The child hasn't had a bowel movement for six days. Is it normal? How to deal with it?

Normal children under 5 years old should defecate 1-2 times a day. It is generally believed that defecation 1 time every 3-7 days, when the stool is hard and heavy, chestnut-shaped, the defecation process is prolonged or difficult, and it causes pain, which can be regarded as constipation. At present, it is considered that the lack of cellulose in daily diet is the main cause of constipation. The key to treatment lies in removing fecal lumps, rebuilding good defecation habits and encouraging children to defecate. The methods of catharsis, defecation training and diet adjustment were adopted for treatment. 1. laxative mineral oil is a common laxative, that is, kaiselu. Take 60-90 ml twice a day in the morning and evening. The dosage can be adjusted until the child's stool is soft for at least two days, and the stool is painless. Mineral oil can reduce the hardness of feces, and at the same time, it will make children unable to hold back their stools. Mineral oil can be used for a long time, and it is usually stopped after 3-6 months according to the illness. Another laxative that is not commonly used is senna and lactulose, which may be effective for some children. For children with severe constipation, glycerin enema can be used at first, and mineral oil can be used after the stool is discharged smoothly and safely. 2. Defecation training After each main meal, the child should go to the toilet for at least 10 minutes (supported by a bracket). Parents should promise their children that they don't have to defecate during this time. Of course, it is best to defecate. Children should completely eliminate the worry of being punished. 3. Diet adjustment This is a very important and difficult measure. Parents must be aware that children should eat foods containing more dietary fiber, especially families with inappropriate diets. The daily dietary fiber intake of children over 2 years old should be "age +5 to 10g". Calcium should be given 1 g every day, and foods that do not cause constipation (such as meat, eggs, peanut butter and mayonnaise) should be ingested to get calories. It is also important to keep enough water intake and not drink coffee. There are several kinds of constipation caused by improper diet: (1) Insufficient food-such as insufficient breast milk, can reduce the baby's stool. (2) improper food ingredients-such as food is too fine, lack of fiber, do not like to eat vegetables and fruits; Excessive intake of milk or protein; Drink too little water; Irregular defecation habits. (3) Constipation of fruit shell-more common in children who eat melon seeds with kernels and shells, and also eat more sesame seeds. (4) Some diseases, such as Hirschsprung's disease and intestinal malformation, are mainly manifested as obstinate constipation after birth. Treating constipation 1. Breast-fed babies should be breast-fed after birth and ensure adequate breast milk. For infants with insufficient breast milk, appropriate amount of milk should be added in time. For children who are constipated after eating milk, do not take laxatives for a long time, which will lead to habitual constipation of children; The first choice of laxatives is kaisailu and glycerin suppository, which can reduce the hardness of feces. Twice a day in the morning and evening, the dosage can be adjusted until the stool of children becomes soft for at least 2 days. After general use, it can be stopped according to the situation. 2. Milk feeding babies For babies with long-term constipation, milk or milk powder can be diluted and the amount of sugar can be increased. Add10g sugar to100ml milk (normally, add 8g sugar to100ml milk). You can feed 1~2 bananas every day or eat some honey water every morning, not less than 50 ml each time, and take it with warm water. Children over half a year old should eat more foods containing more cellulose (such as fresh vegetables and fruits) and increase the number of times of water feeding every day. 3. Preschool constipation allows children to eat more fruits and vegetables (bananas, pears, apples) and increase cereals and cellulose every day. Food constipation can be cured. If the fruit shell food (such as melon seeds, etc. ) Causing acute abdominal pain caused by constipation, parents can take their children to the hospital for soap and water enema defecation, and abdominal pain will be relieved immediately. For children with chronic functional constipation, the key to treatment is to remove fecal lumps and rebuild good bowel defecation habits. After each main meal, let the child sit on the toilet for at least 10 minutes. During this period, the child can not defecate, but it is best to defecate. In addition, guide children to defecate training, increase intra-abdominal pressure, and press down (blowing balloons). Drug symptomatic treatment is only used temporarily when constipation lasts for many days and defecation is difficult. Under the guidance of pediatricians, parents can choose laxatives such as kaiselu, glycerin suppository and soap bars to plug the anus, or they can choose Chinese medicine Panxie leaves to soak in boiling water and feed them to their children. Belladonna mixture should not be used to relieve abdominal pain caused by constipation, otherwise it will aggravate constipation. Prevention of constipation It is the key to prevent constipation to cultivate children to develop good eating habits and defecation habits from an early age. Babies with insufficient breast milk can add some milk cakes to the milk and feed more juice; Usually do not eat or eat less "fire" food (such as fried, braised food and meat, eggs, peanut butter and so on. ), and feed more boiled water every day. Children should eat foods containing more dietary fiber (such as vegetables and fruits) and foods that will not cause constipation. It is also important to keep enough water intake and not eat foods that get angry (such as biscuits, dried fish and other spicy foods). Pay attention to correct picky eaters, partial eclipse and snacks. Another way is to drink a cup of honey water or eat a banana every morning. Older children insist on doing sit-ups every day to strengthen gastrointestinal peristalsis. The effect is obvious.