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Chronic Constipation in Children

Pediatrics
AnanyaGender: FemaleAge: 6 years (Pediatric) Chronicity: 2 years

Presenting Complaints & History

  • Passing hard, large-diameter stools only 2 times a week
  • Painful defecation leading to withholding behavior
  • Abdominal distension, gas, and poor appetite
  • Occasional fecal staining in underwear (encopresis)

Clinical Assessment

Suffered from painful chronic constipation since toddlerhood. Relied on daily stool-softening syrups, which caused gas and bloating.

Diagnostic Investigations: Clinical abdominal exam showing fecal load in descending colon; normal thyroid function.

Homeopathic Therapeutics & Management

Aimed at restoring natural rectal sensitivity, improving intestinal motility, and correcting stool consistency without laxatives.

Selected Constitutional Remedies: Alumina and Silica

Lifestyle & Nutritional Support

Increase fiber intake (fruits, vegetables), encourage active play, establish a morning toilet routine, and ensure adequate hydration.

Clinical Outcome

Follow-up Period: 5 months
  • Regular daily bowel movements without straining or pain
  • Resolved stool-withholding behavior and abdominal bloating
  • Significant improvement with complete stoppage of laxative syrups
  • Sustained improvement during follow-up with zero encopresis episodes
Medically reviewed by Dr. Navaneeth K. Unni
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