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Abstract: The child was a 9-month-old male, and his parents said that he had not had a bowel movement for 7 consecutive days, and that he had been able to defecate once every 2-3 days when he was exclusively breastfed 6 months ago. The constipation improved after the child was given medication and diet modification.
Basic information】Male, 9 months old
Type of disease】Infant constipation
Hospital】Shanghai Sixth People’s Hospital
Consultation date】April 2021
Treatment plan】Topical medication (Kaixeluo) + oral medication (Bacillus subtilis diphthongensis pellets) + diet adjustment (reduce refined pasta, increase intake of vegetable puree and fruit puree)
[Treatment period] 7 days of outpatient treatment
Treatment effect] The stool situation improved significantly, and he was able to defecate on his own every two days or so.
I. Initial consultation
The child had not had a bowel movement for 7 days in a row and had been crying at night, with a red face, two legs stirring and farting all the time. On examination, her stomach was distended, and she had a bulging sound on percussion and kept farting. After detailed history, the child was exclusively breastfed until 6 months old and had normal stools at that time. Therefore, it is considered that the infant’s constipation is caused by improper addition of supplementary food and unreasonable food structure.
II. Treatment history
Because the child’s stomach was distended and he kept wriggling his body, he did not have a bowel movement for 7 days, so he was given a laxative once. The parents were advised to adjust the dietary structure at home, eat less rice flour and rice paste and more vegetable and fruit puree, and then take oral Bacillus subtilis diphtheriae pellets to regulate the intestinal flora, and usually give him more abdominal massage.
Third, the effect of treatment
After 7 days of treatment, the parents said that the child could generally pass stool once every 2 days, and basically it was mainly in the form of yellow thick paste.
IV. Notes
I am glad that after the dietary adjustment, the child did not have constipation again. However, the prevention of constipation is a daily task, and parents need to insist on it every day so as to prevent the recurrence of constipation from the root. Constipation is very common in infants, and its causes are mainly related to their own constitution, intestinal peristaltic ability, and unreasonable complementary food. Therefore, parents are advised to pay attention to doing exhaustion exercises for their children after feeding, and to properly press and rub their abdomen, which can help them digest and exhaust, and also help prevent intestinal flatulence and promote bowel movement.
V. Personal insight
Therefore, the child in this article is prone to constipation after eating processed food for a long time.
For children with constipation, it is usually recommended to first adjust the diet structure, then increase abdominal massage, exhaustion exercises, and oral medication to regulate the stomach and intestines, and if there is no bowel movement, it is necessary to use corkage to promote bowel movement.