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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constipation And Wound Near Anus In Child

hi, my son is 7 years old. he takes buffelo milk 2 times , morning and evening and curd in luch. he had constipation like first part hard and remaining normal and go for fresh daily. i give medicine livoluk kid etc .he become ok after close again problem start.h e has little wound around anal area.what can i do resolve this problem
Mon, 11 May 2020
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Pediatrician 's  Response
Hi dear,

This suggests chronic constipation with anal fissure.

This need regular treatment with laxatives for 2-3 months, along with diet modification. If treatment is stopped early after temporary relief, usually problem will recur.

I used to give laxatives like PEG or cremaffin for 2-3 months, with dose adjustment according to response initially. After good response, we can gradually taper and stop.

Applying lignocaine jelly over the area 2 times a day, and analgesics like paracetamol can relieve the pain. Resistant cases will need a baseline workup including thyroid function, serum calcium or a contrast x ray. Kindly discuss with your paediatrician.

Meanwhile, give him a fibre rich diet(fruits, vegetables, whole grains, oats) and plenty of fluids.

Hope I have answered your query
Let me know if I can assist you further
Dr Muhammed Aslam, Paediatrician
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Suggest Treatment For Constipation And Wound Near Anus In Child

Hi dear, This suggests chronic constipation with anal fissure. This need regular treatment with laxatives for 2-3 months, along with diet modification. If treatment is stopped early after temporary relief, usually problem will recur. I used to give laxatives like PEG or cremaffin for 2-3 months, with dose adjustment according to response initially. After good response, we can gradually taper and stop. Applying lignocaine jelly over the area 2 times a day, and analgesics like paracetamol can relieve the pain. Resistant cases will need a baseline workup including thyroid function, serum calcium or a contrast x ray. Kindly discuss with your paediatrician. Meanwhile, give him a fibre rich diet(fruits, vegetables, whole grains, oats) and plenty of fluids. Hope I have answered your query Let me know if I can assist you further Dr Muhammed Aslam, Paediatrician