Constipation

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Child is Constipated?

Let's see what will take care of this over-the-counter.
Pharmacist

First, you would want to know why your child is constipated.



Boy holding his stomach

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Constipation

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Is it constipation?

Thinking constipation because child is passing hard stools?
Pharmacist

 

Yes?

 

Is it because he or she is having difficulty passing stool?
Pharmacist

 

Yes?

 

Is it because of a bowel movement of less than 3 times a week.
Pharmacist

 

Yes?

 

Unable to pass stool after pushing for more than 10 minutes.

Is this why you are thinking constipation?
Pharmacist

 

Yes?

 

What about complaining of pain while passing stool.

Is that why you are thinking constipation?
Pharmacist

 

Yes?

 

Is it because of a sense of incomplete evacuation after stooling.
Pharmacist

 

Yes?

 


Those were viable reasons you would think your child is constipated.
Pharmacist

Let's continue if you are still thinking constipation.

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Constipation

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How serious is it?

Did the constipation start suddenly...

...And your child also have stomach pain?
Pharmacist

 

Yes?

 

 

Did it start suddenly and he or she also cannot pass gas

Or any stool?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Possible intestinal blockade.
  • Do not give any laxative until your child see a doctor.

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Is there blood when trying to empty the bowel

Or in the stool?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Need to rule out other causes which could be serious.
  • Even if you think it is hemorrhoids, your child still need to see the doctor.

Note that:

  1. Stool that is black usually means that the blood is coming from the upper part of the gastrointestinal (GI) tract(esophagus, stomach, and the first part of the small intestine).

  2. Bright red blood or maroon-colored stools may mean that the blood is coming from the lower part of the GI tract (large bowel, rectum, or anus)

Blood will usually look black like tar after it has passed through the intestines because it has been exposed to the body's digestive juices.

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With this constipation, is the child feeling bloated?

Or nausea and / or vomiting?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Possible mechanical obstruction.

This may require serious examination and tests by the physician such as:

  • flat and upright abdominal x-rays
  • water-soluble contrast enema to evaluate for colonic obstruction
  • barium x-ray of the small intestine
  • possibly a CT scan

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With this constipation, any tense stomach?

Or sharp stomach pains?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Possible mechanical obstruction.
  • This may require serious examination and tests by the physician

Nearest Clinic

 

Is this constipation alternating with watery diarrhea?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Your child may be looking at fecal impaction here. This is serious.
  • May also be looking at Irritable bowel syndrome.

Call now if the diarrhea contains:

  • Watery mucus
  • particles of feces
  • The child has stomach cramps.

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What about thin, pencil-like stools

In addition to feeling constipated?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Nearest Clinic

 

Has the child lost weight and you don't know why?

In addition to this constipation?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Nearest Clinic

 


Those were situations that require urgent care.
Pharmacist

Let's find out what may be causing the constipation.

Eliminating the cause is a much better way of getting rid of it and getting the bowels back to regular.

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Constipation

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What caused it?

Does your child delay going to the bathroom?

When he or she has the urge to go?
Pharmacist

 

Yes?
Major cause of constipation.
Pharmacist

One reason travellers always have constipation. Aside from having to sit in one place for a long time and lack of physical activity.

 

What about the diet?

Does it have enough fiber?
Pharmacist

 

No?
Try increasing the fiber in your child's diet.
Pharmacist

Discuss importance of fiber in diet.

 

Does he or she drink enough water?
Pharmacist

 

 

Is the child currently taking any these groups of medications?
Pharmacist

Such as:

  • Antihistamines
    Like Benadryl
  • Antispasmodics
    Like ..
  • Opioid pain relievers
    Like lortab
  • Iron
  • Calcium

 

Yes?
These can cause constipation.
Pharmacist

 


Other causes of constipation include stress.
Pharmacist

For instance, just having a new sibling in the family can cause constipation in a child because of the additional stress involved.

Let's continue and see what a pharmacist will recommend over-the-counter to help with this constipation that your child.

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Constipation

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How long?

How many days has it been since your child's last bowel movement?
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Pharmacist

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