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Children Refuse to poo My daughter is 3 years old. She had a problem with constipation when she was 20 months. I tried various ways like giving her fruits and vegetables, changing her milk but to no avail. And then, the doctor recommended that she take Skilax (constipation medicine) and it worked. But whenever I stop giving her the medicine, she cannot pass motion and since then I have been giving her Skilax every 3 to 4 days. If I stop giving her Skilax, she will not poo for a maximum of 7 days, and then I have to give her the Skilax to release her bowels. But recently, Skilax has stopped their distribution and I tried to switch to another constipation medicine but to no avail. I am really very stressed out and worried. Please help.

Answer

Answered by Dr Hon Firstly, check with the doctor to see if she has any impacted, hard stools which may need evacuation as soon as possible. The doctor may prescribe a bisacodyl suppository or may give her an enema to relieve her.

Thereafter she may need a regular laxative for some time. I'd suggest using lactulose and stop using skilax. Try not to use skilax for more than a week.
You need to retrain her bowel to develop good habits at the same time she is taking lactulose.

Try positive reinforcement with a motivation chart each time she goes to empty her bowels.

The best time would be in the morning after breakfast. Make her sit for 10 minutes to feel the urge and empty her bowels. Make sure she is comfortable sitting on her potty with her feet supported on a footstool.

Each day, ensure that she has 2-3 servings of fruit and 3 servings of vegetables. Use whole grains for her carbohydrate requirements.

Best fruits for constipation are dragonfruit, papaya, banana and prunes.
Best vegetables are pulses, beans, corn and peas.
Use lots of oats, brown rice and brown bread, as well.

Also make sure she drinks a lot of water especially if it's hot.

If she gets tired of eating so many fruits, be creative and juice them or you can make fruit sorbet by adding yoghurt to the blended fruits.

Lastly, you can give her a probiotic supplement daily.

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