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Suggest Treatment For Chronic Constipation

Posted on Mon, 29 Sep 2014

Question: My 2.8yrs daughter is suffering from chronic constipation problem. This problem is persist from last two year. We have consulted with many doctor but its seems no improvement. My daughter digest all the laxative medicines prescribe by those doctors (Duphalac/Laxopeg). They also advise for high fiber diet and we followed as well but the result is not yet expected. Now the situation is too much serious. Her bowel frequency reduces by once in a week with lot of shout and cry. Last week we found some blood clot with her stool. We rush to the doctor and she said it is fissure. She again suggest all the same medicines. Now the situation is we are used Dulcolax, no more laxative medicines are worked for her. Please suggest we are in deep trouble.

Answered by Dr. Deepak Kishore Kaltari (10 minutes later)

Brief Answer:
Consult Pediatric Surgeon

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Mr XXXXXXX
Being a parent myself I understand your concern and apprehensions.
Constipation is widely prevalent problem in children.
The blood in stools is likely to be due to hard stools impacted in the rectum causing injury. She will require retention Enema to help in evacuation of stools. Oral laxatives alone are unlikely to be helpful.

I would suggest you to consult Pediatric Surgeon for further assessment and management. Do not worry thing can be taken care off.
Do keep me updated.

Take Care

Best Regards
Dr Deepak Kishore
MBBS,MS,MCh
Consultant Pediatric Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (13 hours later)

Thank you for your response. Is there any way of home remedy. We definitely consult with pediatric surgeon but in the mean time is there any precaution so that my baby keep well.

Answered by Dr. Deepak Kishore Kaltari (2 hours later)

Brief Answer:
Ensure good intake of water

Detailed Answer:
Dear Mr XXXXXXX

I would suggest you the following

would suggest you the following which will definitely help

1. Reassessment of symptoms by Pediatric Surgeon: Who would like to rule out fissure in anus or Hirschsprung's disease as cause of symptoms
2. Ensuring adequate intake of water: One cup of plain water 1 hour before and one hour after feeds will ensure adequate intake of water which will help in making the consistency of stools soft
3. High fiber diet: 2 serving of vegetable salad and citrus fruits a day will be very helpful in ensuring adequate fiber intake
4. Proctoclysis Enema can be given at home or from your local area clinic and will be help in evacuation of stools
5. Avoid giving food made up of Maida(Refine wheat floor) like bread , biscuits, chocolates

Do keep me updated

Take Care

Best Regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (22 hours later)

Thanks! I have just another thing for your concern. We are followed whatever our doctors suggest to give her as diet. But she didn't fell pressure for potty. Yesterday we use Dulcolax Suppositor, then only she clears her stool. Now can we use this after 2-3 days interval?

Answered by Dr. Deepak Kishore Kaltari (3 hours later)

Brief Answer:
Dulcolax suppository can be given

Detailed Answer:
Dear Mr XXXXXXX

You can definitely give Dulcolax suppository every alternative day, it will helot in evacuation of stools.

Take Care

Regards
Dr Deepak

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. Vinay Bhardwaj