Science: What to do if your baby is constipated?

With the changes in dietary structure and habits nowadays, more and more children are plagued by constipation! From toddlers as young as a few years old to teenagers, all of them are suffering from constipation to a greater or lesser extent. Constipation in children is a condition in which stools remain in the intestinal tract for too long, resulting in fewer bowel movements (<2 bowel movements per week), longer intervals between bowel movements, or a difficult and laborious bowel movement with dry stools even though the intervals aren't too long. According to the different causes, constipation can be divided into organic constipation and functional constipation. Organic constipation: Organic constipation is relatively rare, and it is not difficult to diagnose with the help of physical examination, color ultrasound, gastrointestinal imaging and other means. Surgical treatment is generally required. Congenital megacolon, anorectal malformation, neurogenic constipation, etc. Functional constipation: most of the children's constipation is due to functional constipation, although there is no organic change, but because of the long duration of its symptoms, long lasting, the child suffers, the parents are worried. Functional constipation common causes: 1, diet is too little: when children eat too little, food digestion, liquid is absorbed, the remaining food residue is too little, the intestinal wall stimulation is insufficient, intestinal peristalsis is reduced, stool discharge delay; diet is too little will also cause malnutrition, abdominal muscles and intestinal function is weakened, but also aggravate the constipation, the formation of a vicious circle. 2, improper dietary structure: the number and character of stools are closely related to the dietary structure. If the child serious partiality, meat, fine grains eat more, fruits and vegetables and other food containing crude fiber to eat less, or less water, less food residue in the stool, less intestinal stimulation, intestinal peristalsis will be weakened, stool is easy to dry, not easy to discharge. In addition, if there are fewer carbohydrates, dysbiosis, bacterial fermentation is weak, the stool is alkaline and dry; on the contrary, when there are more carbohydrates, the bacterial fermentation is strong, and the stool is acidic and soft. If there is a long-term lack of vitamin B1 in food, it will cause the function of intestinal wall ganglion cells to be impaired, and intestinal paralysis will occur. 3, did not develop good defecation habits: children with poor self-control, it is difficult to develop regular defecation habits, and thus can not form a good defecation reflex, long-term retention of stools, can eventually cause the intestinal wall dilatation, resulting in constipation. In addition, some mental stimulation, such as shock, environmental changes, mental stress, learning pressure and other factors, will make the bowel reflex inhibited, thus appearing constipation. 4, gastrointestinal power abnormality: some gastrointestinal power abnormality caused by constipation, also not uncommon. Including some congenital anomalies, and the influence of some drugs later in life. Children's constipation treatment: how to treat constipation? The purpose of constipation treatment is not only to relieve the symptoms by temporary laxative, but also to solve the causes of constipation, restore normal intestinal function, and develop good eating and defecation habits. 1.Reasonable diet: Diet should be reasonably coordinated and nutritionally balanced, and more food containing rich dietary fiber, such as vegetables, fruits, coarse grains and so on. Correct the habit of partiality and picky eating, and eat regularly. Ensure enough water intake. 2, exercise defecation habits: defecation is a complex conditional emission, defecation habits need repeated exercise, generally 2-3 weeks can be developed. It is best to squat on the potty every morning and not to change the time arbitrarily. Parents should be patient and encourage rather than reprimand! 3, appropriate activities: appropriate activities can promote intestinal peristalsis, effective relief of constipation. Infants and young children can do passive gymnastics, clockwise gentle abdomen, 2-3 times a day, 10-15 minutes each time. 4, psychological behavioral therapy: eliminate the child's nervousness, do not exert too much pressure. Try to create a comfortable and relaxing learning and living environment. 5, biofeedback therapy: commonly used biofeedback treatment programs are: strengthen the perianal muscle strength biofeedback training, improve rectal sensory threshold biofeedback training, shorten the sphincter response time biofeedback training, the establishment of anal sphincter contraction reflex biofeedback training, change the defecation dynamics biofeedback training. 6, drug therapy: (1) laxatives: magnesium sulfate, liquid paraffin, phenolphthalein. The latter two are not only not absorbed, but also hinder the absorption of water in the intestine. (2) osmotic laxative: lactulose, polyethylene glycol, etc., through high permeability, so that the water stays in the intestinal tract, the airway softens the role of stool. (3) Bulking agents: wheat fiber, etc. Increase the volume of stool, enhance the stimulation of stool to the intestinal tract, reduce the time of stool through the intestinal tract. (4) Lubricants: corkscrew or warm saline enema. (5) Gastrointestinal power drugs: morpholine, etc. (6) Microecological agents: improve intestinal flora imbalance, produce organic acids to promote intestinal peristalsis, and improve digestive function, promote defecation. Many parents responded that their children ate a lot of medicines and paid close attention to their diets, but constipation still could not be relieved. It is worth noting that the treatment of constipation is a comprehensive treatment, should be adjusted dietary structure, cultivate good eating, defecation habits, supplemented by drug therapy.