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Especially in infants, changes in formula or transitioning from breast milk to formula can cause constipation. 95% of cases of constipation in children are thought to be functional constipation (without a structural or biochemical cause). [2] Treatment of these functional causes can be focused on simply relieving the symptoms. [6]
Constipation also has neurological causes, including anismus, descending perineum syndrome, desmosis and Hirschsprung's disease. [7] In infants, Hirschsprung's disease is the most common medical disorder associated with constipation. Anismus occurs in a small minority of persons with chronic constipation or obstructed defecation. [33]
Liquid paraffin is primarily used as a pediatric laxative in medicine and is a popular treatment for constipation and encopresis. [1] Because of its ease of titration, the drug is convenient to synthesize.
Lactulose is a non-absorbable sugar used in the treatment of constipation and hepatic encephalopathy. [3] [4] It is administered orally for constipation, and either orally or rectally for hepatic encephalopathy. [3] It generally begins working after 8–12 hours, but may take up to 2 days to improve constipation. [1] [2]
We want to expand it because we know the need is greater,” Torres said of knowing that patients like Lira and her baby feel comfortable and in trust with pilot program doctors like Dr. De La Cruz.
Clysters were a favourite medical treatment in the bourgeoisie and nobility of the Western world up to the 19th century. As medical knowledge was fairly limited at the time, purgative clysters were used for a wide variety of ailments, the foremost of which were stomach aches and constipation. [9]
Mineral oils, such as liquid paraffin, are generally the only nonprescription lubricant laxative available, but due to the risk of lipid pneumonia resulting from accidental aspiration, mineral oil is not recommended, especially in children and infants. [10] [11] Mineral oil may decrease the absorption of fat-soluble vitamins and some minerals. [9]
Encopresis is commonly caused by constipation in children, [4] by reflexive withholding of stool, by various physiological, psychological, or neurological disorders, or from surgery (a somewhat rare occurrence).
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