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Child with constipation. Got relief after taking looz syrup. Missed bowel movement and vomited. Worried

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Practicing since : 1997
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My 13 months old son is having acute constipation from last few months. Doctor has prescribed looz syrup 10 ml after which his was relieved from the constipation. However, again from past one week, consitpation started and his doctor advised to continue with looz atleast 2-3 months and initially prescribed him to give 15ml looz during the day..Yesterday...he did not pass stool at all even after looz dose of 15 ml during d day and today morning, he vomitted also.. kindly advise what should we do?
Posted Wed, 27 Feb 2013 in Digestion and Bowels
Answered by Dr. Santosh Kondekar 3 hours later

It would also have been useful to me if you could mention the child's weight, routine diet and feeding in last 1 year and any issues with development.

Constipation is often a problem with milk dominant diet and often it is due to casein and phosphates. By the time constipation manifests, the problem has its roots almost 6-8 months back when the diet/ feeds may have changed.

Whatever may be the reason, it needs treatment. Some cases like Hirshsprung Colon are rare, but often that gets missed by overlooking a long standing constipation.

When the stools block the colon, the medicines given by mouth may not always help as they may not be able to break hard stools at bottom. So syrups like looze may only be able to help in acute issues just to tide crisis over 1-2 days; surely its long term course tends to fail.

Such children are often put through series of enemas with or without drug under medical supervision; often with suppositories to evacuate the bowel; but if dietary modification is not made; all may get failure.

So please detail the diet; keep off stool hardening diets like tonics, milk, pomegranate, XXXXXXX strawberries, daals(classically toor daal) for at least 3 months till doctor helps you with periodic enemas to evacuate the bowel.

I hope this answers your concerns, do write back if any issues further.

Above answer was peer-reviewed by
Follow-up: Child with constipation. Got relief after taking looz syrup. Missed bowel movement and vomited. Worried 31 minutes later
His details are:
Weight: 10 kg approx
Height: 78 Cm
Mother Feeding: upto 6-8 months
Top up feed: Started from 4 months
Present diet:
(9am- 10 am) Morning breakfast - cheese sandwich/ paranthas/ XXXXXXX etc..
(11-12) -Fruit- Papaya/ Cheeku / Grapes etc
Some milk (100 ml)
Lunch (2 Pm -3 pm) - Roti with normal vegetable (all types)
sleep abt 2-3 hrs
some milk (100 ml)
(6PM -7PM) home made boiled vegetable soup..(100-150 ml)
After that Dinner around (8.30-9.30 )

Night schedule:
11 PM - Milk 100-150 ml
1-2 AM- Milk (100 Ml)
5-6 AM- Milk (100 Ml)
Some nights four times milk

Kindly advise....
Answered by Dr. Santosh Kondekar 1 hour later
With given details… my answer won't change much but I will surely stress on getting rid of top milk over next month by introducing rice flour based kheers… avoid dhalia… replace by suji and soupos… get a hemoglobin test with counts done that may help assess anemia…
Ask your doctor to consider domperidone for vomiting and also to consider rectal suppositories… remember enema and suppository should be painless otherwise method is likely to be wrong…
Follow back after 2 weeks of dietary changes.thanks
Above answer was peer-reviewed by
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