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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For BM Disease In A Child

I have a child that is four years old currently and has had problems with BM since he was born, he will not go for a week or more at a time, when he goes the BM is huge, he was put on different meds to try to over come this issue, the medications were- Lactulose 10 gm/15ml solution twice a day for a year andhe was recently put on polyethylene glycol 3350 powder 1/2 a capful with juice as needed daily, neither of these have done anything but given him wet farts and the runs still has not had a BM, he cries and screams and is in horrible pain. What can you do about this? Who do you see? What kind of doctor? It is not normal for him to be going through this especially for this long.
Wed, 15 Jul 2020
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Pediatrician 's  Response
Hi,

This is severe chronic constipation which needs evaluation to find out any cause. A local examination is needed to look for anal stenosis or abnormally positioned anal opening. If I were your treating doctor, I would also have done a serum calcium, serum TSH and a contrast study of bowel. Management is usually a combined effort from pediatrician/pediatric gastrologist and a pediatric surgeon. Include plenty of fluids and fibre rich items (vegetables and fruits) in diet.

Now he needs fecal disimpaction with suppository or enema. I used to try bisacody suppository first, and sodium phosphate enema if no response. Your pediatrician will guide you.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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Suggest Treatment For BM Disease In A Child

Hi, This is severe chronic constipation which needs evaluation to find out any cause. A local examination is needed to look for anal stenosis or abnormally positioned anal opening. If I were your treating doctor, I would also have done a serum calcium, serum TSH and a contrast study of bowel. Management is usually a combined effort from pediatrician/pediatric gastrologist and a pediatric surgeon. Include plenty of fluids and fibre rich items (vegetables and fruits) in diet. Now he needs fecal disimpaction with suppository or enema. I used to try bisacody suppository first, and sodium phosphate enema if no response. Your pediatrician will guide you. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician