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How can severe constipation in a child be treated?

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Posted on Tue, 19 Mar 2019
Question: hello doctor.. my baby is 6 months old .. we have started solids from last 10 days.. morning homemade rice + dal powder and evening either apple or banana.. we observed that her stool is soo hard as stone as attached in pic.. she is struggling to pass this hard stool.. please suggest us.

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thanks for ur suggestion...she is also on breastfeed... how much water i can give her daily..for now she is tking only 30ml...will it cause cold to baby with more water intake or not...
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Answered by Dr. Diptanshu Das (16 minutes later)
Brief Answer:
Increase water intake. Increase the number of mashed fruits.

Detailed Answer:

Hi,

Incidentally, constipation in children has become a very frequently encountered problem these days. You need to increase water intake. The amount of fiber-containing foods in the diet also needs to be increased. As of now, mashed fruits and mashed boiled vegetables will serve as a source of fibers. But gradually include fiber foods.

Fiber-rich food items include:
* Apples, pears, parsnip, berries, raspberries, kumquats, guavas, squash, oranges, passion fruit, avocado, blackberries, pomegranate, currants, persimmons, kiwi fruits, figs, bananas, blueberries, cherries, apricots, strawberries, tangerines, papaya, mangoes, pineapple, plums, litchi, grapes, watermelon
* Broccoli, cauliflower, cabbage, lettuce, brussels sprout, carrots, leafy vegetables and spinach, amaranth, artichokes, green peas, collard greens, XXXXXXX sweet potato, okra, fennel, eggplant/brinjal, sweetcorn, beets, turnip, asparagus, onions
* Legumes, beans, lentils, chickpeas, celery, soybean, navy beans, cranberry beans, french beans
* Whole grains, quinoa, brown rice, millets and oats, squash and pumpkin seeds, sesame seeds, dried coconut, almonds,
* Mushrooms
* Flax seeds, chia seeds, corn XXXXXXX

Hope I have answered your query. Let me know if I could help further.

Regards.

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Brief Answer:
As of now, about 30 ml of water can be given

Detailed Answer:

Hi,

Please continue breastfeeding until 1 year of age, or more. Gradually increase the number of top-up weaning feeds. Start with liquids like dal and fruit juice. Gradually increase the thickness (semisolid). As you do that, you need to give water (slightly warmed) along. The amount will vary with the number of semisolids or weaning foods given. Just think of it as a diluent. No specific amount. But unless you give an adequate amount, the stools would be hard.

Hope I have answered your query.

Regards,
Dr. Diptanshu Das, Pediatrician
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Diptanshu Das

Pediatric Neurologist

Practicing since :2005

Answered : 3871 Questions

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How can severe constipation in a child be treated?

Brief Answer: Increase water intake. Increase the number of mashed fruits. Detailed Answer: Hi, Incidentally, constipation in children has become a very frequently encountered problem these days. You need to increase water intake. The amount of fiber-containing foods in the diet also needs to be increased. As of now, mashed fruits and mashed boiled vegetables will serve as a source of fibers. But gradually include fiber foods. Fiber-rich food items include: * Apples, pears, parsnip, berries, raspberries, kumquats, guavas, squash, oranges, passion fruit, avocado, blackberries, pomegranate, currants, persimmons, kiwi fruits, figs, bananas, blueberries, cherries, apricots, strawberries, tangerines, papaya, mangoes, pineapple, plums, litchi, grapes, watermelon * Broccoli, cauliflower, cabbage, lettuce, brussels sprout, carrots, leafy vegetables and spinach, amaranth, artichokes, green peas, collard greens, XXXXXXX sweet potato, okra, fennel, eggplant/brinjal, sweetcorn, beets, turnip, asparagus, onions * Legumes, beans, lentils, chickpeas, celery, soybean, navy beans, cranberry beans, french beans * Whole grains, quinoa, brown rice, millets and oats, squash and pumpkin seeds, sesame seeds, dried coconut, almonds, * Mushrooms * Flax seeds, chia seeds, corn XXXXXXX Hope I have answered your query. Let me know if I could help further. Regards. ......................................................... Brief Answer: As of now, about 30 ml of water can be given Detailed Answer: Hi, Please continue breastfeeding until 1 year of age, or more. Gradually increase the number of top-up weaning feeds. Start with liquids like dal and fruit juice. Gradually increase the thickness (semisolid). As you do that, you need to give water (slightly warmed) along. The amount will vary with the number of semisolids or weaning foods given. Just think of it as a diluent. No specific amount. But unless you give an adequate amount, the stools would be hard. Hope I have answered your query. Regards, Dr. Diptanshu Das, Pediatrician