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August 3rd, 2010
Treating Impaction in Children

Treating Fecal Impaction in a child consists of two parts. Firstly: Clearing out the Impaction. Secondly: Preventing it from happening again.

Clearing out the Impaction normally starts by giving a glycerin suppository. If this doesn’t have the desirede effect, a enema is the next step. This can be quite unpleasant for a child. Therefore it is recommended that a child lies down in a bath tub filled with warm water. The water must cover his stomach. Sit with the child and help him relax by readingabook or telling a story. In this way some of the water enters the rectum, softening the stools. If there is still no effect a mineral fleet enema should be considered. This way the contents of the bowels become softened and lubricated and normally starts to clear out within 2 to 5 minutes.

Getting medical advice and treatment for a very stubborn impaction may be necessary. After failed attempt of enemas it will become necessary to manually break up the impaction by inserting a gloved finger into the rectum. This part of the treatment is best left to medical practitioners.

After clearing out the bowels it is extremely important to prevent another impaction. Constipation can be an acute once-off occurrence or a chronic situation that is not easy to get rid of. Though laxatives are a tempting short-term solution it is exactly that – a short-term solution that aggravates constipation in the long run. Glycerin suppositories are not considered a laxative. It simply lubricates the bowels to help ease the stools out. Laxatives stimulate the bowels itself to increase peristalses and is not a cure for constipation.

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