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Memorial Service Hospital Pediatric Surgery Department Experts gave information about groin constipation problems and treatment methods in children.

Most families have serious problems with their children’s defecation problems. Generally, 3% of patients who consult a pediatrician complain of constipation and soiling. Constipation is defined as a solid stool regardless of the frequency of defecation in children.

Although the cause may be hormonal and metabolic disorders, nervous disorders of the intestines, and drugs used for other reasons, the most common cause is functional constipation. There is no other underlying cause of functional constipation.

It is put by the presence of one or more of the above symptoms. However, in order to call the condition functional constipation, other causes must be ruled out.

If the underlying cause is found, treatment should be performed accordingly. In order to cope with functional constipation for which no other cause has been found, 3 goals must be achieved:

For this purpose, 3 drugs are used: poop softening syrup, pain relief cream and suppository. The usage of these drugs is as follows.

v It is removed after 5 minutes, whether it is pooping or not. It is not overly insisted. It is always treated with kindness and patience. When necessary, it is delighted with small rewards.

v The only way to deal with persistent constipation is to prevent the child from suffering from hard poop. Because the biggest fear of children who have been pooping hard for a long time is that their butt may hurt again while pooping. For this reason, the poo should be kept soft with the drugs to be given, and the pain sensation should be eliminated by numbing the anus area with the cream applied. The purpose of the suppository or enema used in the first 5-10 days is to get the child accustomed to the feeling of poop that he forgot at the beginning and to soften the last part of the poop, which is the hardest part. Suppositories or enemas are used for 5-10 days and then discontinued. Cream and syrup are used for at least 1 month depending on the condition of the disease. The purpose of the syrup is to keep the poop soft. Initially, the syrup is used in the amount prescribed by the doctor, but then the mother decreases or increases the dose of the syrup depending on the situation. Syrup and cream should not be left without consulting a doctor. None of these drugs make a habit, on the contrary, constipation becomes a habit when treatment is disrupted.

Apart from these, attention and care should be paid to the nutrition of the child during the treatment process. Prohibited and recommended foods are summarized below.

Constipation, which is generally ignored in our society, causes calcification of the stools in the large intestine and leakage of poo (encopresis) that can be spread over the kilograms if it is not treated. A child who misses poop moves away from his friends and has self-esteem problems. Apart from these, constipation causes anorexia, growth retardation, anemia, intermittent abdominal pain and leg pain. In addition, surgery may be required in advanced ages due to the problems caused by anal fissure (tear) and excessively enlarged large intestine.

The purpose of the suppository or enema used in the first 5-10 days is to get the child accustomed to the feeling of pooping that he forgot at the beginning and to soften the last part of the poop, which is the hardest part. Suppositories or enemas are used for 5-10 days and then discontinued. It does not make a habit, on the contrary, when treatment is disrupted, constipation becomes a habit.

If the syrup used in the treatment of constipation is used in recommended doses, it does not cause side effects. The mechanism of action of these syrups, which are not absorbed from the intestine, is to draw water into the poop and keep it in a softer consistency.

There could be two reasons for this. The first and most common is that the diet, which plays an important role in treatment, is not paid attention to or the treatment is not done properly. The second is that there is another underlying cause.

The most common cause of poo incontinence is constipation. If there is no other underlying cause and care is taken, it will definitely improve. At the same time, as this problem improves in children with poo incontinence, the child is more motivated and adapts better to treatment.

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