Featured Post

Allergic rhinitis in children

Seasonal allergy (hay fever)
You may know some people with hay fever. When pollen blows in the wind, these people begin to sneeze and itch in their noses as well as runny. The tree pollen is the usual reason for this condition in the spring, while the ragweed is the reason in the autumn (the flowers rarely cause hay fever because of the large size of their pollen, where they cannot fly over distances; rather they move from a place To a place by insects and other beings).
Hay fever usually affects children after they are three or four years old, and it is often a hereditary condition within the family. Also, it is likely that the tears of the eyes and the feeling of itching in them constantly are symptoms of allergies, and the doctor can make sure to diagnose allergies based on symptoms and physical examination and his knowledge of the nature of the most common and widespread pollen in your area at different times of the year.
The incidence of allergic rhinitis throughout the year
Many chi…

Constipation in children Causes and treatment

Constipation is a common disease among children, yet others misunderstand it. A child who finds it difficult to pass stools or who suffers from painful defecation already suffers from a condition of constipation, even if he uses the toilet on a daily basis. As for the child who passes stools softly, it cannot be Considering that he suffers from constipation even if he does not defecate except every two or three days. It is worth noting that constipation is an indication of many diseases such as: hypothyroidism or lead poisoning, but most children do not suffer from such diseases, and despite this, constipation itself causes other problems, whether physical or psychological.

How constipation develops

Often times, constipation begins with a mild fever. Any illness that causes the person to become completely tired will cause anorexia and thus pass stools with great difficulty. In addition, fever and vomiting increase the body's loss of water, and as a result, the colon absorbs more water from the child's stools and leaves it stiffer and drier, and because the affected child feels pain while passing stools, it is preferred to keep it for a while, which makes the stools more solid. Finally, when the child passes a large piece of stool, the pain that he feels then causes him to keep stools longer the next time.

Over time, the accumulation of dry stools helps stretch the colon and weak muscles that stimulate the excretion of stools; as a result, the child experiences stools passing more slowly in the colon, along with more dehydration, difficulty and a feeling of discomfort. Hence, we find that the simple disease has developed into a chronic problem. It is worth noting that there are other factors that play a vital role in this problem, including: genetics, food allergy, sports and diet.

Constipation and lifestyle

Diets rich in processed meats and grains provide the body with a few fibers that regulate and soften the excretion of stools. In addition, children who eat a lot of grains, vegetables and fruits are less likely to develop constipation.

In some children, milk protein helps reduce colon contractions, causing constipation. This is often the case with families.

Moreover, reducing your dairy intake or banning it completely may help often. If you follow this regimen, be sure to add other sources of calcium and vitamin D to your child's food.

Constipation is common among obese or overweight children, who often follow low-fiber diets and low levels of physical activity.

Problems caused by constipation

As for constipation, it is the result of refusal to train to enter the bathroom and use the toilet . Constipation often leads to bedwetting (urination during sleep at night) and frequent urination during the day. And when the stool accumulates in the rectum, the rectum is forced to push it towards the lower part of the bladder, which leads to a partial blockage of the urethra, and therefore, the bladder must work better in order to push the urine towards this blockage; therefore, it loses its ability to relax as it is filled with urine, A relatively small percentage of urine causes the bladder to contract and the child will feel the need to urinate.

Notably, stool leakage is a terrible problem for many children. Besides this, and with continued constipation in the child, solid pieces of stool accumulate in the colon completely, just as rocks accumulate in a tube. As for liquid stools, it passes between these hard pieces and leaks from the anus. Moreover, this condition, which is called inorganic stool incontinence, must be treated immediately to avoid serious psychological damage.

In addition, one disadvantage of constipation is that, for schoolchildren, parents are very drawn to what is considered their own work. This requires the sensitive father to remain involved in this problem, but not to a large extent. And when constipation causes a conflict between the father and the child or raises the level of tension in the family, it is required to seek guidance from a psychologist, counselor or any other specialist.

Constipation and lifestyle changes

It is best to start from this point, as the solution may be as easy as replacing whole wheat bread with white bread, oranges or fresh apples with cookies or cake. And remember that there are fruits that cause fatigue: dried pears, prunes, peaches, pears, and apricots as well. In addition, also try adding untreated flour bran (available in most stores) or bran cereal to muffin, apple sauce or peanut butter sandwiches. And if you add bran or any dried fiber to your child's foods, make sure your child drinks additional water. The sticky apple bran sauce and pear juice are also sweet and crunchy foods, so they are often helpful.

In addition, it is necessary to make sure that your child does some exercise daily, as strengthening exercises for the abdomen (such as stomach exercises) helps your child to produce more effectively, and you gain self-control. The child also needs to go to the bathroom part-time daily and quietly. It is best to leave it about fifteen minutes after dinner because eating food stimulates the colon naturally. In addition, selecting some books in the bathroom may help the child to stay fifteen or twenty minutes so that he can fulfill his needs.

constipation treatment

Solid and painful stools should be treated in children to avoid getting into a vicious circle of retention and the development of constipation, especially in young children. Your doctor may recommend one of the treatments that makes your stools softer. The treatment of constipation usually takes at least a month, so the child feels confident and that the painful defecation will not recur again. When constipation persists for a long time, more lifestyle changes are required to reverse this process.

Moreover, there are many medications to treat constipation, but I do not recommend using them except under the supervision of a doctor, so that some old things - such as mineral oil - can prevent the absorption of vitamins or even cause pneumonia to the child if a part of it is inhaled by accident ( Therefore it is not recommended for children less than three years old). As for the child who uses laxatives, he can sometimes rely on it, and the doctor should help you to avoid such risks.

Whatever the treatment recommended by the doctor, there are always two stages of treatment: cleaning and continuity. The cleaning stage is not granular, but it is essential, no medication will work if the colon remains crowded with solid waste. Oral medications containing polyethylene glycol (such as Miralax and other brands) help flush waste with the intestine. In addition, children feel better when using enemas that contain sodium phosphate, and ultimately the result is similar.

As for the next stage, it is the continuity stage (or maintenance), and this stage requires lifestyle changes, in addition to taking the medicine that helps the child to remove soft waste on a daily basis. The most important thing is not to let the waste accumulate again; then we enter a vicious circle, and the child continues this treatment for about six months - or more - until the colon regains its strength to do its job again. Of course, parents and children then go through difficult times to attend this treatment for a long time, and sometimes it takes a few attempts before controlling the whole problem. If the medicine fails to give your child the desired result, you may need additional evaluations and treatment by a pediatrician who specializes in gastroenteritis.

Constipation from the fourth month to the twelfth

Constipation refers to hard, dry stools that are difficult to exit. And the number of bowel movements each day is not the thing that determines whether a child has constipation. Be aware that hard stools can cause some red blood smears in the stool, but it is not usually dangerous, although it is necessary to consult a doctor.

Sometimes, constipation begins when the child, who was breastfed, begins to eat solid foods. His bowels seemed to be well acclimated to breast milk, so she did not know how to behave with different foods. This results in frequent, loose stools, with the child not feeling comfortable. In this case, you can give your child a little sweetened water (1 teaspoon of centrifugal sugar over 60 milliliters of water), dried prunes, apples, or pear juice (start with 60 milliliters, and ask a doctor before giving your child more than 120 milliliters), or prunes Cooked dryer (start with two spoons a day). Although some children develop cramps from eating dried prunes, most feel nothing. If constipation persists for longer than a week, try to contact a doctor.

Artificial breastfeeding children can also catch constipation. For treatment, 120 ml of water or powdered peach juice can be added to the milk daily to reduce its severity. If this does not work, or if the constipation is severe, it is important to inquire about the solution from the doctor. While some parents feel that the iron contained in the artificial infant causes constipation, studies have never indicated the validity of this belief. Rather, iron must be present because it is important for brain development, and therefore infant with a small amount of iron is not an effective treatment for constipation. .