Constipation in 3 years old female baby

Constipation since long(severe) Sometimes they apply enema for Same Chief Complaints Parents comes in opd with compalin of chronic constipation problem with their female baby of age 3 years History Birth history: Normal Delievery History of taking Albandazole syrup 15 days ago for suspected Worm infestation Appetite normal No history of fever or cough cold. Vitals Normal Weight 13kg Physical Examination Abdomen: Soft P/A with distended abdomen No tenderness Investigations Nad Management Need precious advice for management of such cases

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Most common cause of Constipation in children is 1.Functional(95%)2. Others r due to anal fissure,spinal cord lesions,Hypothyroidism,&drugs like anticonvulsants,etc. Management ,1.Promote regular bowel habits,& Diestary modification like fibre in food/ fruits vegetables, Toilet Training 2.Lactulose1-3 ml/kg/day. 3.Milk of magnesia 1-3 ml/kg. 4.PEG 5-10 ml/kg 5.Rarely Buscadyol suppository If fecal impaction

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Mostly constipation in children is 1 Functional 2.dehydration 3. Fissure in ano Luke warm water and milk of magnesia after a regular intervals and fruits juice mixed with fibre content. Suppositories can be a good option. Reassurance and counciling by a paediatrician to mother may be useful and conclusive.

Thanks Dr Kute Ankush
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FIND OUT CAUSE.. PLENTY OF WATER.. FRUITS.. GLYCERIN / DULCOLAX .. SUPPOSITORIES.. LACTULOSE..

Tnx Dr Ashok Leel sir
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USEFUL UPDATE

Thank you doctor.
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CONSTIPATION can have causes that, aren't due to underlying disease. Examples include dehydration, lack of dietary fiber, physical inactivity or medication reaction Or side effects. Irritable bowel syndrome (IBS) . Fecal impaction. Functional constipation. Anal fissure. Use rich fiber dietary supplements,such as banana and home made massage on the abdomen with coconut oil. Medication are very simple, anti-spasmodic drops and multivitamin minerals drops regularly.

Thank you doctor.
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Educate how to sit proper position for passing stool Use dulcoflex child supposetery Once she realises after this sitting position stool passes easily she will be happy

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