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Symptoms:

  • Hard, dry stools that come infrequently.
  • Sometimes cause pain and bleeding during BM.
  • No BM longer than 4 days (exception – exclusively breast fed infants may go longer periods up to 7 days).

Treatment:

Infant (0 – 2 months)

  • Try using a well lubricated thermometer or Q-tip to stimulate the rectum.
  • Give 1/2 – 1 oz prune juice mixed with an equal amount of water once daily as needed.
  • If these steps do not work, call for further consultation during regular office hours.

2 months – 1 year

  • Above treatments.
  • Limit binding foods such as bananas, rice cereal, and applesauce.
  • Increase high fiber content foods (fresh fruits and veggies).
  • Add fruit juices to diet (no more than 8-10 oz per day).
  • A warm bath may decrease abdominal cramps and encourage a BM.
  • If these steps do not work, call for further consultation during regular office hours.

Over 1 year

  • Above treatments.
  • Limiting binding foods above plus excessive dairy products (milk >16-20 oz a day, cheese, yogurt).
  • Increase high fiber foods including bran, whole grains, oatmeal, (popcorn if over 3 years of age).
  • May try pediatric glycerin suppository once or twice.
  • If these steps do not work, call for further consultation during regular office hours.

Category: Common Illnesses

← Constipation