Lactulose is a synthetic sugar used as a laxative to treat constipation. It is also used to treat high levels of ammonia in the blood, which is a complication of hepatic encephalopathy (liver disease). It draws water into the large intestine, thus making the stool soft and preventing constipation.
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Is it normal for a 3-year-old to pass stools once in 3 to 4 days?
Query: Hi doctor,My daughter is going to be 3 years old. She is not passing stool on daily basis. She passes stool with a gap of three to four days. She has difficulty in passing stools with this time gap. Sometimes, she gets rashes and slight blood stains in her potty. We are giving lots of water to drink... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand the concern of your child regarding constipation. Try to include high fiber in her diet. Avoid giving milk at night. You can start giving Lactulose syrup 5 ml 12 hourly. It helps a lot. Please mention the weight of your child. Please mention whether she... Read Full »
Why is there constipation in a 3-year-old girl even after giving Lactulose and Miralax?
Query: Hello doctor, My daughter has constipation since she was 2 weeks old. She is now 3 years old, and constipation is still a huge issue in her life. She has been on Lactulose and now Miralax. The Miralax does not seem to be helping much anymore. We have seen four different GI's and none of them have an... Read Full »
Answer: Hello, Welcome to icliniq.com. From your history I would like to improve on the following facts: Increase the intake of water being consumed by the child. I would advise consuming at least 0.26 to 0.39 gallons of water daily. Avoid consumption of any bread or bread products like cake, pizza, burg... Read Full »
What causes shooting pain in the anus and how to treat it?
Query: Hello doctor, For the past one month, I get a shooting pain in my anus, or maybe rectum. It only happens when I am sitting down or laying down. The pain usually lasts a couple of seconds and every other day it happens. I have also have been pooping small balls, not the normal poop. Is it the reason ... Read Full »
Answer: Hello, Welcome to icliniq.com. It appears you have a fissure and there is a damage to your tract due to hard stools. Your stool should be soft. For that, you should eat a high-fiber diet like fruits (apple, banana, oranges), green leafy vegetables (spinach), and raw cucumber. Avoid smoking, refine... Read Full »
How can I identify that I have hemorrhoids?
Query: Hello doctor, I feel difficult to sit for long periods and small pain started. How to identify piles (hemorrhoids)? I had this same issue one month before also. Please help. I am currently on Clotrimazole. Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from feeling of difficulty to sit for long periods and starting of pain. According to the picture (attachment removed to protect patient identity), that is provided here you are sufferi... Read Full »
Can Candid be used for anal fissure?
Query: Hello doctor, I did not feel the urge to pass stool for two days. Yesterday morning (day 3), I had the urge to pass stool, but I was not able to as I guess my stool had become too hard. In a state of panic, instead of taking a stool softener, etc., I pushed way too hard for way too long. As a result... Read Full »
Answer: Hello, Welcome to icliniq.com. It is probably not a fissure, but just an erosion. It may lead to fissure if such repeated traumas are occurring. For fast healing, the important thing is that there should not be re-trauma. So, use regular stool softener like Lactulose 15 mL to 30 mL bedtime till wo... Read Full »
My 5 year old has continuous stomach pain, especially at night. Why?
Query: Hi doctor, My son is 5 years and 2 months old. He has got continuous stomach pain, especially at night time. During the day he is fine. Can I give him Albendazole? Read Full »
Answer: Hello, Welcome to icliniq.com. You can give a dose but that is not the main cause of his stomach pain. Most of the kids have stomach pain due to constipation. They say they pass stool regularly, but stool keeps getting accumulated. To confirm, you can just take an X-ray of the erect abdomen. We c... Read Full »
I have applied more Lignocaine gel than advised on my kid. Please help.
Query: Hello doctor, My 2-year-old son has hard motions. He has just had his circumcision surgery. My friends advised me to apply Lignocaine Hydrochloride gel between his buttocks. By mistake, I applied more. I am very much worried. I hope it is not harmful. Please advice. Read Full »
Answer: Hello, Welcome to icliniq.com. Lignocaine (Lidocaine Topical) gel is a local anesthetic so even if you have applied more there is nothing to worry. If he is having constipation, I suggest you give him syrup Looz (Lactulose) twice daily. This is a stool softener and you can give him until his stool... Read Full »
What types of foods can be given to aid my little son eat properly?
Query: Hello doctor, My 4-year-old son does not take his food properly. He has mild constipation. I would like to know what type of food does he need? Please suggest if he needs vitamin supplements. Read Full »
Answer: Hello, Welcome to icliniq.com. You should try giving different food items and try new recipes. All kids are fussy eaters. We should put our maximum effort to make them eat. You can give multivitamin syrup like Visyneral Z Syrup (vitamin A, vitamin B1, vitamin B2, vitamin B3, vitamin B5, vitamin B6... Read Full »
What could be the root cause for constipation in a child?
Query: Hi doctor, For past four days my son aged four years has been suffering from constipation. He goes for toilet multiple times but it seems the stool is hard and it comes out in very little amount. We are giving him fruit juices and water often and have started giving him Looz 1 teaspoon since yester... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concerns. Constipation is a very common problem in children, it is mainly caused by stomach infection, worms in intestine and due to eating of food with less fiber. In my opinion, you should give syrup Looz (Lactulose) one teaspoon three times ... Read Full »
How can my constipation be cured?
Query: Hi doctor, I am 22 years old and severely constipated. I have a bowel movement once every week and a half, or even two weeks. I eat normal foods as any 22 year old would. I love fruits and drink lots of water, etc. I am on my fourth day of Miralax and nothing has happened. The only thing that has w... Read Full »
Answer: Hi, Welcome to icliniq.com. You seem to be suffering from an acid peptic disease associated with functional constipation. I would recommend you the following: 1. A combination of Pantoprazole (proton pump inhibitor) and Levosulpride (prokinetic) once daily. This would help you with bloating and r... Read Full »