leads to fissure formation,then child gets pain while passing stools.he becomes reluctant and holds back.thus a vicious cycle gets started,
If problem persist ,take your baby to pediatrician ,he may need laxative for some time.
Your child will be fine.
God bless
Answered: Thu, 10 Jan 2013
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