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Why are you constipated at a young age?Let’s get to know these 7 different stools!

One of the amateur life after the retirement of our grandfather was to observe the stool of his niece and take pictures. After seeing it too much, after a long time, the grandfather had a confusion -how did the niece daughter at a young age? (Real people and real things)

I believe many people have the same confusion as my grandfather. Why do children have the symptoms of constipation at a young age?

Last week, at the 23rd National Pediatrics Conference of the Chinese Medical Association held in Xiamen, Dr. Li Zailing from the Third Hospital of Peking University made a wonderful report on the cause of constipation of children, just to answer the doubts of the grandfather and everyone, hurry up, hurry up come and see!

Under normal circumstances, how do we defecate?

To understand constipation, we must first understand what kind of process of our human body under normal circumstances:

first step

The stool accumulates in the sigmoid colon, and its contraction increases and advances the feces into the rectum to expand the rectum.

Through the regulation of the downlink neurons in the intestinal wall, the sphincter of the anus sphincter reflex stomach. So the feces entered the anal canal and the inner wall of the upper part of the sensitive.

Step 2

Rectal dilatation and stool stimulation of the rectal mucosa will have a intention.

third step

Rectal dilatation can also cause the anal sphincter and the contraction of the pubic rectal muscle -there is a relaxation, so that the stool will not run out as soon as it goes to the rectum.

the fourth step

Allows people to choose to defecate or delay bowel movements.

the fifth step

When people take a sitting position or squat to prepare bowel movements, first move the anus dilatation and straighten the anus rectal corner. At this time, the tension of the tension of the anal sphincter and the pubic rectal muscles is suppressed.

Step 6

We use the breath to increase the intra -abdominal pressure after exhalation, and push the feces into the anal canal.

Step 7

Stimulate the poop reflex of the spinal cord to shrink the rectum and discharge the feces.

The complicated mechanism above enables us to defecate normally every day.

What are these excreted feces consisting of?

First, the carbohydrates that enter the colon are described as a short -chain fatty acid that can be partially absorbed by bacterial yeast.

Secondly, the fibroblasts in food and other solid substances that cannot be fermented have become the matrix components of solid feces. The feces became solid until the sigmical colon was entered.

The stool hardness and moisture content of normal individuals are almost the same.

What is constipation?

How to define constipation? Is it just a constipation without a stool for a day?

In fact, constipation is a symptom, decreased defecation, difficulty in defecation, or both.

So what is difficult to defecate? Difficulty defecation refers to symptoms such as laborious defecation, difficulty in discharge, and pain in defecation.

If there are less than 3 times a week, the stool is less than 35 g / d, the stool is dry, and the stool is not felt. The symptoms such as auxiliary bowel movements need to be auxiliary bowel movement.

Of course, there are differences in the main performance of each patient. Even if some patients still feel constipation even if they have defecation every day, others are manifested as a small number of defecation, but there is no difficulty in defecation.

It is important to note that younger children will change the frequency of bowel movements with their age:

Within one week, 4 times/day;

Around the age of two, 2 times/day;

Children around the age of all are closer to adults. Different children will have different frequency of shit, resulting in 3 times/day to 3 times/week.

Another thing to pay attention to is that healthy breastfeeding babies may have a few days of failure to defecate. If the baby does not have a laborious performance, it is considered normal and there is no need to worry too much.

How to judge whether there is constipation?

The most common constipation is functional constipation, accounting for 90%to 95%. A greater children and adolescents often have Roman IV functional constipation. Next, I will tell you how to diagnose whether there is constipation.

1 functional constipation

For children under 4 and under 4 years old, at least 2 items in the following projects must be met, and the duration must be 1 month:

① Stools twice or less per week;

② There is a medical history of excessive stools;

③ There is a history of pain or difficulty in defecation;

④ There is a history of a large diameter of feces;

⑤ A large amount of feces appear in the rectum.

For children who can go to the toilet to defecate themselves, the following diagnostic criteria may be added:

① At least once/weekly incontinence after being able to go to the toilet;

② There is a large diameter of the feces and blocking the toilet.

2 Rome IV functional constipation

It must include the following two or more items. The symptoms appear at least once a week and last for at least one month.

① Children who are ≥ 4 years old have a bowel movement twice or less a week;

② Stool incontinence at least once a week;

③ There is a passive posture or excessive endurance of feces or excessive endurance;

④ There is a history of stool pain or draining hard feces;

⑤ There is a large dung in the rectum;

⑥ There is a history of rows of thick fecal stool, which may even cause toilet blocking;

⑦ After moderate evaluation symptoms, it is not fully explained by other diseases.

3 Bristol’s stool classification method

For ordinary parents like my grandfather, the above -mentioned method of judgment may still be too complicated. Don’t worry. There is also a simpler and rude prescription for reference.

Type first: hard balls (difficult to pass);

Type 2: sausage, but the surface is uneven;

Type 3: sausage, but cracks on the surface; Type 4: like sausage or snake, and the surface is smooth;

Type 5: The smooth and soft block shape of the broken edge (easy to pass);

Type six: rough edges fluffy pieces, pastered stool;

Type 7: Water -shaped, no solid block (complete liquid).

In order to let everyone understand vividly, let’s see the figure below:

Type first and second types indicate constipation; Type 3 and Fourth types are ideal stools, especially the fourth type is the most likely shape to defecate; the possibility of diarrhea in the fifth to seventh.

Why are you constipated at a young age?

The reason for constipation must be the most concerned about everyone. Many parents will ask, why do our children eat vegetables every day?

In fact, this is because constipation is not just not eating well, there are many other reasons, such as these situations:

1. Functional -This is the most common reason, accounting for more than 90%, and generally lacks the etiology of organic compiology;

2. Slow transmission type -about 25 ~ 69%of the cause of constipation. This is due to the disorders of the colorectal dysfunction and the discharge period caused by abnormal conduction and difficulty in defecation;

3. Pain causes unwillingness to defecate;

4. Lack of water;

5. Neurotransmid P substance lack;

6. Rectal pressure decreases;

7. Intestinal dynamic disorders -abnormalities of the intestinal nervous system (ENS) function, intestinal movement -related neurotransidal abnormalities, abnormalities of intercocnical cells, and abnormal smooth muscle;

8. Defending disorders -rectal anal abnormalities, anal sphincter abnormalities.

In addition to the above reasons, there are also some external factors that may cause constipation:

1. Genetic factors: Inheritance by family.

2. Food factors:

-The diet is too fine and less residue, lacks food fiber, and lacks physiological stimuli;

-The number of normal flora decreases;

-The intestinal content is extended through time, and the water is excessively absorbed;

-Coltage intake insufficient intake;

– allergy;

-Dactose is not resistant.

3. Psychological factors: anxiety, depression, cause constipation by inhibiting the dominance of the large intestine on the large intestine.

4. Be bowel habits: No good bowel training.

Now we can know that constipation is a common symptom among children, but at the same time, it will also have a multi -dimensional impact on children’s physical and mental physical and mental. It is a kind of physical and mental illness or even public health. Therefore, we need parents to take it seriously.

Although you don’t need to buy a mobile phone to take a picture to record the child’s daily stools like my grandfather, but to care about whether the child has daily poop, and occasionally seeing the shape of the child’s stool is still necessary.

Halloween this year,

Xiaobian intends to take Malisu and Shili frame COS Bristol,

What do you plan?

In addition: the same time tomorrow,

There will be an introduction to the treatment of constipation

Reference materials:

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