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Servere constipation 20 mnths old kid
Hi Doctor,
My daughter 20 months(9 kg) and she is active active but she has been suffering from severe/chronic constipation for the past 2 months. We have been giving her Duphalac for the last 3–4 days, but there has been no noticeable improvement yet.
We are also trying dietary changes:
* Giving fibre-rich fruits like papaya and watermelon
* Ensuring she drinks around 500 ml of water(including juice)daily
Despite this, she is still having difficulty passing stools.
Could you please advise:
* What could be causing this prolonged constipation?
* Whether the current treatment is sufficient or needs adjustment?
* Any dietary or lifestyle changes we should follow?
* Whether any tests or specialist consultation are needed?
Thank you.
Answers (4)
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )
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Most constipation cases at this age are functional constipation related to stool withholding, diet, low fluid intake, or painful hard stools. Duphalac may take a few days and sometimes dose adjustment or longer duration treatment is needed under pediatric guidance. Continue fibre-rich diet, adequate water, fruits like papaya/pear/prunes, and regular toilet sitting habit after meals. Excess milk/junk food may worsen constipation in some children. Pediatric evaluation is advised if there is poor weight gain, vomiting, abdominal distension, blood in stools, severe pain, or if symptoms persist despite treatment, as examination and occasionally further tests may be required.
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
Don't worry this is common in kids
So try to put fibre Rich diet like banana , apples , carrot, keera etc
Give more liquids so that constipation will be relieved
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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.