Approach to constipation in children and its management. Dr Sridhar Kalyanasundaram

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  • เผยแพร่เมื่อ 27 พ.ย. 2024

ความคิดเห็น • 106

  • @SridharKs
    @SridharKs  3 ปีที่แล้ว +3

    Useful playlists for nicu nurses, trainee pediatricians and neonatal trainees
    NRP-th-cam.com/play/PLKe2uxLSi6cErI1Y7ZRbLub-1Qq8AT4Bm.html
    Oxygen in Neonatology th-cam.com/play/PLKe2uxLSi6cEDL9Zfc57-YJjlVkqJXmQp.html
    Neonatal ventilation-th-cam.com/play/PLKe2uxLSi6cEk8ExzMpF-5ePzmkteTNjk.html
    Neonatal jaundice-th-cam.com/play/PLKe2uxLSi6cFT5aOxCrU9ENBRXlkUwWzq.html
    Breastfeeding-th-cam.com/play/PLKe2uxLSi6cFdnNrlnJQ8T5P-qaP8erc5.html
    And many short videos to clarify queries of new parents-could help if you cover postnatal ward th-cam.com/play/PLKe2uxLSi6cEAuXao6M9lsXUmbyhbpL1t.html

  • @christinapandian7929
    @christinapandian7929 3 ปีที่แล้ว +1

    Such an useful presentation. It is important to counsel parents when their child suffers from constipation

  • @zilehuma9202
    @zilehuma9202 3 ปีที่แล้ว +1

    Thank you for bringing up this topic and providing the baseline information- very helpful indeed.
    Dr.Ajmal's talk is just spot on. i could relate to few things and their management as advised by him.

  • @mujtabafayaz4472
    @mujtabafayaz4472 ปีที่แล้ว +1

    Thanks for Information sir

  • @richatiwari8663
    @richatiwari8663 2 ปีที่แล้ว

    Wonderful !
    Very concise and informative

  • @manjum4203
    @manjum4203 3 ปีที่แล้ว

    Very useful sir, give more to management aspect as it helps many practicing doctors.. thank you..

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      Thank you, will do

  • @bramhinireddy8377
    @bramhinireddy8377 3 ปีที่แล้ว

    Beautifully presented sir...very useful for budding pediatricians

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      Thank you, Dr Bramhini

  • @sudeepawadhiya2373
    @sudeepawadhiya2373 3 ปีที่แล้ว +1

    Again hats off sir

  • @dontradesgold
    @dontradesgold ปีที่แล้ว +1

    Thanks dr,G P from AU

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      Thank you, best wishes

  • @dr_jha_priyanka
    @dr_jha_priyanka 3 ปีที่แล้ว +1

    Very Well explained Sir:)

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      Thank you-please share

  • @sajyamaha
    @sajyamaha 3 ปีที่แล้ว

    Good one sir ! Thank you for this info

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      Thank you, please share

  • @daliadey2660
    @daliadey2660 11 หลายเดือนก่อน +1

    My baby is seven month old I give him three time solid meal and he is on breastfeed totally but he is pass stool once a week and gives too pressure

    • @SridharKs
      @SridharKs  11 หลายเดือนก่อน

      Please review this and follow accordingly. sridharparenting.wordpress.com/2023/09/29/a-practical-overview-of-approach-to-constipation-in-children-constipation-childhoodconstipation/

  • @salamrahmani6692
    @salamrahmani6692 3 ปีที่แล้ว +1

    Appreciate yu sir🙏

  • @srisisters6553
    @srisisters6553 ปีที่แล้ว +1

    Hi sir my baby 3 months breast feed but sever constipation not passing stool use lactose syrup she pass the stool any problem sir please reply

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      Review this and comment if any questions Is my baby constipated? What to do if my baby does not poop daily? Dr Sridhar K #stoolpattern
      th-cam.com/video/tQF8J_tpmI0/w-d-xo.html

  • @sanusatapathy876
    @sanusatapathy876 ปีที่แล้ว +1

    Sir babyko khaneke sath pani pilana he ya kuchder bad.

    • @SridharKs
      @SridharKs  ปีที่แล้ว +1

      Soon after meal is better, but if needed during meal or for thirst in between, it is okay too

  • @parameswarikamaraj9341
    @parameswarikamaraj9341 2 ปีที่แล้ว +1

    My baby having severe constipation nuw days, I will give purnee juice, apple, fibre but not work out, age is 1year 5month,wt 10.3kg, she passing motion before and after crying, now withhold the motion, sir plz give that solution and medication also..

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      Please use movicol as discussed with attention to all details as in video

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      You need to consult a doctor and discuss this

    • @parameswarikamaraj9341
      @parameswarikamaraj9341 2 ปีที่แล้ว

      K sir tnq

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      @@parameswarikamaraj9341 Best wishes

  • @marykatende9446
    @marykatende9446 2 ปีที่แล้ว +1

    My daughter is 8 months, she takes 1 week to poop but when she poop cry, the poop is hard, and the poop has blood, I feed her formula NAN

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว +1

      Increase fibers in diet (mashed vegetables, spinach, fruits), reduce milk and increase water. Consider lactulose for a few days as discussed

    • @marykatende9446
      @marykatende9446 2 ปีที่แล้ว +1

      @@SridharKs thanks very much doctor

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      @@marykatende9446 You are welcome

    • @sanusatapathy876
      @sanusatapathy876 ปีที่แล้ว

      Thank you very much sir.

  • @michellegarcia136
    @michellegarcia136 2 ปีที่แล้ว +1

    Hi. My 4 yr old is on laxative as advised by her pediatrician. She had anal fissures. It was advised to reduce the dose once the stool is soft. She is taking 20ML orally. However, after 2 months, it did not become soft enough to reduce the dose. I tried to reduce the dose but her stool became hard and had red blood again in her stool. What should I do?

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      You need to change the diet to increase fiber and water intake. Maintaining Movicol is safe but you can reduce dose with the above

    • @michellegarcia136
      @michellegarcia136 2 ปีที่แล้ว +1

      @@SridharKs is it okay if I will give her prunes puree everyday?

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      @@michellegarcia136 yes, but at this age, they may not enjoy the taste. It’s ok to consider other ways to increase fiber and water intake. Movicol is safe to continue but try half sachet daily and increase of stool hardens

  • @biswajitsatapathy7741
    @biswajitsatapathy7741 ปีที่แล้ว +1

    How much water should drink 12 month baby.

    • @SridharKs
      @SridharKs  ปีที่แล้ว +1

      You can give 30-60 ml with each meal, and give as per thirst as well

    • @biswajitsatapathy7741
      @biswajitsatapathy7741 ปีที่แล้ว

      Thank you so much sir

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      @@biswajitsatapathy7741 best wishes

  • @RPGOUD0306
    @RPGOUD0306 3 ปีที่แล้ว +1

    Hi sir
    Maa baabu 2 months
    He is not goto free motion.
    4days avthundi motion vellaka
    What I do sir
    Reply me sir

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      th-cam.com/video/cZEwpBsUC08/w-d-xo.html

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      th-cam.com/video/tQF8J_tpmI0/w-d-xo.html

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      Please review the above two videos on baby stools, as well as this expert session th-cam.com/video/6s-ic8sTtE0/w-d-xo.html

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      If further questions, send details

  • @chandrasekharprasuna4679
    @chandrasekharprasuna4679 3 ปีที่แล้ว +1

    Hello sir , I am giving macrogol 4000 to my baby since 25 days one satchet at bednight, for how long can i give macrogol 4000 to my 14 months baby.

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      How is the stool pattern now? Did you make the diet changes and increase water intake? Try reducing the dose to half for a few days

    • @chandrasekharprasuna4679
      @chandrasekharprasuna4679 2 ปีที่แล้ว

      Hello sir it has been a year I texted u regarding my baby's problem. She use to drink lots of water , fruits ad boiled veggies still she has contipation

    • @chandrasekharprasuna4679
      @chandrasekharprasuna4679 2 ปีที่แล้ว

      Passing hard stools at neggining still using macrogol 4000 even no cahnge

    • @chandrasekharprasuna4679
      @chandrasekharprasuna4679 2 ปีที่แล้ว

      Passing bulky stools at begging as hard as pellets

  • @EswarGolla-gr8bq
    @EswarGolla-gr8bq 10 หลายเดือนก่อน +1

    Good afternoon sir
    Sir iam pg in pediatric
    Pls tell indication of oseltamavir in urti

    • @SridharKs
      @SridharKs  10 หลายเดือนก่อน

      If influenza A or B positive with risk factors. More likely to benefit if started within 48 hours of symptoms

    • @EswarGolla-gr8bq
      @EswarGolla-gr8bq 10 หลายเดือนก่อน +1

      Tq sir
      Based on clinical feature sir?

    • @SridharKs
      @SridharKs  10 หลายเดือนก่อน

      @@EswarGolla-gr8bq difficult to justify, as the presentation is nonspecific and this helps only for flu

  • @falakfalak31
    @falakfalak31 ปีที่แล้ว +1

    Hello sir my baby boy is 3 month old he is suffering from constipation gastroenteritis and in barium enema test the result is short segment Hirschsprung disease ...does its cured by medicines...

    • @SridharKs
      @SridharKs  ปีที่แล้ว +1

      No, it’s likely to need surgery if not responding to measures to help stool passage over a period. And if tummy is distended, better to treat sooner

    • @falakfalak31
      @falakfalak31 ปีที่แล้ว +1

      Pediatrician adviced to give duphalac syrup for 5 days ...still he has not passed stools and he is not gaining weight

    • @falakfalak31
      @falakfalak31 ปีที่แล้ว +1

      Why my baby failure to thrive ?

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      @@falakfalak31 you would need glycerin suppository every 2 days or so to help passage. It will only work if the suppository stimulates the affected segment. Duphalac alone won’t help

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      @@falakfalak31 constipation can affect intake. Discuss with your doctor regarding stimulating with lubricated feeding tube to help pass stool once in a few days if even suppository doesn’t work. If not improved, will need surgery

  • @pediatricsclinic6180
    @pediatricsclinic6180 ปีที่แล้ว +1

    Hai sir
    This dr siva pediatrician
    Sir ,I have lot of cases with acute diarrhea followed by protein loss enteropathy abdominal distension facial puffiness rapid breathing with serum albumin less
    Pls help how to treat like this cases sir

    • @SridharKs
      @SridharKs  ปีที่แล้ว +1

      Good evening Dr Siva. I have not faced such cases but do you think it’s a manifestation of marasmic kwashiorkor, where the diarrhea and infection tilt the balance? We might need to approach nutritional rehabilitation in a similar fashion

    • @pediatricsclinic6180
      @pediatricsclinic6180 ปีที่แล้ว +1

      Good evening sir
      Not sam baby sir
      Normal child only sir , diarrhea 2 to 3 days then started facial puffiness
      I consulted gastroenterologist sir told protein loss enteropathy sir
      How to treat such cases sir

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      @@pediatricsclinic6180 I will check and update if any information. I have not faced this

  • @paediatriciandoctorzahidhu8360
    @paediatriciandoctorzahidhu8360 3 ปีที่แล้ว

    Sir can v use the adult movicol 13.8 gram in children less than 12 years?

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว +1

      Hi, yes. You can use if pediatric one not available

  • @monalisahota7861
    @monalisahota7861 ปีที่แล้ว +1

    Sir nine month baby ko kitna Pani Dena chahiye.

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      Around 50-60 ml with each meal, can give more if thirsty. They still drink reasonable milk volume Do babies need water to drink? Do we need to feed water to babies? Dr Sridhar K
      th-cam.com/video/UuPbByC1JOA/w-d-xo.html

    • @monalisahota7861
      @monalisahota7861 ปีที่แล้ว +1

      Thank you very much sir

  • @Srihari.59
    @Srihari.59 3 ปีที่แล้ว +1

    Share option is inactive in fb..

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      Will enable. Thank you

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว

      I checked and it shows public. Is it in a group you meant? Then it would depend on the group setting

  • @sanusatapathy876
    @sanusatapathy876 2 ปีที่แล้ว +1

    Sir breast feed se bachoka hard stool hota hai kya

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      Not usually. But if 7 months old, you would have started other foods. If not giving enough water, it can cause hard stools

    • @sanusatapathy876
      @sanusatapathy876 2 ปีที่แล้ว

      Khaneme kya dena hoga

    • @sanusatapathy876
      @sanusatapathy876 2 ปีที่แล้ว +1

      Sir ham odishase he hamara yaha chawalka kheer jesa banakar or cerlac detehe.kitna pani dena chahie.sir ham aapse jada puchte he iskelie sorry.

    • @sanusatapathy876
      @sanusatapathy876 2 ปีที่แล้ว +1

      Sir pls reply.

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      @@sanusatapathy876 hi, you can give 15-20 ml with each solid meal and in between if looks thirsty

  • @sanusatapathy876
    @sanusatapathy876 ปีที่แล้ว +1

    Sir mera beta jab stool karta haipehle thoda hard ata hai phir normal ata hai asa kyun.

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      It’s normal but encourage regular pattern (go at same time if possible), increase water and fiber intake as age appropriate

    • @sanusatapathy876
      @sanusatapathy876 ปีที่แล้ว +1

      Thank you sir

  • @sherwinhazel4027
    @sherwinhazel4027 ปีที่แล้ว

    I have twin sons on one squinch up his body to try to go of what could I do to help go of properly with out forcing to of reply to please

    • @sherwinhazel4027
      @sherwinhazel4027 ปีที่แล้ว

      Reply to me please 🙏 thank you

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      How old are they, what is the diet and stool pattern

    • @sherwinhazel4027
      @sherwinhazel4027 ปีที่แล้ว +1

      They are are 3yrs old they eat mashed potatoes sometimes calalloo soup and rice and peas with stew chicken and fried fish

    • @sherwinhazel4027
      @sherwinhazel4027 ปีที่แล้ว +1

      Please do reply

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      @@sherwinhazel4027 follow the advice in video, increase water and vegetable intake (potato doesn’t have fiber)

  • @monalisahota7861
    @monalisahota7861 ปีที่แล้ว

    Sir ten month babyko kitna Pani pinahe

    • @SridharKs
      @SridharKs  ปีที่แล้ว

      Give 50 ml or so with each meal and give sips in between if appears thirsty

    • @monalisahota7861
      @monalisahota7861 ปีที่แล้ว

      Thank you sir

  • @zilehuma9202
    @zilehuma9202 3 ปีที่แล้ว +1

    I have a question:
    I follow almost every guideline that is provided by you and Dr.Ajmal but still my daughter moslty starts with passing hard and broken stool and then passes some normal as well. I think i need to increase water intake.....

    • @SridharKs
      @SridharKs  3 ปีที่แล้ว +1

      Yes, both water and fiber intake. And reduce processed foods. Our genetic tendency as well as gut microbiome play a role

    • @zilehuma9202
      @zilehuma9202 3 ปีที่แล้ว

      Thanks for the advice. I will follow it.
      You would be happy to know that processed food is a big No when it comes to her food and dietry habits. I have been 99% organic with choices of her food with a focus on high fibre intake as well.
      Fruit is the thing that is not very consistent on daily basis. I will try focusing on this too and i am sure it will help too.

  • @sanusatapathy876
    @sanusatapathy876 2 ปีที่แล้ว +1

    Sir please app jo video banate hai hindi me bolie hame jyda eng knowledge nehi he.

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      Most of the recent videos have Hindi subtitles and this one has as well

    • @sanusatapathy876
      @sanusatapathy876 2 ปีที่แล้ว +1

      Thank you sir

    • @SridharKs
      @SridharKs  2 ปีที่แล้ว

      @@sanusatapathy876 please review the videos in this playlist th-cam.com/play/PLKe2uxLSi6cEBZDvubZd47QlUoTrpKZS8.html