Decrease of the frequency of the depositions, as well as of his volume and/or his liquid content. It happens both in the babies and in the biggest children. It can cause pain on having evacuated or simply terror of the child to the act of defecating.
The number of evacuations that a new-born baby presents depends on his feeding (more evacuations and more liquid, in the fed ones only with maternal milk, with regard to the babies fed on adapted formulae). In general, a baby of less than 6 months must evacuate not less at once a day and have three weekly depositions after this one of age. For 2 years of age the children can have between one and two evacuations per day.
The constipation can be caused by organic problems (estenosis anal, megacolon, intestinal occlusion, fissures of year...), or to be a functional, much more frequent constipation. Causes of functional constipation are:
I abuse astringent food (potatoes, banana, rice and food rich in carbohydrates or sugar as chocolate and tidbits).
Lacking in fibre in the diet.
Little ingestion of water and liquids.
The disorder in the hours to eat. Many children with constipation eat more between the meals than at the time of the same one.
Conditions during learning of the habits of hygiene. Some parents force in precocious form the child to warn "to do shits", or they are too much insistently and they even punish it, going so far as to determine in the child an attitude of opposition or rejection to the defecation.
The school tensions to the beginning of the school cycle also influence in that the child mayorcito present constipation. If the life genre is busy and active, the child does not pay attention of the impulses to defecate.
The beginning of the constipation can coincide with a traumatic familiar event, like familiar mourning, change of house or of city.
The infantile chronic constipation can collaborate with the encopresis call or inadvertent defecation in the clothes. These episodes happen often without the child realizing the accident, it does not do it deliberately. Nevertheless, the children with encopresis can be an object of mockery and of social isolation.
The principal object of the treatment of the chronic constipation is to empty the excrement that is in the rectum and to keep it constantly empty.
Enemas of phosphate or cocktail with mineral oil or laxatives to obtain immediate mitigation.
Intestinal reeducation: To stimulate the child whom one feels in the WC during 20 minutes despuiés of the meals and whom "one" never "bears" or retains.
Dregs Reblandecedores: mineral oil, paraffin (Emuliquen ®, etc), lactulosa (Duphalac ®) or psyllium (Metamucil ®). It is possible to continue his use during a maximum of 3 months, until the intestinal habits should have been regularized. To avoid other laxatives and enemas.
Dietetic changes: To increase the quantity of fibre, liquids, fruits and vegetables. We do the increase of the fibre in a gradual way, since a diet with big fibre quantity favors that the child has flatulence great, distension of the abdomen and colics. Between the food rich in fibre we have the bran of wheat and the vegetables. A tidbit with many fibre it is the popcorn. To eliminate temporarily or to diminish the food that worsen the constipation as bananas, potatoes, and carrots.
Treatment of the constipation with encopresis: he can need also therapy specialized with an infantile psychologist.
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