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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Infant With Crying At Night. Have Severe Constipation. Reason?

Yes I have an 18 month old girl. She wakes up in the middle of her sleep excessively crying and throwing tantrums. I have tried to feed her, comfort her, offer something to drink, ect but nothing works. I do know that she has very bad bowels & cannot pass bowels normally at all. I have taken her to her pediatrician and hospitals numerous times & had many tests, but nothing was detected. What can I do to determine why she is excessively crying like this?
Fri, 21 Dec 2012
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Pediatrician 's  Response
Hi
For constipation you can make changes in her diet by giving dietary fiber rich foods, fruits, vegetables and by giving plenty of oral fluids and if still constipation is there you can give lactulose syp after consulting your Pediatrician. The cry during nights may be due to intestinal colic or due to sleep problems like nightmares, night terrors or separation. So consult your Pediatrician to discuss your child issues and to get proper evaluation.
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Pediatrician Dr. Sudha Shree Venkataraman's  Response
Hi

How long has she been having this problem? How long does it last and does she sleep off after that?

Since you say she has problem with her bowels, it has to be addressed. Hard stools when passing through the intestines can cause pain.
Dietary modifications are needed- lot of fresh fruits, vegetables, fruit juices should be added in her diet.
Its better to avoid refined tinned food/ junk food/ rice based food/ potato/ banana etc.
Plenty of water should be given.
If needed discuss with your doctor and get stool softeners prescribed.
Concentrated sugar solution daily will be helpful.

Some of the other causes of night awakening are
- They make it a habit to get up for a feed at that time.
- Teething pain
- Disturbances from surroundings
- Temperature variation in the room
- Acid reflux etc

These causes may be looked for and treated accordingly.
Hope my answer helps you.
Wish your kid good health.
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Infant With Crying At Night. Have Severe Constipation. Reason?

Hi For constipation you can make changes in her diet by giving dietary fiber rich foods, fruits, vegetables and by giving plenty of oral fluids and if still constipation is there you can give lactulose syp after consulting your Pediatrician. The cry during nights may be due to intestinal colic or due to sleep problems like nightmares, night terrors or separation. So consult your Pediatrician to discuss your child issues and to get proper evaluation.