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أقسام الإستشارات

أقسام الإستشارات » جراحة أطفال



blood in stool..

رقم الإستشارة 656901
عنوان الإستشارة blood in stool..
محتوى الإستشارة

dear doctor...

my son is 5 months and 3 weeks....i noticed 3 weeks ago blood streaks in his diaper with stool,,my pediatric whom i trust examined his abdomen and said theres nothing[i made stool ananlysis and it was normal],and told me he has anal fissure and it'll take some time to heal,,,i apply lignopanthene gel,,the blood straeks are still there but much less especially in his first bowel movement in the morning,,,,he sometimes cries and is in pain[strains] when passing out stool,,,,and he is not constipated,,,hes totally breastfed untill now,,,my doctor also adviced me to give him dentinox colic drops all the time since he has gas and colic,.,,,i'm afraid to start on solids,so he wont get constipation.

what do u advice me.

note:he had inguinal hernia surgery when he was 1 month old,,,

 

الجمعة, 06 يونيو 2008 12:25 بواسطة


الرد على الإستشارة
Thank you for consultation.

constipation in infants is a very common complaint which is usually mismanaged  with lot of wrong beliefs.
.
if he is passing stools every day then he has no constipation ( Wrong)

anything of the following is considered constipation :

  • straining or
  • pain during passing stools.
  • small amount.
  • abdominal distension
  • hard stools.



giving hard food will lead to more constipation (wrong)

you have to encourage normal food for age to help normal intestinal movements.



Milk is laxative ( extremely wrong and common belief)

Milk contains calcium and without other foods will usually lead to constipation in older children.
you cannot stop giving milk to children but combine it with other ( laxative kinds of food)

the treatment of your condition is not the local treatment of fissure but the prevention of constipation ( according to our definition) and fissure will heal by itself ( unless yo have another attack of constipation.

fissure takes about one month to heal !

best treatment of constipation is to give regular ( daily suppository) Glycerin infantile or Bisadyl 5 mg at the same time everyday

you will see that he will pass more amount of stools and more easily but you need to stay about one month to regulate the habit and give it as needed later on .
no side effects or habit forming from giving suppository even for long periods but there are many problems with constipation ! .


if bleeding remains after one month you have to see the pediatric surgeon .


best wishes for speedy recovery .








الجمعة, 06 يونيو 2008 20:09 ا.د. سامح شحاته-استاذ جراحه الأطفال -استشارى جراحه العيوب الخلقيه للأطفال



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 راجع شروط استخدام الموقع و تحديد المسئوليه، أخر تحديث بتاريخ    2007/10/25


 
 
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