How to manage this case?

A 9 yr old girl came with complaints of not passing stools for 3 days and not passing urine for one day

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? CONSTIPATION .. WITH .. OLIGURIA .. NEED'S.. URINE ROUTINE.. USG..ABDOMEN..PELVIC.. MEANWHILE TREAT .. SYMPTOMATICALLY.. WITH.. HYDRATION .. SOAP WATER ENEMAS.. LACTULOSE..

Tnx Dr Vipin Bihari Jain sir
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Constipation with oliguria Urine rt Usg abdomen If passes gases No guarding Sy cremaffin 5ml hs Increase roughage Water intake

Constipation may associated with diminished urination However do USG abdomen urne microscopic Give lactulose 10 ml hs Increase water intake Review AFTER Tests
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Constipation causes hard stool formation Hard stool computers on urethra and causes difficulty in passing urine Simple enema with help passage of stool and urine both It needs to be followed by laxative

Proctoclysis enema I V fluids according to dehydration USG Abdomen Blood gas Analysis Serum electrolytes

agree with @Pushker Bhomia need Other reports, adv to Ufologists opinion Rx Punarnavashtak qwath Bd Galo ghan tab 1bd for 7 days then, Abhaydi qwath BD galo ghan tab 1bd panchsakar powder HS for 1 to 2 weeks.

Constipation with anuria Get x ray abdomen erect done to r/o perforation.and if possible admit pt for further management

See her TFT RFT LFT Electrolytes. USG abdomen to see CMD. Hydration Electrolytes correction.

First hydrate the pt Nomotonic enema for impacted stools Rest supportive treatment

Thanx dr Prakash Periyasami
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bladder and bowel dysfunction? Change d eating habits of child,drink plenty of water and avipathikara choorn with lukewarm water at bed time is enough.

Not passage of urine may be due to ac.constipation.suppository for passage of stool.PEG 12.5 ml with 50 mlof water at HS.USG WA urine CD rE mE

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