My daughter is 11 years old and is suffering from constipation for a long time on and off. She has an issue of hard stool which is very painful while passing at the very start and once that is out, very hot loose stool follows. Her diet is alright with dal (lentil), chawal (rice), roti (Indian flat bread), and subji (vegetable side dish), but not much fruits. Water intake is nominal. With lockdown, the physical activity is reduced a lot, screen time is increased, diet is proper, eats well when it is her favorite food, otherwise, she eats normally.
The most important requirement when children have these symptoms are the consumption of lots of fruits, vegetables, and drink plenty of water. Along with this diet, they also need to be active physically. If these requirements are not met, then no amount of medications can cure it. In such conditions, medicines are just adjuncts, that is, it is just supportive. The mainstay of treatment is changes in lifestyle habits. She also needs an examination to see if she has any fissures in ano.
For now, follow these.
1. Regular and appropriate physical exercises.
2. Avoid chips, chocolates, biscuits, and bakery products.
3. Plenty of fruits, vegetables, and water to be consumed.
4. Tablet Calpol 500 mg sos (maximum three times a day).
5. You have already started syrup Looz. Give 10 ml once daily at night.
6. Use ointment Anovate, it will have an elongated perforated nozzle which has to be inserted into the anus and the tube pressed so that the ointment is released inside the anus.
7. Sitz bath - make her sit in a tub of warm water for about 10 minutes thrice daily before the application of the ointment.
Please remember that all these medications will help only if there are changes in lifestyle. Follow up after 1 week.
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