What are the causes of constipation in children?

Patient's question:

After the child was born, abdominal distension was detected as Hirschsprung's disease. At four months, the child underwent a Hirschsprung's disease surgery. The child underwent anal dilation for six months and half a month. Everything was fine until the past two months, when the child has been having difficulty defecating. Each time, only a little bit comes out, as if it's not completely empty. What could be the reason for the child's difficulty defecating?

Doctor's answer:

A three-year-old child has a history of megacolon surgery in the past, but recently experienced sudden difficulty in defecation, which may be related to infantile constipation. This is a common condition in infants. There are many possible causes. Generally, it can be divided into two categories: functional constipation, which can be regulated, and constipation caused by congenital intestinal malformations, most of which are due to congenital intestinal malformations. The number of infants with functional constipation is significant. Pay attention to dietary regulation, reduce the addition of supplementary foods, take oral probiotics to regulate intestinal flora, and use Kaizaru externally to help with defecation when experiencing difficulty in defecation.

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