Constipation In Children

When it comes to gastrointestinal disease, people often focus on diarrhea, but in fact, constipation (TB) is also very common in children and is often overlooked because it doesn't affect the health much. strong. However, TB can cause unpredictable consequences, typically anorexia, delayed weight gain and even malnutrition.

When is it called TB?
Children who have fewer than 3 bowel movements in a week can see if they have TB. The stool of a TB child is usually hard, lumpy, or sometimes blocky, which can block a toilet

.
However, it should be noted that the number of bowel movements of normal children varies greatly by age and by diet. On average, infants who are breastfed less than 3 months, have bowel movements 3 times / day but can spend more than 10 times / day or vice versa more than a week to spend one time but still not called TB if stool is still soft and still suckling, Goodnight.
For bottle-fed babies, the average number of bowel movements per day from birth to 3 months is 2 times, from the sixth month onwards is 1 8 times; From 1 year old to 1.



4 times and when the child is 3 years old, only 1 time.
Some children often have to twist, blush, two feet on the abdomen for a long time to digest, soft stool without blood. This is the "learning period" of children, completely normal, then children will spend more easily when growing up.
Why do children have TB?
The cause may be pathological or functional. Illness usually does not go away on its own, or is accompanied by other abnormal symptoms and malnourished children often.
There are many causes such as: large intestine, anal stenosis, intestinal movement disorders due to neurological abnormalities, metabolic endocrine diseases, neurological diseases, muscle . .




For this cause group, it is necessary to treat the original disease to resolve the TB. The following symptoms should be noted for taking the child to a health facility promptly: delayed meconium digestion for more than 24 hours, stool size, weight loss, malnutrition, abdominal distention, abdominal or anal pain, vomiting and nausea, fever, blood loss.
TB due to functional causes is very common. Called function because the child does not have any other disease except TB.
Factors that make children vulnerable to TB are: an unbalanced diet, lack of fiber; have recently changed their diet (breast milk changes to cow milk, soft foods to hard foods); because children don't drink enough water; the child refrains from feeling defecation for fear of pain, playfulness, fear of strange places; Sometimes after a stress such as illness, relocation, transfer, class transfer, the child also has TB.
What are the consequences of TB?
TB can cause a "local" harm that causes the baby to have pain due to anal fissures, which can make him bleed more often when he has bowel movements.
The longer the baby holds the stool, the longer it will remain in the body, the bigger and harder it will be, which makes it more difficult for the baby to try the next time and it can easily tear the anus and cause pain and bleeding. Baby holds more.




Therefore, the harmful effects of this vicious cycle become larger and bigger, and eventually the stool that hardens in the rectum gets bigger, so the baby cannot hold it anymore, so he will split the stool into his pants (in folk often called shit) .
This makes children really ashamed and scared so they will cower, not participate in school activities like their peers. In addition, stagnant stools can harm children anorexia, slow weight gain, even malnutrition.
When is the child at risk of TB?
Special TB usually occurs at 3 times: after starting to eat cereal and ground fruits, during the potty / toilet time period, after starting school. Knowing these risk times, it will be easier for parents to help your baby prevent TB.
- Weaning stage: a baby who is from breastfeeding or bottle-feeding to solid foods may have TB due to not eating enough fiber and not drinking enough water.
- Practice potty or toilet: babies are at risk for TB in this period for many reasons:
+ Diet is still highly dependent on milk so it is easy to be lack of fiber.
+ If your baby doesn't like or isn't ready to sit in the "new place", they may try to hold back, which can lead to TB.




+ Your child has stools or pain while having bowel movements longer or stops to prevent from having to use the potty.
- Attendance: some children are reluctant to use the toilets at school because they are unfamiliar or too "public", which can lead to stopping bowel movements.
How to treat TB?
Treatment of functional TB consists of the following sections: stool removal (when the stool closes too hard in the rectum, usually in a hospital) - maintenance (usually in combination with medication, for a short time, depending on whether the TB has been long or fast.
Generally it usually takes a few months) - adjust your behavior and lifestyle (develop good bowel habits, detect and eliminate the motivating factors mentioned above).
In addition, parents should pay attention to breastfeeding because breast milk provides appropriate nutrition, easy to absorb, children with less TB. When feeding solid foods, need to balance the group of substances, including fiber ...



and let children drink enough water..

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