Brief Answer:
Please answer the questions below and let me guide you better

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

I think your kid is having habitual constipation. I have certain questions for you.

Questions:
1. Did your kid pass motion or meconium on day one of life?
2. Since how long is the kid constipated?
3. Does the kid have any bleeding along with hard stools?
4. How much milk does the kid consume per day?
5. Does the kid eat fruits and vegetables (fibre diet) appropriately?
6. How much water does he consume per day?
7. Is there any family history of constipation?

Please get back to me with answers so that I can guide you better.

Regards - Dr. Sumanth

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Brief Answer:
May be habitual constipation, but need to rule out Hirschsprungs disease

Detailed Answer:
Hi.... I have just gone through your answers. There are two most important points in the information you have provided, they are, not passing meconium on day 1 of life and been constipated since birth. These two important points make me think about the alternative diagnosis of Hirschsprungs disease which is a congenital condition. To rule this out he will require a rectal biopsy and I suggest you approach a paediatric surgeon regarding this.

The below are my suggestions for constipation -

Suggestions:

1. Natural methods are the best to relieve constipation.

2. Maximum milk consumption per day should not exceed 300-400ml. As he doesn't take milk, this is not a problem.

3. Minimum 3-4 cups of fruits and vegetables to be consumed per day

4. Toilet training - that is - sitting in XXXXXXX type of lavatory daily at the same time will help a lot.

5. At least 2 litres of water to be consumed per day.

Regards - Dr. Sumanth

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