A 9 years patient 5 days to constipation. i have give tha dulcoflex tab and lactololse but stoo

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For 9 year constipation patient. Please rule out any Ano rectal disease. GI diseases. Suggest. Usg Abd & pelvic. Local examination Suggest. Duphlac Syp. 5 ml. With hot water night. For 5 days.

Apply anal suppositories with lactulose orally If not relieved and pt is asymptomatic try nomotonic enema Constipation for 5 days needs investigations usg and kub

Thank you doctor
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@Dr. Shivraj Agarwal @Dr. Vipin Bihari Jain

Adv. USG Lots of fruits & water