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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation In 2 Year Old?

I have a 2 year old.She has had a constiption problems from day one.I have took her to the doctor so many times.She uses MiraLax eveday.She been on Miralax for a year.If she doesn t use Miralax she has a problem using the bathroom.She had a x-ray and they said she was constipated.I feel a 2 year can live on Miralax.I talk to her dr about this all the time.She tells me that it is her diet.I was wondering if it is something bad wrong?I worry about everthing.I was reading about it on the computer and Neuroblastoma came up.I have lost sleep over this.Would the x-ray show if she had any of that?Now this week she tells me her right side on her lower back hurts.Please help
Tue, 19 Sep 2017
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Pediatrician 's  Response
constipation​in children is due to many causes mainly hypothyroidism, intestinal pseudo obstruction,hisprung disease.

these are following causing constipation in children from birth

NONORGANIC (FUNCTIONAL)—RETENTIVE
ANATOMIC

Anal stenosis, atresia with fistula
Imperforate anus
Anteriorly displaced anus
Intestinal stricture (postnecrotizing enterocolitis)
Anal stricture

ABNORMAL MUSCULATURE

Prune-belly syndrome
Gastroschisis
Down syndrome
Muscular dystrophy

INTESTINAL NERVE OR MUSCLE ABNORMALITIES

Hirschsprung disease
Pseudoobstruction (visceral myopathy or neuropathy)
Intestinal neuronal dysplasia
Spinal cord defects
Tethered cord
Spinal cord trauma
Spina bifida
DRUGS
Anticholinergics
Narcotics
Methylphenidate
Phenytoin
Antidepressants
Chemotherapeutic agents (vincristine)
Pancreatic enzymes (fibrosing colonopathy)
Lead
Vitamin D intoxication

METABOLIC DISORDERS

Hypokalemia
Hypercalcemia
Hypothyroidism
Diabetes mellitus, diabetes insipidus

INTESTINAL DISORDERS

Celiac disease
Cow’s milk protein intolerance
Cystic fibrosis (meconium ileus equivalent)
Inflammatory bowel disease (stricture)
Tumor
Connective tissue disorders
Systemic lupus erythematosus
Scleroderma

PSYCHIATRIC DIAGNOSIS

Anorexia nervosa

get evaluated from your pediatrician
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What Causes Constipation In 2 Year Old?

constipation​in children is due to many causes mainly hypothyroidism, intestinal pseudo obstruction,hisprung disease. these are following causing constipation in children from birth NONORGANIC (FUNCTIONAL)—RETENTIVE ANATOMIC Anal stenosis, atresia with fistula Imperforate anus Anteriorly displaced anus Intestinal stricture (postnecrotizing enterocolitis) Anal stricture ABNORMAL MUSCULATURE Prune-belly syndrome Gastroschisis Down syndrome Muscular dystrophy INTESTINAL NERVE OR MUSCLE ABNORMALITIES Hirschsprung disease Pseudoobstruction (visceral myopathy or neuropathy) Intestinal neuronal dysplasia Spinal cord defects Tethered cord Spinal cord trauma Spina bifida DRUGS Anticholinergics Narcotics Methylphenidate Phenytoin Antidepressants Chemotherapeutic agents (vincristine) Pancreatic enzymes (fibrosing colonopathy) Lead Vitamin D intoxication METABOLIC DISORDERS Hypokalemia Hypercalcemia Hypothyroidism Diabetes mellitus, diabetes insipidus INTESTINAL DISORDERS Celiac disease Cow’s milk protein intolerance Cystic fibrosis (meconium ileus equivalent) Inflammatory bowel disease (stricture) Tumor Connective tissue disorders Systemic lupus erythematosus Scleroderma PSYCHIATRIC DIAGNOSIS Anorexia nervosa get evaluated from your pediatrician