What is the treatment of pediatric constipation

Pediatric constipation is very common in clinical practice and is prone to recurrence after treatment. The etiology and pathological changes are very complex. The main two types of constipation are neurological and mechanical, such as anal stenosis, megacolon, redundant sigmoid colon, and spinal cord embolism. These cases will eventually require surgical solutions. At the same time, medical consultation can be requested to exclude hypothyroidism, hyperparathyroidism, hypercalcemia, cystic fibrosis and other metabolic abnormalities and some psychological diseases. 2, fully mobilize parents and children’s enthusiasm and initiative, so that parents and children understand the causes of constipation and explain the necessary knowledge of the physiological functions of the anus and intestines, and cooperate with the treatment. 3.At the early stage of treatment, diet should be adjusted, cultivate good bowel habits, such as drinking more water, eating more vegetables and fruits, regular daily defecation, such as after meals, just when the gastrocolonic reflex, let the child squatting basin defecation, defecation should not be distracted attention should be highly concentrated, defecation force correct, try to find the feeling of defecation, each defecation should be completely empty, squatting basin time control in about 10 minutes, too long easily The time of squatting is limited to about 10 minutes, too long time may cause fatigue and boredom of the child, each bowel movement should be completely emptied, if it can not be emptied can use suppositories or corkage. Parents or teachers should help and supervise the child daily until the habit is established. If it is in the nursery, kindergarten group living conditions, by the aunt or teacher guidance, and take collective encouraging training, the effect is much better than the family training for only children. 4, such as after adjusting the diet, develop good stool habits after a month still no significant improvement, with drug therapy using enemas, taking probiotics, open cork and laxatives, the purpose of the drug is to soften the stool, to avoid dry and hard stool, causing anal fissures, blood in the stool and pain, so that children fear defecation, drug dosage is mainly based on the stool hardness rather than the number of stool adjustment, with taking drugs for a longer period of time, should be gradually reduced The dosage should be gradually reduced as the time of taking the drug increases. 5, through the above treatment is still no improvement, can use biofeedback therapy, biofeedback is the use of various technologies, in the form of visual and auditory display of certain physiological activities in the body, through guidance and self-training conscious control of these physiological activities to promote functional recovery methods, biofeedback provides us with a non-invasive, painless, economic, drug-free side effects of the treatment method, while the method can fully mobilize At the same time, this method can fully mobilize the subjective initiative and enthusiasm of the child to overcome the disease, and use the will and subjective efforts to adjust or change their own pathological state, and can avoid the pain of surgery. Biofeedback therapy should be started after the age of 3 years, and its efficacy is improved by increasing cooperation with age, and training should be conducted during the summer vacation every year as much as possible to achieve bowel control. Follow-up results that biofeedback can last for a long time, but the cure rate has a tendency to gradually decrease, should be a certain interval of time after intensive treatment again. 7, the hospital with conditions in the use of biofeedback treatment at the same time with myoelectric stimulation treatment of pediatric constipation, the application of surface electrodes indirectly stimulate the rectal wall and external anal sphincter can make muscle tension, promote muscle fiber transformation, increase the therapeutic effect. Constipation is mainly due to the incoordination of the pelvic floor muscle groups. It should be trained for them. In conclusion, pediatric constipation is a common clinical symptom, but the etiology is diverse and the influencing factors are complex, so physicians, parents and children need to cooperate with each other and patiently carry out comprehensive treatment in order to achieve good results.