Apply lignocaine gel before passing stools atleast 30mins before

Constipation can lead to anus pain Increase fibre content and water intake Avoid junk and bakery products Do deworming every 6 monthly

Key Points in Managing Functional Constipation (3 Years Old) Functional constipation means there’s no underlying medical cause – it’s usually due to diet, behavior, or routine changes. 1. Establish a Routine Regular Toilet Time: Encourage your child to sit on the toilet for 5–10 minutes after meals (especially breakfast) to take advantage of the natural gastrocolic reflex. Praise and Encourage: Make it a positive experience with a reward system (stickers, verbal praise). 2. Dietary Modifications Increase Fiber: Offer fruits (papaya, pear, prune, apple with skin), vegetables, whole grains, and oats. Limit Low-Fiber Foods: Reduce excessive dairy (milk, cheese) and refined foods. Adequate Fluids: Ensure the child drinks enough water (about 1 liter/day). Avoid sugary drinks. 3. Physical Activity Regular play and physical activity help stimulate bowel movements. 4. Medications (if necessary) If constipation persists despite dietary changes: Polyethylene glycol (PEG)(0.8 gram/ kg) mixed in one tumbler of water at night is often first-line for children, Lactulose may also be used. DO NOT use enemas or suppositories unless prescribed by a pediatrician. 5. Monitor for Red Flags If any of these occur, consult your pediatrician immediately: Persistent vomiting Severe abdominal pain Blood in stools Weight loss or failure to thrive Signs of anal fissures or withholding behavior

Constipation Encourage fibre rich diet like fruits, vegetables Avoid JUNK food completely Toilet training Syp lactulose for a week if passing hard stools currently

Increase fiber diet and add green leafy vegetables and dates, strawberries that could help in softening the stools.

Will have to examine and tell if local rash or anything present . Constipation as you mentioned can cause this due to impacted stools and cause blood in stools too.