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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Constipation And Rectal Bleeding In Children?

After 3/4 of a bottle of magnesium citrate my 8 year old still hasn t had a good bowel movement. She was recently in the hospital for severe constipation and rectal bleeding they recommend a half a bottle but after 6 hours I gave her another 1/4. Still no bowel movements 9 hours later any suggestions?
Wed, 8 Apr 2020
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General Surgeon,  's  Response
Hello,

As per my surgical experience, many of the pediatric patients do have loaded colon with impacted stool due to severe constipation, which does not respond to oral medications as magnesium citrate and others.

Following measures prove best for such situation:
- If the consultant surgeon has confirmed hard stool by per rectal examination then

@ Manual evacuation of hard stool with gloves on hand by expert surgeon
@ Soap water enema
@ Glycerine suppositories (pediatric dose)

However, individual case is always different and rest causes of acute constipation have to be ruled out via expert consultant before head.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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How To Treat Constipation And Rectal Bleeding In Children?

Hello, As per my surgical experience, many of the pediatric patients do have loaded colon with impacted stool due to severe constipation, which does not respond to oral medications as magnesium citrate and others. Following measures prove best for such situation: - If the consultant surgeon has confirmed hard stool by per rectal examination then @ Manual evacuation of hard stool with gloves on hand by expert surgeon @ Soap water enema @ Glycerine suppositories (pediatric dose) However, individual case is always different and rest causes of acute constipation have to be ruled out via expert consultant before head. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon