Hi XXXXXXX.

Thanks for writing to us.

Constipation is a common problem in children and it could be because of ;
-Dietary factor most important.
-hypothyroidism
-hirschsprung disease
-anal fissures
-cow milk allergy.

Due to pain child holds back and thus a vicious cycle is established.

I suggest you to.
-Give him plenty of fluids XXXXXXX leafy vegetables,fruit,salad.increase complex carbohydrate in diet,give one spoon of honey at bed time.
-Avoid milk and milk products.
regular toilet times to be established,encourage him to sit in toilet for 5 to 10 minutes 2 times a day.
-Give sitz bath(make him sit in tub of lukewarm water for 10 to 15 minutes 2 to 3 times a day)
-Laxatives have shown to be beneficial in treatment of chronic constipation.

You have used lactulose now i suggest you to use a different laxative like(polyethylene glycol or magnessium hydroxide after consultation with your pediatrician.
Laxatives should be used for longer duration till symptoms subside.
Since he is passing blood stained stools because of fissures,apply some local ointment after consulting your doctor.

Hope I have answered your qyery,if you have any other question i would be glad to help.
Wishing your child good health.
God bless.

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Thanks for your follow up.

Be patient with your child and encourage him in eating fruits and vegetables. Do not force him.
You should also eat along with him as children follow what we do.
Try positive reinforcement like taking him out or playing with him when he finishes his meals.

Regarding honey, it is natural sugar which act as stool softner. It can also be given with warm water with lemon juice first thing in morning..

Let me know if you have any other query.

Take care!!

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