• Children's Constipation

    Encouraging your child to make simple dietary changes — such as eating more fiber-rich fruits and vegetables and drinking more water — can go a long way toward alleviating constipation. If your child’s doctor approves, it may be possible to treat a child’s constipation with laxatives.

     

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    What causes constipation : Hypothyroidism Dr Ronald Goldenberg MD, FRCPC, FACE Endocrinologist
    What causes constipation : Hypothyroidism Dr Ronald Goldenberg MD, FRCPC, FACE Endocrinologist
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    David Israel, BSc, MD, FRCPC, discusses involuntary soiling due to constipation.
    David Israel, BSc, MD, FRCPC, discusses involuntary soiling due to constipation.
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    David Israel, BSc, MD, FRCPC, discusses long term constipation in children.
    David Israel, BSc, MD, FRCPC, discusses long term constipation in children.
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    David Israel, BSc, MD, FRCPC, discusses stool withholding due to constipation.
    David Israel, BSc, MD, FRCPC, discusses stool withholding due to constipation.
  • What Causes Constipation In Children?

    Constipation is very common and the most common cause of it is functional.Meaning you absorb the water too fast in the bowel and push your contents of the bowel out too slowly. The main constipation treatment is related to the diet and the belief is that most of the time constipation is caused by a diet that is insufficient in fibre. 

                      

    Often seeing a local family physician for a referral to a Psychiatristpsychologist or a councilor    in conjunction with a registered dietitian  is a great option to take control of this condition. Smart Food Now and exercise is also optominal for overall health.    

    In addition, water or fluid consumption is very critical and so is physical activity, especially for older people. If you do not move, nothing moves well as they say! In the minority of cases there is an underlying cause of constipation, so it’s important to visit your physician for an assessment if you’re suffering from chronic constipation.

    If you have questions about constipation causes, contact your local Family physician or gastroenterologist.

    Now Health Network Local Practitioners: Pediatrician

  • Diagnosing and Treating Constipation

    Constipation is a big problem that patients just don’t want to talk about with their doctor. It’s often embarrassing and they just don’t know how to bring it up. Based on some new studies on patient self-reporting, the prevalence of chronic constipation can be anywhere from 10-20 percent. Chronic constipation is a challenging problem because it affects one’s quality of life. It can cause emotions such as frustration, anxiety, embarrassment and stress. I think that chronic constipation definitely is important to speak about with your family doctor. 

    As patients and as doctors, we can often define the normal spectrum of normal bowel movements. Many times, we think normal is three spontaneous, complete bowel movements per week. But according to the American College of Gastroenterology, chronic constipation is defined as unsatisfactory defecation characterized by infrequent stools, difficult passage of stools, or both. 

    Patients often think about difficult bowel movements as being straining, having hard, lumpy bowel movements. Trying very hard or having a difficult time passing the bowel movement and also spending an exorbitant amount of time trying to have a bowel movement. 

    When you see your family doctor and talk about chronic constipation, it’s important that you don’t feel shy or embarrassed. It’s important that you bring up your history, as your family doctor will do their best to find out what’s going on. 

    When you see your family doctor, what they’ll do is talk to you about your history. What medical conditions you have, what medications you’re taking that can affect you. They are going to look for red flags or danger signs. The red flags can include weight loss, anemia, pain, problems with blood in the stool, or even new symptomatology that occurs in patients over 50 years of age. 

    These are all red flags that your family doctor will be listening to. During the visit, they’ll ask you about your family history of colon cancer or any inflammatory bowel diseases. During your visit, there may be a physical exam examining the abdomen or doing a rectal exam and they will offer you some tests. These tests will include blood tests to check for anemia, your thyroid, but also may include a referral for colonoscopy if there is a concern. 

    It’s important when you speak to your family doctor about treatment options for chronic constipation that they provide education about fluid and fibre. It has to be adequate combined with exercise to allow the body to deal with this naturally. Luckily, we have many over-the-counter products that can help with chronic constipation. 

    If there’s an adequate trial, and if you’ve tried your best as a patient and it’s not working, don’t be afraid to speak to your doctor because besides over-the-counters, there are prescription medications – prokinetic agents that can help you. It’s important you speak to your family doctor about treatment options for chronic constipation.

    Presenter: Dr. Daniel Ngui, Family Doctor, Vancouver, BC

    Local Practitioners: Family Doctor

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