Fch.1yr Abdominal distention. No passage of stool 2days. Vomiting.
Rule out hirschspurng disease. Barium enema, manometry or Rectal biopsy to be done
Intestinal gaseous distension- gas is seen till rectum indicative of chronic constipation- must be impacted faecoliths
Chronic constipation, Hirschsprung disease to be ruled out Dulcolax / glycerine suppositories, enema Diet change to more fibres, GASTRO Opinion
8Chronic Constipation. Give glycerine enema.
Gas filled abdomen. Give glycerene Enema. After CT abdomen contrast. To rule out Subacute obstruction
Intestinal obstruction dd megacolon usg abdomen auscultation
Gaseous distension. Rx Enema followed by laxative for few days Toilet training Diet modification.
Habitual constipation, Give glycerine enema
Intestinal obstruction
Large bowe obstruction
Small bowel obstruction may be due to hard impacted stools
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A 7 year female child weight 16 kg with h/o chronic constipation since 6 months of age. Child normal at birth but started having difficulty in passing stool since than. Situation is worsening over last few years that she has to take laxative twice a day to clear bowel,even than impacted stools can be easily palpated & seen as fullness in lower abdomen felt as firm to hard mass. Child is playful eating full diet even after absolutel constipation for a week. Every time glycerin enema followed by laxatives are needed to relive of hard mass leaving abdomen soft for last few years Relevant routine investigations done to know cause, reports enclosed Please comment & suggest management
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