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Constipation and low hb
My daughter is 1.5 years old and she is suffering from constipation. Although she pass stool daily but it is very hard and dry and she cries due to pain. Today also there was a tinge of blood in stool due to skin cut of anus. On consulting with doctor he suggested hb test and it came out 8.2. Doctor said more milk intake is the cause and low hb is also due to high milk intake and constipation. Is it something serious? I am worried about low hb
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Hii
Give fruits like banana, increase the water intake.
If any worms found in the stool consult.
I hope deworming is been done with syrup albendazole
If not done give syrup albendazole(400mg/10ml) 5 ml once ( stat dose ). Make sure that deworming is done every 6 months once.
Local examination about perianal region is required.
Next Steps
1. Give fruits, vegetables rich in fibre
2. Type of anemia has to be found I mean what is the cause behind drop of hemoglobin by doing peripheral smear
3. Plenty of water intake
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Give high fibre diet apples, kheera, low milk diet
Can use lactulose 5 ml in nyt for constipation
Include more water 1-1.5 lt per day
Give iron rich foods with high fibre diet like spinach, beetroot, carrots, pomegranate
Green leafy vegetables
Hemoglobin is low but most probably due to iron deficiency, decrease cow milk
Next Steps
Share full cbc report so can comment on type of anemia
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