Consider for young infants.
b. Milk of magnesia. Effective, but many children have issues with lack of palatability. Causes increased magnesium in renal-impaired patients.
c. Mineral oil. Effective but disliked due to consistency and potential leakage onto clothing. There is an aspiration risk in young children and those who are developmentally impaired.
d. Nonabsorbable sugar (eg, lactulose and sorbitol). Work by osmotic effect. Product can be diluted in drink of choice. May produce bloating, cramping, or diarrhea.
e. Polyethylene glycol 3350 (MiraLax). Effective in stool-impacted children without initial enema.
f. For slower cleansing. Use MiraLax daily over 2 weeks; a 3-6-month regimen may be necessary before resumption of normal bowel pattern is seen.
Stimulant laxative. Acceptable for short-term use until rectum returns to normal size and function.
VI. Problem Case Diagnosis. Findings of palpable stool on abdominal exam and large, hard stool in the rectum of this well-appearing, age-appropriate child led to the diagnosis of functional constipation.
VII. Teaching Pearl: Question. How should parents be counseled when they express concerns because their infant cries and strains for several minutes just prior to passing a soft stool?
VIII. Teaching Pearl: Answer. It is common for infants younger than 6 months of age to cry, strain, and appear to have pain with passing stool. If stool is soft, infant is not constipated but rather exhibiting what is known as infant dyschezia. Reassure parents that these symptoms will resolve over time.
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Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.