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Child is having constipation, passing little stool. What to do?

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Pediatrician, Neonatology
Practicing since : 1970
Answered : 891 Questions
My son is passing very small amount of stool many times a day
(15-20 times). Quantity will be half the size of a small marble and it is hard. He is having the constipation problem. He passes stool once in three days.
Following is his diet :
Morning breakfast - Idly, dosa, upma, oats, XXXXXXX ...
Mid : raagi malt - 200ml
afternoon : raisins dipped in 100 ml water
Lunch : rice and moongdal with bendy, carrot, palak, beans etc vegetables and egg
evening : Apple/ banana/ mosambi/ papaya juice 100 to 200 ml 2 servings
dinner : plan rice with curd/ rasam/ XXXXXXX
Posted Fri, 11 Oct 2013 in Child Health
Answered by Dr. Uma Rajah Ananth 14 minutes later
Brief Answer:
needs diet modification

Detailed Answer:

I understand your child is 1.5 yrs old and this problem is only since 3 months. Right?

In this case ,some of the congenital causes in the large intestine are ruled out.

I suppose you have checked his thyroid functions recently .Is it normal?

If normal, the problem is may be too thick. Stool from the lot of finery diet you are giving .

I suggest. You give him lot of fluids and juices to make the stool a bit softer.

It looks like constipation with overflow. ----- no stool for 3 days but a little trickling!

Give him a laxative like duphalac for 2 days, then try with mixed diet and fluids.

If still no improvement with diet and if thyroid functions are normal, he may need a barium enema study after consulting a pediatric surgeon.

God bless

Above answer was peer-reviewed by
Follow-up: Child is having constipation, passing little stool. What to do? 23 hours later
Hi Madem,

Please suggest me know the diet that I should follow for my son.
He drinks lot of water and passes urine 5-6 times in an hour.
He is having the itching at his anus.
I went to many doctors and used laxatives like Livoluk, duphalac,bandy, womiban etc but there is no improvement only temporary relief. And juices wise I am giving 2-3 servings daily.
Regarding the Thyroid test I didn't perform the test for my kid. Now I am performing the test and let you know the result.

He feels he is getting motion and sits on the floor many times in a day. Some times his tummy will be tight and passes gas.

Other than this problem my son is too active and his weight is 11.5kg - age is 19 months.

This has become a serious problem for my son. Please let me know the diet to be followed and further how I should proceed to over come the problem.

Answered by Dr. Uma Rajah Ananth 11 minutes later
Brief Answer:
rule out hirsprungs disease

Detailed Answer:

You seem to be giving good amount of fluids.

Also you are giving mixed solid diet.

Both are OK

Reduce ragi, in the diet
Stop iron syrup if you are giving

Let me know thyroid functions positively.

If all are normal and a stool test is normal, you have to get a. Barium enema done to rule out what is called hirsprungs disease.

You have to XXXXXXX a pediatric surgeon and get opinion for barium enema.

Go to a bigger hospital like medical college hospital or known pediatric surgeon.

Good luck

Dr Uma
Above answer was peer-reviewed by
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