Diarrhoea and constipation

Dr Trisha Macnair

People experience diarrhoea at some point in their lives.
This guide explains some of the causes, symptoms and
treatment of diarrhoea in children.

In this article
What is it?
What causes it?
Who's affected?
What are the symptoms?
How's it diagnosed and treated?

* What is it?

Diarrhoea and constipation are both changes in the normal
toilet/bowel habit. In diarrhoea, faeces are more liquid
and may be passed more frequently than normal. In
constipation, the opposite occurs - faeces may be
abnormally hard or passed less often than normal, sometimes
not for several days.

It's difficult to be specific as to what is a normal toilet
habit - many people think that once or possibly twice a day
is normal but there's a wide range. It's important to take
not of a change in habit from what's normal for the
individual child.

* What causes it?

There are many causes for diarrhoea or constipation. Breast-
fed babies may not pass faeces for several days but be
quite healthy. Other causes include dehydration (for
example, following a feverish illness), a small tear or
fissure in the anal canal (commonly, fear of pain inhibits
the child from opening their bowels), psychological
stresses (unfamiliar surroundings, emotional traumas) and,
rarely, a medical condition.

Diarrhoea may be caused by infection (for example,
gastroenteritis), or malabsorption problems where food isn't
taken in through the gut properly (such as food intolerance,
coeliac disease, cystic fibrosis).

* Who's affected?

All children occasionally suffer from diarrhoea or
constipation.

* What are the symptoms?

In diarrhoea, the child may open their bowels several times
a day, passing watery or runny faeces. There may be a lot
of wind and the diarrhoea may be 'explosive' or
particularly foul smelling. Depending on the cause, the
child may also experience abdominal pain, nausea and fever.

In constipation, the faeces may be hard and painful to pass.
It can cause a tear in the delicate lining of the anal
canal, which may lead to streaks of blood on the faeces.
Because the bowel becomes overloaded with faeces, the
sensation of needing to open the bowels may be lost and the
child may unintentionally soil themselves as the full bowel
overflows. This can cause both diarrhoea and constipation
at the same time.

* How's it diagnosed and treated?

In diarrhoea, give a rehydrating solution until it settles,
especially if your child is not drinking or eating, or is
becoming dehydrated. In mild constipation, increasing the
intake of fluid and fibre (for example, stewed apples and
root vegetables) may be enough. If this isn't effective,
talk to your doctor who may suggest lactulose (to soften
the faeces) or other treatments.

Always get medical advice for small babies. If the problems
persist, or your child seems unwell, see your doctor.
Occasionally persistent diarrhoea or constipation are a
sign of more serious illness that needs to be investigated.

bbc.co.uk > Health > Conditions
http://tinyurl.com/4rane





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