What is the reason why the child does not have a bowel movement for several days?

Patient's question:

Hello doctor, the child is a girl, 6 and a half years old. Since she was young, she has been having a bowel movement almost every two days. Recently, it has been every four days. Each time, the initial stool is very dry and thick, and she struggles to have a bowel movement. She drinks a lot of water, but bananas, yogurt, and probiotics don't seem to help. It's not good for her health to have bowel movements this infrequently. What should I do? Thank you.

Doctor's answer:

If everything else appears fine externally, but the bowel movement is prolonged and the stool is not dry, it could indicate constipation, which suggests poor digestion. At seven months, you should have started adding rice powder, or you should still offer water frequently.
Advice: If she really dislikes drinking, you can make some juice for her and dilute it with half white water. Alternatively, you can boil some carrot or celery water, which can increase the content of rough fiber and promote gastrointestinal movement. If the bowel movement is dry, it could be due to indigestion, so you should give her something to clear the heat!

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