Q: hi paediatrician. My boy is now currently 3 yrs old – having actually chronic constipation darimana 6 months old.. Already done investigation including rectal biopsy – all normal.. Very an overwhelming for kebersihan training as mom working hehehhe… diet pun susah.. Heard the probiotics can tolong for habitual constipation and also which brand is the best? maafkan saya is ur advice? currently dependent on syr lactulose.

Anda sedang menonton: Susu formula untuk bayi kembung perut

( Noor Suria )

A: Hello over there Noor, constipation in children is nice common. In fact, it is just one of the most common complaint I encounter in clinic. I recognize it should be rather frustrating, specifically when your kid has had this for a very long time. That seem the all the crucial work up has actually been excellent to ascendancy out pathological causes. Therefore, the most likely reason for his problem is ‘functional constipation’.

For the keuntungan of various other readers, constipation is characterized as having less than 3 finish bowel pergerakan a week and the stool are often hard. The child regularly finds it challenging to happen motion and he/she frequently strain at stool.Sometimes, there may also be some bleeding.

In your child’s case, it seem the you have tried diet alteration which ns assumed has lots of fibre and also water. The is juga important that this requirements to be combination with lots of exercise. The pretty (UK) tip recommends physical activity for at the very least one hour a day , and also I believe being a 3 tahun old boy, your child probably has done tripple or much more of the encourage hour ! : )


Anyway, the is crucial to realize that children with chronic constipation has stool retention and often withold their stool as well and as a result constipation proceed as a vicious cycle. I’m assuming the he has actually been assessed because that fecal impaction.

It is imperative that your child feel the passing activity is not painful or else he would continue to withold his stools together he are afraid the pain that it causes and also the constipation i do not care a never-ending story. For this reason I would regularly advise parents to continue laxatives e.g lactulose together maintenance therapy for part time through the aim of developing soft, painless stool to prevent reaccumulation of feces. V time, the child forgets his ‘painful experience of passing hard stool’ and also would protect against witholding it , hence potty training becomes a lot easier.

The other important elements of dealing with constipation is tindakan intervention. This has scheduled toileting and the usage of rewards and also encouragement system. It works ideal when coupled through other intervensi because the alone no help.

I wonder if your kid drinks a many milk because that too deserve to be a contributing factor. In particular severe cases, cow’s milk exclusion diet helps for those who do not respond to adequate medical and perilaku management, yet often through advice that the attending paediatrician.


Anyway, back to your questions on Probiotics. Probiotic is food or oral supplement that consists of sufficient numberi of viable micro-organism to alter the microflora the the organize for kesehatan benefits. The is accessible in child formula, yogurt and also oral supplements. A allude to mental is that there is a wide variations in potency and also quality, and that no all strains the probiotic bacteria are effective for dealing with constipation . Although, the performance of probiotics ~ above gastroenteritis and also antibiotic associated diarrhoea have actually been established, there is inconsistent data ~ above the efficiency in youngsters with constipation. Having actually said that, I sendiri feel that it is precious trying but find one the contains different strains the probiotics. You may ask the pharmacist for multiple strains probiotics (due to dispute of interest, ns am unable to name the brand). Alternatively, you may want to try giving yogurt twice a day and see if that helps.

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The objective is to treat constipation and also prevent it from recurring. Therefore, the mix of all these is important. Mengharapkan you discover this helpful. Cheers!