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Suggest Treatment For Persistent Constipation, Blood In Stool And Painful Defecation In A Child
Question: Hi sir...myself Dr XXXXXXX practicing anaesthesiologist in XXXXXXX
My 19 months old facing constipation since 3 months.The stools are tinged with blood.he cries a lot while passing stools.I am suspecting a fissure.his weight is 11 kg.
His diet includes toned milk diluted with water around 300 ml.he eats lots of pomegranates.
Plz give your expert opinion for manage this problem
Regards
Dr XXXXXXX
My 19 months old facing constipation since 3 months.The stools are tinged with blood.he cries a lot while passing stools.I am suspecting a fissure.his weight is 11 kg.
His diet includes toned milk diluted with water around 300 ml.he eats lots of pomegranates.
Plz give your expert opinion for manage this problem
Regards
Dr XXXXXXX
Brief Answer:
Need a rectal exam. continue lactulose.
Detailed Answer:
Hello Dr XXXXXXX
I would advise you to continue lactulose. You should visit a pediatrician or gastroenterologist to get a rectal exam done to confirm then presence of the fissure and to check the presence of a polyp. I suggest to get a TSH exam to rule out hypothyroidism.
In case the constipation persists after a week of lactulose you might need further investigations.
Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil
Need a rectal exam. continue lactulose.
Detailed Answer:
Hello Dr XXXXXXX
I would advise you to continue lactulose. You should visit a pediatrician or gastroenterologist to get a rectal exam done to confirm then presence of the fissure and to check the presence of a polyp. I suggest to get a TSH exam to rule out hypothyroidism.
In case the constipation persists after a week of lactulose you might need further investigations.
Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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