Did the constipation start suddenly...
...And your child also have stomach pain?
Yes
No
Did it start suddenly and he or she also cannot pass gas
Yes
No
Seek urgent care or call the pediatrician.
Here is why:
Possible intestinal blockade.
Do not give any laxative until your child see a doctor.
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Is there blood when trying to empty the bowel
Yes
No
Seek urgent care or call the pediatrician.
Here is why:
Need to rule out other causes which could be serious.
Even if you think it is hemorrhoids, your child still need to see the doctor.
Note that:
Stool that is black usually means that the blood is coming from the upper part of the gastrointestinal (GI) tract(esophagus, stomach, and the first part of the small intestine).
Bright red blood or maroon-colored stools may mean that the blood is coming from the lower part of the GI tract (large bowel, rectum, or anus)
Blood will usually look black like tar after it has passed through the intestines because it has been exposed to the body's digestive juices.
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With this constipation, is the child feeling bloated?
Or nausea and / or vomiting?
Yes
No
Seek urgent care or call the pediatrician.
Here is why:
Possible mechanical obstruction.
This may require serious examination and tests by the physician such as:
flat and upright abdominal x-rays
water-soluble contrast enema to evaluate for colonic obstruction
barium x-ray of the small intestine
possibly a CT scan
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With this constipation, any tense stomach?
Yes
No
Seek urgent care or call the pediatrician.
Here is why:
Possible mechanical obstruction.
This may require serious examination and tests by the physician
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Is this constipation alternating with watery diarrhea?
Yes
No
Seek urgent care or call the pediatrician.
Here is why:
Your child may be looking at fecal impaction here. This is serious.
May also be looking at Irritable bowel syndrome.
Call now if the diarrhea contains:
Watery mucus
particles of feces
The child has stomach cramps.
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What about thin, pencil-like stools
In addition to feeling constipated?
Yes
No
Has the child lost weight and you don't know why?
In addition to this constipation?
Yes
No
Those were situations that require urgent care.
Let's find out what may be causing the constipation.
Eliminating the cause is a much better way of getting rid of it and getting the bowels back to regular.
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