Constipation can be very mild to very severe. Constipation is generally assessed by BRISTOL STOOL SCALE. This scale has seven sub types based on mild to severe.<\/p>\n\n\n\n
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There are many causes of constipation. The most common are<\/p>\n\n\n\n
\u2022 Poor or abnormal motility<\/p>\n\n\n\n
\u2022 Low tone or hypotonia<\/p>\n\n\n\n
\u2022 Structural anomalies<\/p>\n\n\n\n
\u2022 Neuromuscular anomalies<\/p>\n\n\n\n
\u2022 Metabolic\/toxic or allergic abnormalities<\/p>\n\n\n\n
\u2022 Lack of urge to defecate<\/p>\n\n\n\n
\u2022 Specific Syndrome where constipation is common<\/p>\n\n\n\n
\u2022 Diet containing poor fluid and poor fiber<\/p>\n\n\n\n
\u2022 No mobility or poor mobility (Immobility)<\/p>\n\n\n\n
\u2022 Post surgical procedures<\/p>\n\n\n\n
- Consuming medicines such as strong pain killer( narcotics), non-steroidal anti-inflammatory drugs, like ibuprofen, medicines used as an antidepressant, including the selective serotonin reuptake inhibitors, antacids containing calcium or aluminum, iron pills, allergy medications, such as antihistamines, certain blood pressure medicines, including calcium channel blockers, psychiatric medications, anticonvulsant\/seizure medications, anti-nausea medications, etc<\/li><\/ul>\n\n\n\n
- Medical and health conditions such as endocrine problems, spinal cord injury, lazy bowel syndrome, etc<\/li><\/ul>\n\n\n\n
Treatment of constipation is a complex method so prevention should be the first goal to manage children who are constipated. Following steps to be taken<\/p>\n\n\n\n
\u2022 Increase fluid (1500-2000 ml per day)<\/p>\n\n\n\n
\u2022 Increase fiber slowly (25-30 gm per day)<\/p>\n\n\n\n
\u2022 Increase exercise<\/p>\n\n\n\n
\u2022 Safeguard visual and auditory privacy<\/p>\n\n\n\n
\u2022 Bowel Training (after waking or meals)<\/p>\n\n\n\n
- Squat position or Left side lying while bending knees and moving legs toward the abdomen<\/li><\/ul>\n\n\n\n
Separate exercise programs for all three groups<\/p>\n\n\n\n
\u2022 For fully mobile, who can walk independently in the community<\/p>\n\n\n\n
\u2013 15-20 minutes walking twice per day, five times per week<\/p>\n\n\n\n
\u2022 For Limited mobility, who can walk under supervision with or without assistive devices<\/p>\n\n\n\n
\u2013 50 feet twice per day<\/p>\n\n\n\n
\u2022 For immobile, who uses wheel chair or no active form of mobility<\/p>\n\n\n\n
\u2013 Pelvic tilt, low trunk rotation and single leg lift<\/p>\n\n\n\n
A new but novel method in the form of massage can be effective also<\/p>\n\n\n\n
An intestinal massage consists of circular, clockwise movements along the line of the colon by using the hands, permeating the ascending, transverse, and descending colon, for a period of 5\u201310 minutes, preferably 30 minutes after a meal, when gastrocolic and duodenocolic reflexes cause mass movements in the large intestine. An abdominal press assists in the expulsion of fecal matter, and it should be performed concurrently with an intestinal massage, by pressing the legs flexed on the abdomen. This maneuver is not indicated for patients with hip dislocation, as it may increase their pain.<\/p>\n\n\n\n
Children who are constipated should avoid eating or drinking foods with little or no fiber, such as: ice cream, fast food, chips, cheese, prepared foods, processed foods, excessive amounts of whole milk<\/p>\n\n\n\n
Medical and surgical management is necessary for those children where preventive measures are not fruitful.<\/p>\n\n\n\n
Medications<\/strong><\/p>\n\n\n\n
Mostly Laxatives are prescribed. Such as<\/p>\n\n\n\n
- Fiber supplements<\/li>
- Stimulants<\/li>
- Osmotics<\/li>
- Lubricants<\/li>
- Stool softeners<\/li>
- Enemas and suppositories<\/li><\/ul>\n\n\n\n
When laxatives are not enough to improve the condition, other medications are included. Such as Serotonin 5-hydroxytryptamine 4 receptors, etc<\/p>\n\n\n\n
Surgery<\/strong><\/p>\n\n\n\n
Surgery is rarely needed to treat constipation. It is recommended if constipation is caused by a structural problem in the colon.<\/p>\n\n\n\n
If your child has neurodevelopmental disorder and it is associated with constipation, please contact us for detail assessment and management of this condition. We are here to help you. You can connect us through<\/p>\n\n\n\n
Mail: helpicd@gmail.com Whatsapp @ +91-7838809241<\/p>\n","protected":false},"excerpt":{"rendered":"
Constipation is a condition where a person cannot pass stools regularly or unable to completely empty his \/ her bowel. Constipation also causes stools to be hard and lumpy and sometimes very large or small. The severity varies … <\/p>\n
- Squat position or Left side lying while bending knees and moving legs toward the abdomen<\/li><\/ul>\n\n\n\n
- Medical and health conditions such as endocrine problems, spinal cord injury, lazy bowel syndrome, etc<\/li><\/ul>\n\n\n\n