Brief Answer:
further necessary explanation

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and after reviewing your History I'm of the following opinion:

1. problem of constipation is commoner in children unless they have significant problem in moving their bowel movements,like: if stool is hard/dry or has fewer bowel movements [less than 3 per week]

2. Other common things which I exclude in my patient(s) at her age is/are:

i. Prakiti [Constitution]: children with Vata XXXXXXX tend to have constipation problem [is she lean/thin]?
ii. Abhyasa of vega dharan (wilful avoidance of the toilet)
iii. Ahara/Vihara (dietary habits): is she in habit of taking too much dry/cold bitter/astringent/low calorie diet? and yes change the type of milk [breast feeding to formula] can also cause constipation
iv. Antra-Avrodha: (intestinal obstruction): due to presence of krimi [worms]?
v. Dourbalya ( Weakness): may be due to pandu (anemia) [check her hemoglobin level]

PS. As Iron causes Constipation and you are giving the same [as tonic] thus could be a contributory factor.
. Is she physically active and are you giving her fibre rich diet and adequate fluid intake?

3. first deworming is essential: make powder of raw XXXXXXX seed and give 250 mg with yogurt or water empty stomach in morning for three days (AVOID: cucumber,long cucumber,raw fruits, potato,meat,sugar,sour foods,milk,jaggery, clarified butter for 15 days) and give walnut,PINEAPPLE,peach

.there after improve digestion : avoid: heavy,slimy food (initially)along with fetid odor and unpleasant sight and give old brown rice green gram,fresh green vegetables, banana, pomegranate, garlic,ginger,raisins, black pepper,clarified butter,butter milk, regular brushing of teeth and tongue cleaning, bathing, lemon,salt,mint,morning walk.

4. Take vitamin A,B,C,E in diet which helps in strengthening the immune system
5. You can give her Bonnisan Liquid: 2-3 tablespoon [thrice daily] [avoid giving calcium supplements] along with 'Teja Ras'
6. Do get an opinion of a Pediatrician [as aloe vera juice is not meant for children especially treating constipation] since it may cause cramping and diarrhea in children

PS. Apart from above I usually go with Suvarn Prasahan (Ayurveda Immunization) and going by her age [3 years]: 64 drops for a period of 21 days is essential

If interested I can courier you the above said medicine(s)

Dr. Munish Sood
Consultant Physician
Naimittika

direct online link: bit.ly/drmunishsood

---

Brief Answer:
further clarification

Detailed Answer:
Dear
Thanks for reverting back

1. If the problem has become painful and chronic check with a general surgeon regarding any anal pathology [piles/fissure]

2. give her abhyarishta: 5 ml with equal amount of water twice daily and jatyadi oil for local application

. Shishuvin medicine [SANDU] helps to increase appetite,digestion, relieves gas and helps in easy evacuation of stool: dose is 5 ml thrice daily

3. I will courier you the medicine after sharing your address and my bank details, you can NEFT the amount

Dr. Munish
Naimittika

---