Doctor insights on:
Chronic Constipation Autism Autistic
Jonathan, 7, has autism. He's been having constipation for yrs and this time it's been 2 weeks since his last bowel. Given Dulcolax and paraffin.
See his pediatrician: for a thorough history, physical & abdominal X-ray. He may need a "clean-out" before using bulk laxatives to have soft stools every other day for at least 6 mos. When stools are soft, have him sit on the toilet for 15 minutes, 15 minutes after a meal, with his feet supported so his knees are flexed, while blowing bubbles, playing on iPad, etc. Diet &/or low muscle tone are usually the cause. ...Read moreSee 1 more doctor answer
Autism is a brain development disorder. It shows up in the first 3 years of life and affects communication and social interaction. Check out these 2 websites--autism society of america and autism speaks . Both are good informative websites . I have many autistic patients who do well. Be informed and seek an evaluation ...Read more
Each bout of toddlers chronic constipation is becoming increasingly more difficult to treat. Could there be a bigger problem?
Possibly: It is entirely possible that there is more to the story than just general constipation, but a behavioral component should also be considered. Children (especially toddlers) with long term constipation, particularly those subjected to frequent enemas or other procedures, may withhold stool intentionally which makes the problem much worse. ...Read moreSee 1 more doctor answer
What's the cause?: Doctors define constipation as stools less frequently than once every 3-4 days. Patients feel they are "constipated" when passing hard or small volume stool, or they feel full ; bloated. Had an x-ray to show you're not blocked? We don't know if your gut is sluggish or your rectum works correctly, or if there is something extrinsic to the gut causing problems. Your answer comes from evaluation. ...Read more
Prevent it.: Stay well hydrated (at least 8 - 8 ounces glasses of water per day). Try to get in 5 servings of vegetables and 4 servings of fruit per day – get that fiber in. Stay physically active with regular exercise. There are a number of over the counter laxatives that can be taken orally to help pass retained fecal matter. ...Read more
Change your diet and: Fluids. Eat a high fiber diet between 20-25 grams per day, regular meal times and drink 80-100 oz of caffeine free alcohol free fluids daily. If you exercise and should add 20 oz per 30 minutes of strenuous exercise. Some meds contribute to constipation so take the meds with full glass of fluid instead of a sip in addition to the above recommended fluids. ...Read more
I have a chronic constipation? I have tried everything. Nothing works! what must be done, pls. Advise.
See colon and rectal: If you have tried the usual measures (fiber, fluids and excersise and laxatives) and nothing is working, it's time to see a board certified colon and rectal surgeon. Basic workup might include a colonoscopy, a voiding proctogram, sits marker study and some basic lab tests including thyroid function tests. Hope this helps. ...Read moreSee 1 more doctor answer
Should be treated: It can significantly impact toilet training. Many toddlers learn to withhold their stools, leading to encopresis. Treat now! give more water, more fiber, and encourage rewards for bowel movements. Talk to your pediatrician about the right amount of dairy for your child, because too much milk is often a factor. ...Read moreSee 1 more doctor answer
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