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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Recurring Episodes Of Constipation In An Infant

Hi doctor! My girl is 1yr 1month old, she is been precribed:- Betonin 5ml BD, tonoferon 1ml after lunch, calcimax 5ml BD. For 1 month, she is having repeated episodes of constipation, doctor have checked that her blood report found is having no anemia. She is perterm baby born in 34th week.she is active baby, I am worried she does very hard stool like pallates and then the soft one, i worried that she doesnt develop habit of constipation. I working mother & I am worried about her health. Where i can correct my self.
Tue, 21 Apr 2020
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Pediatrician,  's  Response
Hi,

Many factors can contribute to constipation in babies. In such babies coming to me, I used to suggest few dietary changes- Include lot of fibre rich items in diet and to drink enough water. Fibre combined with water can loosen stools. Fibre rich items include wholegrain cereals, oats, fruits, sweetcorn, carrot, broccoli, sweet potato, peas/beans and many other fruits and vegetable. Always prefer whole grain wheat/rice over refined ones.

Initial de-loading with bisacodyl suppository and a short course of laxatives like lactulose or cremaffin will help most of the cases. They are them maintained on the above said measures. Regular toilet habits is also important. Habitual retention can further worsen the situation. For occasional resistant case, I used to order thyroid function test and serum calcium, followed by barium study if needed.

Also, iron supplement (tonoferon) can contribute to constipation. Since he has passed infancy and anemia is ruled out, you can request your doctor to whether we can discontinue iron(in preterms, we usually give till 1 year).

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

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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Suggest Remedy For Recurring Episodes Of Constipation In An Infant

Hi, Many factors can contribute to constipation in babies. In such babies coming to me, I used to suggest few dietary changes- Include lot of fibre rich items in diet and to drink enough water. Fibre combined with water can loosen stools. Fibre rich items include wholegrain cereals, oats, fruits, sweetcorn, carrot, broccoli, sweet potato, peas/beans and many other fruits and vegetable. Always prefer whole grain wheat/rice over refined ones. Initial de-loading with bisacodyl suppository and a short course of laxatives like lactulose or cremaffin will help most of the cases. They are them maintained on the above said measures. Regular toilet habits is also important. Habitual retention can further worsen the situation. For occasional resistant case, I used to order thyroid function test and serum calcium, followed by barium study if needed. Also, iron supplement (tonoferon) can contribute to constipation. Since he has passed infancy and anemia is ruled out, you can request your doctor to whether we can discontinue iron(in preterms, we usually give till 1 year). Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician