Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my daughter who is 1 yr and 9 months cries while passing stools. she had this problem 2 months back. we did her sonography and barium test but everything was normal. she was ok for 1 month but she has developed the same condition again.the paediatrician has suggested evict and cremaffin. but she is not responding. even tried suppository but that gives only temporary relief. please suggest
[|AI|]  Hi, This probably from constipation, which causes too tight stools that causes pain on passing. That is why she is getting temporary relief with suppository. In such recurrent cases, I used to order thyroid function test and blood calcium level, as their abnormalities can cause constipation; if these comes normal, I used to give laxatives like remain, sodium bisulfate and lactulose, needing combination in some severe cases.Most of the time we will be able to control, and will try to taper and stop after 3 months. You can discuss with your doctor. Meanwhile, give her fiber rich items like fruits, vegetables (orange, grapes, jack fruit, sweet potato, raw wheat, oats - are all fiber rich) and plenty of water. Some child Chat Doctor. Hope I have answered your question. Let me know if I can assist you further.