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Consistently strains while pooping
Hello dr , my 1 year baby consistently strains while pooping for a few months( after starting solids) sometimes like hard pebbles and sometimes it's normal and he will poop every alternative day. Nowadays he poop  hard stool first  and then normal in small portions( mostly three times a day) and he has urine reflux grade 2.
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Answers (2)

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Hello, Straining during passing stools is a common concern and is often due to functional constipation or normal behavior Watch for red flags like Bilious vomiting, Poor weight gain, Neurological deficits or lumbosacral anomalies
Next Steps
Dietary Modifications-Increase fiber: Fruits: papaya, prunes, pears, peaches Vegetables and whole grains Hydration: Offer water between feeds Avoid excessive milk intake (>500 mL/day) Toilet Habits and Behavior Encourage relaxed potty time (if toilet-trained) Avoid pressure or punishment
Health Tips
May use Syp Lactulose if not improving
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Greetings look like constipation. Add more vegetables and fruits to the diet,avoid maida based food Give laxolite if still having loose motions
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.