How to treat children's frequent constipation

Patient's question:

Constipation, sometimes with anal fissures, sometimes with blood in the stool. My child is artificially fed. In the past, their bowel movements were once every two days, which was normal. Since they were 7 months old, their bowel movements have become dry. I give them Clear Fire Treasure to drink every day, porridge in the morning, and stewed spinach and carrots at noon...

Doctor's answer:

Constipation in children occurs frequently, especially in nine-month-old infants, and is very common. The causes include insufficient dietary intake and inadequate sugar content, which can lead to less residue after absorption and reduced stool volume. A high-protein diet can make the stool alkaline, dry, and more frequent. A diet high in calcium can also cause constipation, as cow's milk contains more calcium than breast milk, making formula feeding more likely to result in constipation.
Children with constipation often experience hard stools, crying during defecation, shorter bowel movement cycles (3–5 days), and soiled underwear, causing distress for both parents and the child. This type of constipation most commonly occurs in infants and young children aged 0–5. Most affected children previously had normal bowel habits.
Good bowel habits are recommended, with the goal of having a bowel movement once a day, preferably after dinner. Avoid changing bowel times unless necessary and do not arbitrarily increase the frequency of bowel movements. For constipated children, performing a squatting motion before defecation can help strengthen abdominal pressure, or massaging the abdomen in a clockwise direction can stimulate intestinal movement to promote bowel evacuation.
Personal suggestion: Insert a bar of soap into the rectum. This method is simple and effective. Inserting an oil-coated enema into the rectum and gently moving it can also help induce defecation. Using one-third of a pediatric glycerin suppository inserted into the rectum can stimulate the rectal wall to trigger a bowel movement.
When a child has constipation, eating two bananas can help lubricate the intestines and promote bowel movement. Stir-fried spinach with sesame oil, three ounces at a time. Boil jujubes into a decoction and drink the liquid. Wishing the baby good health.

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