In children with low appetite and poor growth rate, constipation is often found. Digestion, child care, and Chinese medicine all look at constipation, and it is often treated as a symptom. Actually, this is not a simple problem, and it has been bothering children and parents for a long time. I have raised this issue so that everyone can realize the dangers of constipation. It must be paid enough attention. Early prevention is very important.
Constipation can be caused by intestinal lesions, and it can also be caused by factors such as diet, spirit, and habits. Constipation that occurs in infancy is mostly related to improper feeding. Non-breastfeeding, mainly formula milk, and not paying attention to adding supplementary foods such as cellulose-rich vegetables that are beneficial to defecation, and those who rely on mushy fine soft food as a staple food in early childhood will have more severe constipation. These children often suffer from vomiting and anorexia because they do not have the opportunity to chew the residue-rich food to exercise, which affect their normal growth. Due to frequent constipation or dry stools, anal fissures or hemorrhoids are caused, making children afraid of defecation because of pain; stools can cause bad breath, bloating, and loss of appetite. Long-term constipation stool accumulates in the intestines for a long time, fermenting to produce a large amount of toxic substances, which not only affects brain function, hinders the child's intellectual development, but also seriously affects the child's mood and concentration.
Children are prone to internal heat, lack of a reasonable diet, long-term partial eating of fat and sweet taste and no fruits and vegetables, so that the food stays in the intestines to produce internal heat, the two heats add up, damage the body fluid in the body, and cause constipation. The basic pathogenesis is the conduction dysfunction of the large intestine, and the water in the stool is excessively absorbed in the intestinal cavity, making the stool too dry and hard. Drink plenty of water, eat bananas and vegetables, use some sesame oil and honey for children, or use probiotics or Qinghuobao or other milk partners or massage the abdomen clockwise (twice a day, every minute), etc. These measures are often recommended by doctors. It is effective in some children, but has little effect on intractable constipation. Traditional Chinese medicine treatment focuses on dialectical treatment and emphasizes the combination of treatment and nourishment, which is especially suitable for chronic constipation. It is very necessary to relieve the child's fear of defecation and maintain a softened stool. Note: Use less or no stimulant laxatives, such as senna leaves, rhubarb tablets, etc.; anal suppositories such as Kaisailu, soap noodles, etc. will cause dependence on the large intestine to lose elasticity and aggravate the constipation process, and should not be used continuously for a long time; Encouragement, training to go to the toilet, dietary conditioning, increasing exercise, etc.) may only be effective for some children, and for some severe children, it can only play an auxiliary role, not a therapeutic effect, and must be combined with drug treatment. Treatment and recovery of gastrointestinal coordination function requires treatment and time. Don’t stop the necessary drugs when it gets better.
In order to prevent constipation, good bowel habits should be trained from the first two months of life. It is best to defecate in the early morning or at night before going to bed, and the best morning bowel movement; the child can eat well before meals, but do not defecate after meals. The mother should consciously train to defecate regularly according to the child's condition, and the mother should make a sound of kindness with him during defecation. From the baby stage, the bowel movement will not be controlled at the beginning, and it will be about the age of about to develop a bowel habit. If at this time, parents do not pay attention to helping the child develop good habits, it will easily cause constipation. Some children have little activity and do not usually exercise enough, which can also cause constipation. Older children may also cause constipation if they spend the whole day at home playing game consoles and watching TV. The child does not have a bowel movement for two or three days. The parents do not need to be nervous. In fact, as long as the bowel movement is smooth, it cannot be considered as constipation. Usually encourage children to eat more vegetables and fruits, add water, and also arrange to eat sesame, walnuts, sweet potatoes, etc. in the diet to develop good bowel habits, and gradually let the children establish a normal physiological defecation mechanism without knowing it. Improve the problem of constipation.
The definition of constipation in children is a bit different from that of adults. Constipation occurs when adults have less than 3 bowel movements a week. When the child defecates very hard, the stool is thick, hard or like sheep's stool, or every time he defecates, he will feel pain, crying, uneasy, bleeding, and bleeding. This situation is regarded as constipation regardless of the number of defecations. The daily defecation frequency of normal children may vary greatly, some may be several times a day, and some may be once every 3-5 days. As long as there is a certain amount of stool, it is not very dry and not thin, and there is no discomfort, it is all It is normal. Even if the number of ambassadors is small, but the quality and quantity of stool is normal, and there is no symptoms such as loss of appetite, it cannot be considered abnormal. If the stool is dry, the amount is small and it is more difficult to discharge, even if there are 2-3 times a day, but the total amount is significantly reduced than usual, it should be regarded as constipation. Especially those who have reduced appetite and full abdomen at the same time. If you have a regular bowel movement, and you suddenly have a bowel movement for more than two days, it may also be accompanied by abdominal pain or bloating, which should be regarded as constipation and the cause should be found in time. The newborn should have normal meconium within 24-36 hours after birth. If there is no meconium or a small amount of abnormal meconium, it is an abnormal condition. Pay attention to whether there are congenital gastrointestinal malformations and other diseases.Many intestinal diseases can lead to constipation or lack of stool, common intussusception, intestinal obstruction of various reasons, incarcerated hernia and congenital hypertrophic pyloric stenosis. Hirschsprung's disease is another disease caused by abnormal innervation of the colon. Mainly manifested as intractable constipation, no stool for a few days or even more than 1 week, abdominal swelling such as drum and vomiting. Although children can eat, most of them have poor nutritional status and often have anemia. Once the child has a bowel movement, the amount is extremely large, and the abdominal distension disappears, but it occurs repeatedly in the future. In severe cases, constipation occurs in the neonatal period, and there is no meconium within 2-3 days after birth; vomiting and abdominal distension occur, and meconium is discharged after enema, but constipation and abdominal distension reappear 1-2 days later. Most of the disease requires surgical treatment.