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Hi, This question is about my 16 months old daughter.

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Posted on Thu, 21 Feb 2019
Question: Hi, This question is about my 16 months old daughter. She is finding it difficult to poop since last 3 days. She is crying and her face becomes red while she tries too hard to poop. Can you please advise a solution or any medicine? She is a vegetarian and takes rice, vegetables and loves milk. Thanks.
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Answered by Dr. Pradeep Kumar (50 minutes later)
Brief Answer:
Most likely functional constipation, laxative will help

Detailed Answer:
Hi
Thanks for asking on this platform

I have gone through the query and do understand your concern.
Difficulty in passing stool in this age is most likely function(without any pathological cause).
Rarely it can be due to pathological like abnormal dilatation of some part of intestine.
I would like to know if this is happening first time or its too frequent?
Is there any blood stain in stool?
Is there is abdominal fullness or vomiting?
If answer of all is no then most likely it is functional and in such case laxative will help.
Polyethylene glycol(PEG) is considered to be safe in this age if given in proper dose. Lactulose is another option.The dose of PEG is
0.7 gm/kg/day and it should be given for 3-4 days. It has better safety profile. Lactulose can be given in a dose of 1 ml/kg/day.
While giving any laxative be watchful for its side effect like loose motion, increased gas production etc.
I hope this helps.
Please let me know if you have any more questions.
Regards

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Pradeep Kumar

Pediatrician, Cardiology

Practicing since :2006

Answered : 2003 Questions

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Hi, This question is about my 16 months old daughter.

Brief Answer: Most likely functional constipation, laxative will help Detailed Answer: Hi Thanks for asking on this platform I have gone through the query and do understand your concern. Difficulty in passing stool in this age is most likely function(without any pathological cause). Rarely it can be due to pathological like abnormal dilatation of some part of intestine. I would like to know if this is happening first time or its too frequent? Is there any blood stain in stool? Is there is abdominal fullness or vomiting? If answer of all is no then most likely it is functional and in such case laxative will help. Polyethylene glycol(PEG) is considered to be safe in this age if given in proper dose. Lactulose is another option.The dose of PEG is 0.7 gm/kg/day and it should be given for 3-4 days. It has better safety profile. Lactulose can be given in a dose of 1 ml/kg/day. While giving any laxative be watchful for its side effect like loose motion, increased gas production etc. I hope this helps. Please let me know if you have any more questions. Regards