
Suggest Treatment For Hard Stool And Anxiety Due To Painful Defecation In A Child

and due to pain she avoids to do the stools.
Ensure high fiber diet
Detailed Answer:
Hello,
Greetings of the day.
Majority of the cause of constipation in children is related to diet factors. Its more common among those children who have the following
1. Diet mainly consists of milk based feeds
2. Decreased intake of water
3. Presence of painful anal condition like anal fissure
I would suggest you the following which will definitely help
1. Reassessment of symptoms by Pediatric Surgeon: Who would like to rule out fissure in anus or Hirschsprung's disease as cause of symptoms
2. Ensuring adequate intake of water: One cup of plain water 1 hour before and one hour after feeds will ensure adequate intake of water which will help in making the consistency of stools soft
3. High fiber diet: 2 serving of vegetable salad and citrus fruits a day will be very helpful in ensuring adequate fiber intake
4. Retention Enema will be helpful in evacuating stools in rectum
5. Toilet training: Ensure that child sits on potty bin for 15-20 minutes everyday at fixed time. Do not be rigid.
6. Avoid diet containing maida(refined wheat flour) like Bread , biscuits, rusk
In case you need any further assistance, will be glad to assist you.
Wishing you happy and healthy life
Take Care
Best Regards
Dr Deepak K K
MBBS,MS,MCH
Consultant Paediatric Surgeon

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