4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
I am a mother of almost 3yr old son (2yr and 8 months)I have been on my toes for almost 2 years now because of his on and off constipation problem. Actually from the 1 year of age he started having difficulty in passing stool because of its hardness. I have tried everything , suppositories, laxative, home remedies, you name it and I have tried it. Now I am so desperate as he is so scared to go to washroom and it takes like an hour for him to do it. Dr even told me to give him pediatric enema and i have tried that too but the question is for how long?? Everything and every Dr seems to take it like as if its a very mild problem and give me normal advices. I am a desperate mother seeking for help. Please help me I can't see him in pain. Now one doctor told me that he has fissure in ano and that he'll need a surgery but my other problem is he still doesn't talk so what should I do? Will the doctor wait till he'll talk and then he'll do the surgery? Please help me!!!
Answer
Persistent constipation like this requires further evaluation. One may need to rule out conditions such as Hirschprung's disease etc. He may need a Barium enema and may be even a colonoscopy with biopsy to come to the correct diagnosis. Treatment in the meantime would be laxatives, suppository or even enema. Also remember the problem has started a year back most likely at the time of toilet training and investigations may not show anything and it could all be a vicious cycle of improper toilet training and fear and constipation and leading to further constipation.
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