Of course, problems with bowel movements occur, practically, in all children, however, if they become periodic and long-term, you should definitely go to a doctor.
To identify the cause of difficulties or disorders of the stool in the baby, will help research feces. With the results sent to the gastroenterologist infectious diseases.
Children over one year old often need no analysis of carbohydrates, but ultrasound or x-rays of the abdominal organs may be needed.
How many times a day should a baby walk “big”?
After 6 months – 1.8 times per day (no more than 2 times per day)
But! At least 1 time in two days
Doctors call constipation the difficulty or lack of self-emptying of the intestines for 36 hours. Another symptom of constipation is the appearance of solid, excreted feces, even if emptying occurs several times a day.
Causes of constipation (except for physiological disorders: dysbacteriosis, disorders of the biliary tract, worms, weak muscle tone) can be different:
- lack of dietary fluid or dietary fiber;
- the transition to artificial feeding or the introduction of solid food;
- psychological problems of the child, for example, stress due to the release of the mother to work
- or because of the first visits to kindergarten, school;
- changing the situation during the trip;
- fear of defecation, which usually occurs in babies who are too actively taught to the pot or scolded for soiled pants;
- suppression of the urge to go in large, for example, from constraint to go to the toilet in kindergarten;
- lack of motor activity.
Sometimes, constipation has hereditary reasons. For some children and adults (according to various sources, from 3 to 10%) bowel movement is normal once every 2-3 days. At the same time they feel quite well.
But even the child belongs to this group, a similar rhythm of bowel movements will be established in him by the age of 7-10, and until that time the baby must walk “big”, like other children: at least once a day.
According to statistics, the frequency of constipation in children of different age groups in Russia ranges from 41–56% (most often in children of older school age — 56%). Given that a child from 3 years old should walk “by and large” in the norm from 3 to 14 times a week.
For isolated cases of constipation, there are special situational laxatives, but carefully read the instructions before use, because such remedies have a number of contraindications. If constipation is long-term, it is better to consult a doctor for the appointment of therapy with laxatives.
Pediatricians prefer oral laxatives with an osmotic effect (attracting water to the intestines) ².
One of the drugs in this group is Forlax. What are the features of his actions?
Forlax has a physiological principle of action. This means that it helps the child cope with constipation exactly the way it does its own intestines. The active substance holds water molecules in itself, conducts them through the gastrointestinal tract and delivers too dehydrated feces to the site of accumulation.
The water delivered by the preparation softens the intestinal contents and increases its volume. After that, the child’s intestines do all the work.
Forlax has the ability to train the intestines. It allows the intestine to literally “learn” to work properly without the need for constant intake of laxatives. As a result, the positive effect from the use of the drug can be maintained for up to 6 months, depending on the duration of administration! ³
Forlax – a means of prolonged use for optimal effect. Its active ingredient (macrogol) is not absorbed into the blood and does not irritate (and even more stimulating) the action on the intestinal wall.
Forlaks kids can be taken as early as 6 months.
one Zakharova I.N. Pediatrician: Russian and international recommendations on the management of children with constipation // Questions of modern pediatrics: Scientific and Practical Journal of the Union of Pediatricians of Russia. – 2014. – Vol. 13, No. 1.
2 Erdes S.I. Modern protocols for the management of children with constipation and experience with osmotic of the laxative (PEG 4000) // Issues of Modern Pediatrics: Scientific and Practical Journal of the Union pediatricians of Russia. – 2014. – V. 13, № 4.
3 Yeremeeva A.V. Experience with osmotic laxative (polyethylene glycol 4000) in for the treatment of chronic constipation in children // Questions of modern pediatrics: Scientific and practical Journal of the Union of Pediatricians of Russia. – 2013. – Vol. 12, No. 4. – P. 172-175.
If you want to report adverse events, complain to the drug, please send your claims to your doctor, regulators or to the Moscow office of Ipsen Pharma: 109147,