2017-08-01 Department of Pediatrics, Children's Hospital of Heavy Medicine
Article source: First Pediatrics
Recently, there are more and more children with constipation. Most doctors do not pay attention to this problem. No matter whether it is an internist or a pediatrician, no one studies constipation. There is no specialized constipation department or constipation expert. They all think that constipation is not a disease. Being treated as a symptom will not affect anything. In fact, this approach is wrong, especially for children! In recent years, there have been more and more studies on constipation abroad, and it is believed that constipation has great harm.
1. Causes of constipation
The reason for the frequent occurrence of constipation in children is due to obvious changes in diet and life. Those who have not been breastfed usually have milk and sugar as their main diet, and they have not paid attention to adding supplementary foods that are beneficial for defecation. Constipation often occurs in infancy. In early childhood, constipation is more serious if the staple food is commercially available fine soft food for children.
Second, the harm of constipation
Children often have constipation or dry stools, which will affect their health, can also lead to anal fissures or hemorrhoids, and can also affect the child's digestive function and reduce appetite.
If the stool accumulates in the intestines for a long time, it will ferment again and produce a large amount of toxic substances. If it cannot be excreted in time, it may have an adverse effect on the human nervous system. Stools can cause drowsiness, bad breath, dry tongue, headache, and abdominal distension, and can cause visceral diseases such as cardiovascular, liver and kidney, and even bowel cancer. For children, the stool will reduce brain function and affect the child's intellectual development.
Long-term constipation slow response to frequent constipation, children will feel discomfort of abdominal distension, but because they cannot express their discomfort, let alone attract the attention of parents, their attention is too much focused on the discomfort of constipation. Children with long-term constipation often lack concentration, lack of patience, sleepiness, crying, slow response to changes in the outside world, do not like to talk, do not like to make friends, and are indifferent to external things and "stunned."
3. Treatment of constipation
For constipation, ten doctors will have ten answers: drink more water; exercise more; eat more vegetables; bananas are good; sesame oil is effective; mommy loves it; honey is good; Let's change the milk powder; or stop the milk powder; use Kaiserol; use soap bars; rub your belly; it doesn't work! Then take a film and make a colonoscopy! Enema! Take laxatives! It is nothing more than these methods.
Over the past ten years, the United States and other developed countries have done a large number of clinical trials on constipation in children, which has enabled people to have a more scientific understanding of the problem of constipation in children, and a more scientific standard in treatment, overturning some empirical methods and methods. Traditional knowledge.
1. Stimulant laxatives are generally used less or not, such as senna leaf, magnesium sulfate, phenolphthalein tablets, fruit guide tablets, rhubarb tablets, etc.
2. Anal plug preparations such as Kaisailu and enema can only be used temporarily. It can not be used as a routine or long-term continuous use, because long-term use will cause dependence.
3. Behavioral interventions (such as encouragement, training to go to the toilet, diet conditioning, increased exercise, etc.) are only effective for a small number of children, but for most children, they can only help and cannot be treated. Drug therapy cooperation.
In recent years, drugs such as lactulose (Dumic) and polyethylene glycol 4000 (Shutaiqing) have been used in foreign and domestic places, and the effect is acceptable.
Four, constipation treatment with traditional Chinese medicine
One parent’s baby started constipation when he was less than 1 year old. He tried all the traditional methods: drink plenty of water, eat more vegetables, eat more whole grains, bananas, sesame oil, honey, mommy love, intestinal tract, change milk powder, stop Milk powder, clearing the fire, cultivating the habit of regular bowel movements, cultivating the habit of toilet use, opener, soap bars, rubbing the belly, etc., but still useless. After more than half a year, the constipation has become more and more serious. The child has refused to take the initiative to defecate and refuse to take the stool due to severe pain in the stool.
After the parents brought the child to the clinic, after inspecting the child, according to the theory of traditional Chinese medicine, only a few simple Chinese medicines were used, no laxatives, and no medicines for regulating the flow of energy and viscera. The child’s bowel movements were normal within two days. Up.
Five, conditioning of constipation
Drug treatment can effectively prevent long-term constipation and psychological problems and physical damage, and prevent hemorrhoids, anal fissures, anal fistulas, perianal abscesses, enteritis, autonomic disorders, metabolic disorders, toxin excretion disorders and a series of complications. After the constipation is effectively relieved, it is necessary to develop a regularity in diet, daily routine, exercise, regular defecation, etc., so that the child can unconsciously establish a normal physiological defecation mechanism, and defecation becomes a normal physiological need, not a kind of Spiritual and physical burden.