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Suggest Remedies For Constipation In A Child For Over Two Weeks

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Posted on Mon, 8 Apr 2024
Question: Since last couple of weeks my 15 month old daughter has been facing constipation despite lot of water intake and foods with fiber like vegetables etc.. This was never a problem earlier atleast upto a year. Please suggest possible remedies and solutions.
doctor
Answered by Dr. Diptanshu Das (46 minutes later)
Brief Answer:
Not likely to be a cause of worry

Detailed Answer:

Hello,

I understand your concern. But let me mention that the constipation that you are observing, is nothing unusual for this age. I assume that alongside semisolids from six months of age, the baby had been on breastmilk upto one year of age and has eventually been put on solids with or without formula milk. Babies often become constipated when they start solids, as their bodies learn how to manage new foods. If you are giving cow-milk based formula, it could reduce the bowel movements and cause constipation. Other formulas that contain partially or completely hydrolyzed milk proteins (sometimes known as 'hypoallergenic' formulas) might be helpful. Children are at risk for constipation during toilet training and that could also be a major contributor.

Most children with constipation do not have an underlying medical problem causing their symptoms. Constipation generally resolves with changes in diet, behavior, or sometimes with medicines like lactulose.
Since you say that adequate fluids and fibre rich diet are already been given, I am not mentioning that separately. A fibre supplement may be recommended for some children. Certain fruit juices like prune, apple, or pear juice can be given to treat constipation(other juices are not as helpful). Dark corn syrup has been a folk remedy for constipation for hundreds of years. Dark corn syrup contains complex sugar proteins that keep water in the bowel movement. If your infant has started eating solid foods, you can substitute barley cereal for rice cereal.
Please note that a child may delay moving their bowels if they do not have a place where they feel comfortable having a bowel movement, or if they are busy and ignore the need to use the toilet. When the child does have a bowel movement, it can be painful and lead them to withhold (avoid going) in an effort to avoid more pain.
On occasion, a child may develop a tear in the anus (called an anal fissure) after passing a large or hard bowel movement. The pain from the tear can lead to withholding. Even infants can learn to withhold because of pain. In addition, be sure the child has foot support (eg, a stool), especially while using an adult-sized toilet. Foot support is important because it provides a place for the child to push against as he or she bears down to move their bowels.
Occasionally, constipation can be a symptom of a food allergy and avoiding wheat based and lactose based food might help (Some children develop constipation because they are unable to tolerate the protein in cow milk.) Yogurt/curd can be given however.

Hope that my answer would be helpful for you. I am happy to help any time.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Diptanshu Das (9 hours later)
Thank you doctor for the very detailed and informative reply. A couple of queries though -

1. Can you give me the names of some hypoallergenic formula?
2. Instead of dark corn syrup, will boiled shelled corn help? Else where can I get the syrup?
3. In case of emergency, do suppository capsules help? Though her problem is not as severe.
4. How can I serve barley? With milk or water or some way else is possible?
5. Can you please also prescribe the medicines based on lactulose or fibre based supplements?
6. What should be the average intake of water and milk for a 15 month toddler given that the diet has good portions of solids? My daughter takes about 250 - 300 ml milk and 200-250 water + juices like watermelon/ lemon etc.
doctor
Answered by Dr. Diptanshu Das (6 hours later)
Brief Answer:
Details delineated

Detailed Answer:
Let me try to answer the questions one by one.
1. Similar Alimentum and Enfamil from Nutramigen are two popular hypoallergenic formula.
2. Boiled shelled corn would do. The logic lies IB the fibre content of corn.
3. Suppositories and enemas would be useful whenever applicable.
4. Barley like corn has high fibre content. It is generally given in boiled form but any preparation would do.
5. Duphalac and livoluk are two common lactulose syrups. Brand names may vary with the place of your residence. Isabgol and senna are common fibre supplements.
6. Water intake is reasonable but can be increased a bit more. No definite cutoffs.

I hope that will take care of the queries. If you like my answer please leave a 5 star rating and a positive review. Glad to be of service.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Diptanshu Das (3 hours later)
Sure. One last question - Presently I give her XXXXXXX khichdi with vegetables for lunch and roti for dinner. I replaced rice with XXXXXXX recently thinking that has higher fiber content. Do you think that could be the problem?
doctor
Answered by Dr. Diptanshu Das (10 minutes later)
Brief Answer:
Try other alternatives

Detailed Answer:
Since the digestive system of children are not fully developed, adjusting to new foods takes time and such problems may result. Moreover, Roti's are hard to digest and constipation on Roti's is not uncommon. Problems unlikely with XXXXXXX You can experiment a bit and see what suits your child best. And stay relaxed.

If you have found my answers helpful please rate it with a 5 star and a positive review.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Suggest Remedies For Constipation In A Child For Over Two Weeks

Brief Answer: Not likely to be a cause of worry Detailed Answer: Hello, I understand your concern. But let me mention that the constipation that you are observing, is nothing unusual for this age. I assume that alongside semisolids from six months of age, the baby had been on breastmilk upto one year of age and has eventually been put on solids with or without formula milk. Babies often become constipated when they start solids, as their bodies learn how to manage new foods. If you are giving cow-milk based formula, it could reduce the bowel movements and cause constipation. Other formulas that contain partially or completely hydrolyzed milk proteins (sometimes known as 'hypoallergenic' formulas) might be helpful. Children are at risk for constipation during toilet training and that could also be a major contributor. Most children with constipation do not have an underlying medical problem causing their symptoms. Constipation generally resolves with changes in diet, behavior, or sometimes with medicines like lactulose. Since you say that adequate fluids and fibre rich diet are already been given, I am not mentioning that separately. A fibre supplement may be recommended for some children. Certain fruit juices like prune, apple, or pear juice can be given to treat constipation(other juices are not as helpful). Dark corn syrup has been a folk remedy for constipation for hundreds of years. Dark corn syrup contains complex sugar proteins that keep water in the bowel movement. If your infant has started eating solid foods, you can substitute barley cereal for rice cereal. Please note that a child may delay moving their bowels if they do not have a place where they feel comfortable having a bowel movement, or if they are busy and ignore the need to use the toilet. When the child does have a bowel movement, it can be painful and lead them to withhold (avoid going) in an effort to avoid more pain. On occasion, a child may develop a tear in the anus (called an anal fissure) after passing a large or hard bowel movement. The pain from the tear can lead to withholding. Even infants can learn to withhold because of pain. In addition, be sure the child has foot support (eg, a stool), especially while using an adult-sized toilet. Foot support is important because it provides a place for the child to push against as he or she bears down to move their bowels. Occasionally, constipation can be a symptom of a food allergy and avoiding wheat based and lactose based food might help (Some children develop constipation because they are unable to tolerate the protein in cow milk.) Yogurt/curd can be given however. Hope that my answer would be helpful for you. I am happy to help any time.