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Persistent hard stool despite  treatment
Hello dr, My baby is 20 months old. He has been having constipation issues for quite some time. Despite the measures I am taking, he is still passing hard, pebble-like stools, sometimes followed by softer stools. Currently, I am giving Duphalac 8ml per day from 3 months, Prunes 2 per day, Adequate water intake, Fruits and fiber-rich foods as per age. Even with this, he often strains and passes hard stools, and the area around the anus sometimes looks irritated. I am worried about whether 1. The current dose is sufficient or needs adjustment .2. Any other medicine or dietary change is required. 3. This could be related to any underlying issue Kindly guide me on the next steps.
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Consult physically to nearby pediatrician
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I need to ask few more questions before answering your query. Early consultations can prevent complications. Kindly contact me on whatsapp chat  (84960595 six five) Dr Faisal Zoheb MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn and vaccination specialist )
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Need consultation for details assessment tq
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided. Contact me on Practo or WhatsApp chat. Contact number: 97012307 two nine Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology
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Looks like chronic constipation. Kindly consult with me through practo app consultation or WhatsApp me on 898676eight five six eight for consultation.
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Consult with Pediatrician physically for further evaluation and treatment
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Chronic constipation requires in-person evaluation along with previous reports to take a call.
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Kindly consult once for discussion
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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.