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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Constipation In A Child Be Treated?

I have an eight year I have an eight year old granddaughter who has chronic constipation. There is a lot of stress in her home. She has a bm about once a week. Her colon is stretched do to the very large BMs. Lately she has been complaining of increased pain. She has no appetite. She has taken miralax. Mother does not give her stool softeners or anything that would be helpful on a regular basis. My granddaughter has had this problem since the age of one. She is fatigued also. I believe it is the stress but was wondering if she could have developed a twisted bowel?
Wed, 27 Jun 2018
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Anesthesiologist,  's  Response
hi sir/mam, i can understand the agony of your little one.from the above mentioned history,i see lack of proper toilet training to the child.stress at home,lack of proper parental care also influence bowel habits in children.dont worry.it doesnt seem to be a twisted bowel.its very much treatable.just have a look at the following simple measures :
1)if you can,just go to her and soothen her worry and try to counsel her regarding bowel habits,balanced diet,stress management techniques.
2)pain arises mainly due to staining at stools and hard stools.
3)high fiber diet is the crux of treatment.(lot of fruits,veggies,corn and so on)
4)if the pain in anal area is unbearable,anovate cream is to be applied around the anal area daily twice.
5)tab.dulcolax one hour before going to sleep can be taken once.with this,the stools softens and bowel gets evacuated.
6)the most important factor is motivation and change of attitude.
hope my answer clears all your doubts.you please take the initiative of getting her counselled by a psychologist or a hypnotherapist.let her not land in depression or other psychiatric illnesses.
if she can come online,i'm always ready and pleased to guide her.please convey my message.thank you.take care.bye.
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How Can Chronic Constipation In A Child Be Treated?

hi sir/mam, i can understand the agony of your little one.from the above mentioned history,i see lack of proper toilet training to the child.stress at home,lack of proper parental care also influence bowel habits in children.dont worry.it doesnt seem to be a twisted bowel.its very much treatable.just have a look at the following simple measures : 1)if you can,just go to her and soothen her worry and try to counsel her regarding bowel habits,balanced diet,stress management techniques. 2)pain arises mainly due to staining at stools and hard stools. 3)high fiber diet is the crux of treatment.(lot of fruits,veggies,corn and so on) 4)if the pain in anal area is unbearable,anovate cream is to be applied around the anal area daily twice. 5)tab.dulcolax one hour before going to sleep can be taken once.with this,the stools softens and bowel gets evacuated. 6)the most important factor is motivation and change of attitude. hope my answer clears all your doubts.you please take the initiative of getting her counselled by a psychologist or a hypnotherapist.let her not land in depression or other psychiatric illnesses. if she can come online,i m always ready and pleased to guide her.please convey my message.thank you.take care.bye.