Conversation: The conversation between human and AI assistant.
[|Human|] pediatric question-my 14 month old has continuouse constipation very bad hard large gum balls...i recently changed whole milk to soy in hopes to help her...i am trying to feed her fiber filled foods but she has become a fussy eater and is not eating enough to make a difference
[|AI|]  Thanks for asking gone through your question, your 14-month-old child having problem of constipation. If I was your treating pediatrician then first I would evacuate the loaded abdomen by giving spy lactulose 2ml per kg per day. And after motion passed I would keep the dose of lactulose 1 ml per kg per day. So that your child pass one soft motion daily, for that I would titrate dose of lactulose. The above treatment is one part of treatment, other is giving fiber diet. Fiber content is good of whole grain, cereals, Give your child just 250 ml of mild daily, rest diet should be of cereals . Cereals form bulk of stool and frequent motions, Treatment may be continued for 2-6 months. Taper the dose of lactulose according the effect. I also give spy multivitamin and iron spy 1 mg per kg per day to improve appetite.  Hope i able to give answer to your query