Patient's question:
A seven-year-old boy often soils his pants with feces. This phenomenon has been going on for over a year, and now it happens every day. He has seen a doctor, undergone an anal examination, and an ultrasound, but no abnormalities were found. He frequently complains of stomach pain and has vomited several times at school due to it. Sometimes, when he looks very urgent, asking him to use the restroom, he always says he's not ready. When he can no longer hold it in, he loses control. Many methods have been tried, including scolding and punishment, as well as calm discussions with him, but none have been effective. It is unclear whether this is a physical issue or a psychological one?Doctor's answer:
Detected infant diarrhea, it is recommended to check and test whether it is indigestion or intestinal inflammation. Also, pay attention to whether it is caused by a cold leading to intestinal dysfunction. If it is indigestion, oral medications such as Shanmai Jianpi Koufuye (Mountain Millet Strengthening Spleen Oral Liquid) and Smecta should be considered. For severe cases, consult a doctor for intravenous treatment. Extend the interval between feedings to allow the digestive system to rest. Increase fluid intake. If supplementary foods have been introduced, pause or reduce the addition of these foods. Gradually reintroduce them once the condition improves. Particularly avoid foods that are difficult to digest.