Help, what should I do if my child has difficulty defecating!

Patient's question:

Detailed medical condition and consultation purpose: My baby is 47 days old. In the past few days, I've noticed that she has difficulty defecating, but it can be resolved by using soap to insert into her anus. The stool is quite loose, so it should not be constipation! But what could be the reason? Every time she needs to defecate, she seems very painful. I don't know what the solution could be? What could be the cause? Please guide us, experts, thank you!

Doctor's answer:

Hello, based on the provided information, it should be constipation. Constipation refers to the condition where feces remain in the intestines for too long, leading to a decrease in bowel movement frequency, dry and hard stools, difficulty in defecation, or incomplete evacuation. Generally, not having a bowel movement for more than two days can indicate constipation. If you have a bowel movement every day but still experience difficulty defecating and a feeling of incomplete evacuation afterward, or if you also have bloating, it should also be considered constipation. Many constipation patients have bowel movements 1-3 times per week, while severe cases may go up to 2-4 weeks without a bowel movement. Some may have multiple bowel movements daily but still face difficulty defecating, with each defecation lasting more than 30 minutes, and the feces being hard like sheep dung, with very little quantity. Currently, colonic hydrotherapy is an effective method for treating constipation. It is a thorough colon cleansing method that prioritizes "cleaning first, regulation second, and quick treatment for chronic diseases," using prepared 38-degree constant-temperature sterile water for the cleaning. Colonic hydrotherapy improves the intestinal environment by removing accumulated feces and toxins from the intestines, fostering the growth of beneficial bacteria, restoring normal intestinal peristalsis function, and enhancing the body's immune function. I hope the above information is helpful to you. Wishing you a speedy recovery.

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