Brief Answer: Give him one dose of Bisacodyl suppository Detailed Answer: Namasthe Welcome to Healthcare-Magic Greetings of the day It's quite common to see children not pass stool for couple of day. You should definitely continue giving his feeds and not starve him. If there is no distension of abdomen and he is accepting feeds well the there seems to be no cause for concern. I usually advice the parents the following which I am sure will help your nephew too 1. Single insertion of rectal suppository like Bisacodyl ( 5 mg Pediatric suppository) will definitely lead to bowel evacuation. 2. Even if there is no passage of stools and the child is comfortable, accepting feeds, no distension of abdomen. Then there is no cause for concern. Leave the issue alone and the child should spontaneously have bowel movements. By 3 years of age the child should be toilet trained, which means the child should be able top tell that it is about to pass stools and he or she paases the stools at appropriate site. I would also advise the following to prevent constipationI future. Prevention is all always better than cure. 1. Give him adequate quantity of water 1 hour before meals. 2. Avoid purely only milk based feeds: milk is definitely necessary for the child as it is required for development and it is the most nutritious natural fluid. Apart from giving milk, supplement his diet with fiber containing foods-- vegetable salad, apple( do not remove the skin of the XXXXXXX to make it palatable cut into small pieces m add milk and sugar to it) 3. Avoid giving juices- Extraction of juice from fruit deprives the nutrients and fiber from the fruits. It's almost equivalent to giving fructose syrup. Give whole fruits instead of juices 4. Avoid constipation causing diet: biscuits, cookies, bread, chocolate 5. Rule out any painful local condition of anus like fissure which could be the cause of constipation. I advice the Parents to implement these in daily care of child. It has helped all and I am sure will help your nephew too. I would reassure you again that in case of your nephew there is no cause for concern. I hope it helped. In case you require any further assistance, will be glad to assist you. Take care Best Regards Dr Deepak Kishore MBBS, MS, MCH Consultant Pediatric Surgeon

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Brief Answer: Diet modification will be helpful Detailed Answer: Greetings There is no cause for occasional hard stools like this . Just diet modification will be helpful. I hope it helped. Wishing you and your family a very happy new year 2014. Take care Best Regards Dr Deepak Kishore MBBS, MS, MCH Consultant Pediatric Surgeon

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