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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Child To Vomit And Have Alternating Diarrhea And Constipation?

Hello, my 14 month old son vomited twice 5 days ago and then had a combination of constipation and diarreha all in the since- sometimes its a bolder sometimes its loose stool. His stool is a pale yellow/white color with specs of bright green. Should I be concerned? He was born 10 weeks early and has excelled health and developmentally since. However, he has had bright green sometimes so hard that he will scream when he passes stool since the begining. He is on toddler formula and I have been feeding him whole milk yogurt lately.
Wed, 23 May 2018
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Pediatrician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.

I have reviewed your query and here is my advice.

Some children, usually older than your infant, can have a plug of stool in their rectum with liquidy stool leaking down from above and around the hard stool. So this appears like constipation and diarrhea.
Diets that predispose to constipation are high in sugar, pasta, milk and cheese and low in fruits, vegetables, and whole grains. Good parenting may allow for elimination of some items and introduction of others.
Prune juice and pear, peach, and apricot nectar are effective. Papaya, cantaloupe, and grapes are high in fiber.
Keep introducing new vegetable options. Often child will welcome 1-2 vegetables; parent must be persistent. Try to add whole grain breads and brown rice.
If you feel you must give some medicine for constipation, a small dose(a teaspoon once a day) of Milk of Magnesia is safe. Constipation that is resistant to medical therapy should not be ignored. There can be anatomical problems with intestines, for example. If your son's constipation does not resolve, he must be seen by his primary care physician.

I hope this information is helpful.
Please return if you have more questions.

Regards,
Arnold Zedd, MD, FAAP
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What Causes Child To Vomit And Have Alternating Diarrhea And Constipation?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Some children, usually older than your infant, can have a plug of stool in their rectum with liquidy stool leaking down from above and around the hard stool. So this appears like constipation and diarrhea. Diets that predispose to constipation are high in sugar, pasta, milk and cheese and low in fruits, vegetables, and whole grains. Good parenting may allow for elimination of some items and introduction of others. Prune juice and pear, peach, and apricot nectar are effective. Papaya, cantaloupe, and grapes are high in fiber. Keep introducing new vegetable options. Often child will welcome 1-2 vegetables; parent must be persistent. Try to add whole grain breads and brown rice. If you feel you must give some medicine for constipation, a small dose(a teaspoon once a day) of Milk of Magnesia is safe. Constipation that is resistant to medical therapy should not be ignored. There can be anatomical problems with intestines, for example. If your son s constipation does not resolve, he must be seen by his primary care physician. I hope this information is helpful. Please return if you have more questions. Regards, Arnold Zedd, MD, FAAP