How to deal with constipation in a 2-year-old child?

Patient's question:

Hello, my sister's daughter is over 2 years old this year. However, since her birth, she has often suffered from constipation. She has seen a doctor, who advised her to pay attention to her diet, drink more water, and eat more fruits. But there hasn't been much improvement. She has also tried many methods that others say are effective, but it hasn't made a difference. What should she do?

Doctor's answer:

Generally, it may be caused by overly refined food. You can eat more vegetables, fruits, coarse grains, sweet potatoes, etc. Develop good bowel habits. It is recommended that children have a bowel movement once a day, preferably after dinner. Before defecating, they can first perform a squatting motion to increase abdominal pressure, or massage the abdomen in a clockwise direction to promote intestinal peristalsis and achieve the goal of defecation. When defecation is too difficult, applying some soapy water to the anus can immediately relieve constipation. In daily life, you can also promote defecation by rubbing the abdomen. First, use the palm of your hand to rub the child's abdomen in a clockwise direction for 5 to 10 rotations, remembering that the palm must not leave contact with the skin.

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