Nursing infant constipation

Constipation refers to hard dry stools, separated from the relatively longer time, and sometimes difficult defecation. Simple constipation colon to absorb more water due to the increase caused by electrolyte.

Common due to:

1. Food shortage

Baby eating too little, the digested residue less than the absorption of liquid, to reduce the stool, Milk is insufficient glucose weak peristalsis can dry stool. Inadequate diet for a longer period of time caused by malnutrition, abdominal and intestinal muscle tone to reduce or even a decline, a reduction in contraction and a vicious circle, increasing constipation.

2. Improper food components

Stool close to nature and food components. If a large number of foods containing protein, carbohydrate and lack of secondary changes in intestinal flora, intestinal contents of the fermentation process less alkaline stool was easy, dry; such as more food containing carbohydrate, enteric fermentation bacteria increased, fermentation increased, and more acid, acidic stool easy, the number of multi-and soft; such as fat and carbohydrate ingestion is higher, the Rainmaker stool. Such as eating a large number of calcium caseinate protein, faecal containing insoluble calcium soap, an increase in stool, constipation and easy. Carbohydrate in the rice flour, flour products easier than cereal constipation. Pediatric partial eclipse, and many children like eating meat, eat less or do not eat vegetables, too few cellulose in food, but also prone to constipation.

3. Bowel dysfunction

The law of life and a lack of stool time of training, not the formation of the conditioned reflex defecation is common resulting in constipation. Another early school-age children without a regular habit of stool, and the learning time can not be at any time of defecation, stool class also led to a common cause of constipation. Commonly used laxatives or enemas, the lack of physical activity, or suffering from chronic diseases such as: malnutrition, rickets, hypercalcemia, dermatomyositis, cretinism and congenital myasthenia gravis, are due to intestinal wall muscular weakness, and constipation dysfunction . Sympathetic dysfunction, muscle weakness or paralysis are often constipation. Patients on certain medications can reduce bowel movements and constipation, such as anticholinergic drugs, antacids, certain anti-seizure drugs, diuretics, etc., as well as iron.

4. Physical and physiological abnormalities

Such as anal fissure, anal stenosis, Hirschsprung's disease, spina bifida or tumor can cause constipation, such as cauda equina. Rectal examination should be carried out, the lower spine and perineum examination. Health after some children with constipation, where family history may be related and genetic.

5. The spirit of factors

The spirit of children affected by a sudden stimulus, or the environment and living habits can also be caused by sudden changes in short-term constipation.

Diagnosis

Detailed consultation should be the law of history and stool, whether associated with gastrointestinal symptoms such as: abdominal distension, vomiting, growth failure, such as medication history. Physical examination should pay attention to the perineum, around the anus for anal examination. Attention to whether the anal fissure, skin infections, such as diaper rash. Examination, such as fecal matter or reach a large number of hard-examination from a large number of droppings is followed, then ease the symptoms, diagnosis may be clear.

24 hours after birth did not discharge meconium, highly suspected obstruction should be further examination, such as orthostatic film, such as abdominal plain film. Infant Health after the beginning of constipation, it should be noted with thyroid dysfunction and Hirschsprung's disease identification. Barium enema examination in addition to the latter to expand outside the colon, we can see there are segmental stenosis, and chronic constipation are all of the expansion of the colon. Constipation in children but also to conduct a detailed physical examination and necessary in order to and neurological or organic obstruction identification.

Treatment

There were positive treatment of the primary disease primary disease (such as cretinism, etc.). Treatment of simple constipation is to improve the diet of the fundamental contents of the added water and food containing more than cellulose (such as cereals, vegetables, etc.). At the same time training in bowel habits. Drug treatment only when necessary temporary use.

1. Babies fed breast milk diet correction

Human milk to feed babies less constipation occurred. If, in addition to breast milk feeding, the addition of complementary Runchang, such as sugar water or orange juice vegetables (fresh orange applications, the market opened bottle after bottle of orange juice easy Pollution), tomato juice, cooked or red hawthorn Calligonum water. More than 4 months may be the fruit purée or cooked mud. Insufficient breast milk, may be 1-2 times increase of 8% of the milk sugar. Honey water daily 60 ~ 90ml, also helped.

2. Artificial feeding of infant diet to correct

Artificial feeding children more prone to constipation, but if a reasonable sugar and food supplement to prevent constipation. If there could be increased to 8% of milk sugar, fruit juice and added to feed (such as tomato juice, orange juice, pineapple juice, jujube juice and other fruit juices), to stimulate peristalsis. Larger infants, may be purée, vegetables at the end, fruits, food supplement such as porridge. Greater number of coarse grains could increase food Ruyu rice, millet, porridge made from cereals, etc.. In 1-2 years of age, who has added a variety of complementary feeding, the volume of 500ml of milk a day that is enough to eat coarse food, sweet potato, carrots and vegetables. Conditions can fat jelly. Malnutrition in children with constipation, it is necessary to pay attention to nutritional supplements, and gradually increase the amount of nutrition situation has improved, the abdominal muscles, intestinal muscle growth, tension increased gradually master the natural defecation.

3. Training habits

Pai is the reflection of large movements, children can be trained to cultivate the habit of defecation time. General for more than three months infants can start training in early breast-feeding support by adult hands, or bidet or defecation of small chairs, a row on time and a half to one month to the implementation of habit. Develop after the time change should not arbitrarily. For older children with chronic constipation, in addition to encourage its more than sports, more and more food into the fiber but also on time to purge, to develop good habits.

4. Chinese medicine treatment

Chinese medicine believes that chronic constipation Jin polyphyletic loss due to intestinal dryness, to Ziyin Runchang law rule. Available light from a single taste each 3-5 tablets, 1-2 times a day, or next day service. More commonly used pills Sanren (Gualou benevolence, hemp seed density of the contour do pills, each pill 3g) per 1 capsules 1-2 times daily, half of young persons. Older children can be served spleen Huizi Cannabis pills, 1-2 pills a day, to stop serving after the purge.

5. Other therapies

Every night before going to bed early childhood services in the milk of magnesium per 0.5 ~ 1ml/kg, or liquid paraffin per 0.5ml/kg, can also be made of the second mixture the use of drugs could be dispensed with a single easy to use paraffin oil leakage from the anus. More than once a drug can be 3 to 5 days, at the same time training stool Next Morning. In order to avoid inhalation, baby do not have paraffin oil. Children can also be used for each phenolphthalein 3mg/kg, clothes before going to bed. Acute constipation or impaction fecal matter that can be used Kai Sai Lu (glycerol and sorbitol agents) 5 ~ 10ml into the anus, the rectum caused by stimulating defecation; at home can be used to insert a small section of baby soap purge anus, can also be used to wear as little leather gloves, dip a small amount of paraffin oil or Vaseline, insert anal purge. Enema of the ways to stimulate strong, and easy habit, non-special needs are not used.