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Constipation

 

 

Hi Dr. Mike!

 

I was reading a question and answer session from another parent and hope you can help me, as well. My daughter is 5 1/2 months old, born 3/14/02. She is exclusively breast fed and has never had a problem having a BM until about five weeks ago. Her stool was watery and seedy, then changed into a thicker consistency, which she was able to pass for a week or so. She then began to struggle, cry, her tummy would get hard and she had no results. Finally, after five days, I tried a suppository and viola! It was in about 5 seconds, shot out with huge results.

 

A few days passed, no results. I called her Dr. and she suggested juice, which I did syringe feed her. (Prune). That made her stool thinner but once again, no BM. It seems to me her rectum isn't working. The stool is right there but it just cannot pass. This may sound silly, but my mother and mother in law both said that we (my husband and I) had to have our rectums stretched when we were babies. Does that sound normal or is this mid-evil torture? Do you have any suggestions on which type of MD to call? I feel so bad for my little sweetie, I can't stand to see her on pain and hope to get some help soon. Does my description sound anything like Outlet Obstruction Type Constipation? How is this treated? Thanks much, Mrs. B

 

 

Hi Mrs. B, First, I'll start with the "torture" question. Did you and your husband get your rectums "stretched", or did you both need a rectal exam, where the doc puts his finger in your rectum, and checks to make sure everything is okay?

 

I think that your baby is most likely going through a natural "growing up" of his bowels. Bowel movements change now, especially if you are giving some solids to him (e.g. rice cereal). I would be inclined to treat him with prune juice or Karo syrup and see how it goes for the next few weeks.

 

I, also, think that it's too early to see a specialist (pediatric gastroenterologist), or to make any specific diagnosis other than constipation. Try and be patient, and use the home remedies (prune juice and karo syrup) for a few more weeks. If still no improvement is noted, then address or re-address it with your doc. I hope that helps. Dr. Mike

 

 

This article was reviewed 04/23/2010 07:24 AM

 

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