Resolving constipation depends on basic treatment Treatment of constipation should be directed to the cause of treatment. This treatment is also called basic treatment. Although it is slow but really effective, it usually breaks the vicious circle of constipation after 2 to 4 weeks. Some parents use laxatives when they see constipation. The result is very likely to recur and gradually increase. The main content of basic treatment is: 1 bowel habits training; 2 a reasonable diet; 3 adequate drinking water; 4 increase the amount of activity; 5 psychological behavior therapy. First, bowel habit training (DHP): Because the establishment of defecation reflex is a systematic learning process of defecation "skills", infancy is a reflective defecation. If early DHP can be performed, conscious defecation can be entered sooner. Training mode and content: Toilet preparation: Appearance is attractive, brightly colored appliances are placed in the easy-to-use position for children, and children are encouraged to sit on the toilet for a short time every day; the toilet should have a suitable height so that the level of the knees is higher than that of the buttocks and the feet Should be on the ground in order to exert force, and learn to defecate hard; time is generally 30 to 60 minutes after the meal, each time 5 to 10 minutes is more appropriate to avoid bowel movements during long bowing, sedentary and strong Nuo resulting in anus muscle fatigue. After a week or so of training, the children can regularly defecate as required to reduce rectal fecal retention. Appropriate age is 18 months or so, both early and late affect the DHP effect. Second, a reasonable diet: A reasonable diet for children with constipation should focus on dietary fiber (DF) intake. DF is rich in plant foods such as cereals, potatoes, vegetables and fruits. The finer the processing of cereals, the less DF they contain. DF refers to polysaccharides that cannot be digested by human gastrointestinal digestive enzymes and that are not absorbed by the body, mainly from plant cell wall complex carbohydrates, also known as non-starch polysaccharides. Children's DF Requirements: The United States recommends a safe intake of DF for children: Age + 5 to 10g. Although additional vitamin and mineral intake is required, the above DF intake is sufficient to maintain normal bowel movements and prevent chronic diseases. Third, sufficient drinking water: The sources of water are mainly the intake of liquids, the moisture in solid foods, the oxidation of foods and the moisture produced by the metabolism of tissue cells. Children’s drinking capacity varies according to age and weight. For patients with constipation in children, emphasis on "sufficient drinking water", in addition to normal diet, should refer to drinking water is about <1 year old, 50 ~ 100ml/day, 1 year old, 100 ~ 150ml/day, 4 years old, 150 ~ 200ml/day, 7 years old, 200 ~ 300ml / day,> 13 years old, 300 ~ 500ml / day, and with the season, temperature and moderate exercise adjustment, it is appropriate to observe the children's feces to regular normal softness. Fourth, increase the amount of activity: Treatment of constipation in children should also be specific to each individual, through the history to understand the amount of activity, to give specific guidance. Encourage children to develop to participate in various physical activities, to cultivate labor habits, you can walk the occasion as far as possible without a car, climb up and down the stairs themselves, there should be more than 2 hours a day of physical exercise (jogging, dancing, swimming, skipping). V. Psychological and behavioral treatment: For children with defecation pain experience, fear of defecation. Should first be enema and softening agent to relieve fecal impaction, and psychological counseling, soothing to eliminate fear, and then the formal DHP; excessive shock due to sudden startle and occasional defecation of excessive blame, resulting in psychological trauma caused by abnormal defecation in children. A good environment for considerate care should be created to obtain the children's trust and cooperation and eliminate psychological trauma; constipation children may experience failure in the DHP process, and parents should understand and give psychological support. This is one of the important links in the basic treatment of constipation in children. The above links are indispensable. Without blindly attaching importance to "basic treatment," blindly taking medications or other treatments, and calling them "incomplete prescriptions" in medicine, there are many drawbacks. Under the premise of "basic treatment," most children with constipation can achieve satisfactory results in the short term. For some children with severe constipation, medication should be given at the same time as the basic treatment, such as the use of leavening agent (plant fiber, rice bran preparation, penetrating agent), which can absorb water from the intestine to soften the feces; individual cases have intestinal Children with slower transit function or functional outlet obstruction are given special drug treatment after diagnosis, and the general treatment is usually recovered within two weeks.
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