My daughter is 2yrs old .From last 3 months she is not passing stools regularly .For every 3 days or some times for every 5th day she is passing stool.While passing stool she is struggling to allow it to pass through Anus.we have visited hospitals they have suggested many syrups for passing stools regularly but nothing is working . I will be thankful if you solve my problem madam/sir .Thank you
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Since the pt is a child we need to take usg for the same and to rule out congenital abnormality.good roughage diet and good intake of water is being needed for the same.consult a surgeon.
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This is functional constipation, needs patience and regular treatment.
Rx:
Syp Lactulose (Duphalac / Cremaffin plain) 5 ml at bedtime
Toilet routine after meals
Fibre + fluids
Avoid forceful toilet training
Consult a paediatrician for further management if needed.
This is most likely functional constipation, which is very common in 2-year-old children and usually starts after a painful hard stool makes the child start withholding stools out of fear. When stool stays inside longer, it becomes harder and larger, making passage more painful and worsening the cycle. This is not due to a serious disease in most children.
Next Steps
Your child needs regular stool softening for several weeks, not just for a few days. Continue a doctor-prescribed osmotic laxative like lactulose or polyethylene glycol daily until stools become soft and come every day or alternate day. Increase water, fruits, vegetables, and fiber in the diet and avoid excess milk, biscuits, and refined foods. Make her sit on the potty after meals daily to build a routine.
Health Tips
Never stop the syrup as soon as stools pass, as early stopping causes relapse. Do not force or scold the child while she strains. Encourage physical activity and plenty of fluids. See a pediatrician if there is blood in stools, weight loss, vomiting, or if constipation started from birth.
I understand your concern. What your 2-year-old is facing is very common at this age and is usually due to functional constipation, not a serious disease.
What is happening:
• A hard stool causes pain → child starts holding stool
• Holding makes stool harder → more pain next time
• This becomes a cycle, so stools come only every 3–5 days with struggle
Why syrups may not seem to work:
• Medicines alone cannot help unless diet, water, and toilet routine are corrected
• If the child is still holding due to fear, stools remain hard
What you can do (very important):
• Give plenty of water through the day
• Reduce excess milk (more than 500 ml/day worsens constipation)
• Daily include:
• Papaya, pear, apple (not banana daily)
• Vegetables, dal, soft rice, home food
• Avoid biscuits, bakery items, junk food
• Make her sit on potty after meals daily, calmly, without forcing
• Never scold—encourage and praise even small attempts
This condition improves slowly but does improve with consistency.
When to worry:
• Poor weight gain
• Vomiting, fever
• Continuous bleeding or swelling at anus
For proper examination and a long-term plan suited to your child, please contact me directly on Practo.
Dr. RS Pankaj
This condition is treatable but needs patience . Medicines must be continued long enough . Do not stop stool softeners once stool becomes normal,taper slowly under medical guidance.
You need to change your daughter dietary plan like Fruits: papaya, pear, apple (with peel), orange
Vegetables: pumpkin, spinach, carrot,Plenty of water,Warm fluids in the morning.please consult me if you want further management and better guidance .
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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