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Constipation in children - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
My 3 year old is complaining that his butt hurts
I think it might be parasite. he is crying but I looked at it and it looks completely normal
Doctor :   let me read what you have typed
User :   hi..ok
User :   but maybe he needs to go to the bathroom
Doctor :   when has he last passed stools?
User :   he asked me if he could go but he has been in the toilet and nothing happens
Doctor :   how was the consistency?
Doctor :   is he having stomach pain? or distension?
User :   earlier today
User :   it looked normal
User :   no stamache only butt pain
User :   he can't even sit
Doctor :   ok. does he have itching near anus? is there redness at that place?
User :   no redness
User :   he just told me to whipe it and i did and there was a little stool
User :   i think he is very constipated maybe
User :   i don't know i am so confused
Doctor :   ok. I would recommend you to get him examined by his doctor to make sure there are no other problems
User :   ok
Doctor :   most common cause for such symptoms in children is constipation
User :   what do i do in the mean time
Doctor :   you can give him easily digestible food and high fibre food like oats porridge and lot os jiuces
Doctor :   to help him be hydrated and be able to pass motion
Doctor :   try giving him Tylenol syrup 5ml, for pain relief until you take him for examination
Doctor :   *juices
User :   what do i do now so that he will be able to go right now
User :   is apple juice ok?
User :   i gave him tylenol it didn't help
Doctor :   you can give him apple juice, banana milk shake, orange juice
User :   ok
Doctor :   if tylenol is not helping him, do not delay his examination by his doctor
Doctor :   such that probable cause is made out early and he is put on medications to relieve his pain.
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else I can help you with?
User :   i put vaseline around his butt and a little inside with a glove
User :   i know that might not be convencional way but he was suffering
Doctor :   ok, it will help a little for him to pass stools if he is constipated
User :   i took a little out it was hard
User :   he is in daycare he is probably not eating well ther
Doctor :   ok. how is hid diet the rest of the day when he is not in day care?
User :   can i use enema like the one i would use for me?
User :   i try to give them fruit and salads a lot
Doctor :   you can incorporate more juices with pulp in them and high fiber containing foods in the rest of the meal times
Doctor :   no do not use enema on your own , he is small it can lead to complications
User :   ok
Doctor :   it should be done under supervision in children
User :   ok i understand
User :   i will give him juice right now, he might be a little dehydriated
Doctor :   yes you can give him plenty of juices, make sure to add a little pulp also if it is plain juice like in case of orange
Doctor :   or sweetlime
User :   i think i pushed the stool back inside when i was putting vaseline and took the little piece out bc he says that it doesn't hurt any more, would that hurt him later even more?
User :   an orange? the fresh kind?
Doctor :   no, it should not hurt him later, if he is hydrated well, and there is water absorption the stool to make it soft.
Doctor :   wait and see if he is better.
User :   ok thank u
Doctor :   yes the fresh kind of fruit juices will be better which do not have preservatives added
User :   i am going to get him some juice and a piece of orange...
Doctor :   ok.
Doctor :   try giving him oats porridge, broken wheat porridge
Doctor :   it will help with the high fibre content
Doctor :   have you followed what I have said?
Doctor :   incorporate oats biscuits and multi grain biscuits when he is at day care along with fruits, cut down on meat, let him him have more greens
Doctor :   are you there?
User :   yes
Doctor :   have you followed what I have said?
User :   they do eat greens like broccoli they like a lot
User :   yes
Doctor :   please get back to me if you have doubts
User :   i am following
User :   yes got it, more greens
User :   less meat
User :   oats
User :   oatmeal is good right?
Doctor :   yes, include more spinach and other leafy vegetables
User :   he likes it
Doctor :   you can in form of soup
User :   ok
Doctor :   yes oatmeal is good give it with fruits
User :   yes that's true
User :   my children like soup
User :   the last two nights dinner wasn't that good
User :   yesterday can soup and today pizza
Doctor :   ok. may be that is what is causing him the constipation
User :   tomorrow morning i will give him oatmeal and fruit
Doctor :   avoid cheese in his diet for sometime
User :   i will
User :   how about milk
User :   chocolate milk?
User :   his likes it
Doctor :   you can give him milk, give in form of milkshakes with fruits or dry fruits
User :   r tomatoes ok?
User :   ok
Doctor :   you can add a bit of chocolate powder for flavour
User :   that's a good idea
User :   how about strawberries?
Doctor :   yes tomatoes are good, he can have one daily
Doctor :   strawbeeries also give some amount of fibres
User :   r the green leave veggies the best choice for fiber?
Doctor :   you can give him 1 small cup of fresh chopped strawberries after lunch on alternate days if he like sit.
User :   fruit has some amount of fiber right?
Doctor :   they are one of natural sources, others includes fruits like guava, melon, apple, banana, beans, whole grains,
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