How to deal with constipation and anal fissures in a three-month-old baby who drinks formula milk

Patient's question:

There are two cracks, the onset date was February 7, 2010, the cause was drinking (infant formula). Previous treatment and effectiveness: Drinking more water did not help. What kind of assistance is valued: Clear methods that are convenient and effective....

Doctor's answer:

A child may have a bowel movement every two or even three days, but if the child shows no signs of pain, crying, or has soft, non-blocked stools during defecation, this can be considered normal. If the child continues to have irregular bowel movements, dry stools, and crying or straining during defecation, then it is likely constipation.
For children with constipation, parents should not frequently give laxatives or use enemas to assist with bowel movements without a doctor's permission, as this may lead to dependency. Ensure the child drinks enough water daily. Drinking a cup of warm water or a cup of light salt water on an empty stomach before going to bed in the morning can be helpful.
The child's diet should include a balanced mix of nutrients. Fruits like pears and high-fiber vegetables such as carrots, cabbage, spinach, and celery should be consumed in abundance. Additionally, whole grains like cornmeal, millet, and oatmeal should be included in moderation. Parents should also encourage the child to develop a habit of defecating at regular times.
For infants with constipation who are breastfed or formula-fed, increasing the sugar content in the milk or adding some rice water can help reduce the size of milk protein curds. It is particularly worth noting that children with constipation should avoid acidic fruits like plums or lemons, as excessive consumption of these fruits may sometimes worsen constipation.
Advice for Treating Childhood Constipation: Here are a few simple methods to help alleviate constipation:
① Massage Method: Extend the index, middle, ring, and little fingers of the right hand and gently massage the child's abdomen in a clockwise direction for about 5 minutes. This can not only help with bowel movements but also aid digestion.
② Soap Stick Method: Shave a bar of soap into a pencil-thick stick, about an inch long. Moisten it with water and insert it into the infant's rectum to stimulate the intestinal wall and induce defecation.
③ Salted Radish Stick Method: Shave a salted radish into a pencil-thick stick, ensuring it is smooth and without sharp edges. Moisten it with water and insert it into the rectum to promote bowel movements.

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