Ayurvedic treatment for Constipation in children

Constipation in children

Know More on Gastro Intestinal diseases

  • Definition
  • Causes
  • Symptoms
  • Diagnosis
  • Management
  • FAQS
  • References

Definition

Constipation in children Ayurvedic treatment

WHAT IS CONSTIPATION IN CHILDREN?

Constipation in children refers to the time delay or difficulty in passing stool, which is present for two or more weeks. More than the child, it causes distress to parents and caregivers as parents may fear it to be a sign of any serious medical problem.1

Ayurveda explains the symptoms of constipation in infants/children as ‘Malavrodha’ (obstruction of stool). Additionally, synonyms such as Vibhandha, Vitgraha, Kabja (Kabz), Anaha and Koshtabadhata are used interchangeably.3

Causes

Constipation in children

CONSTIPATION IN CHILDREN CAUSES

Many young children are known to tighten the external anal opening if they do not wish to pass motions. Regular following of this practice reduces the motility of the rectum and causes hardening of the accumulated stools. Passing of such hard stools is difficult and painful - which again can lead to spasm in intestine and retention of the stools. This condition is termed as ‘functional constipation’. Most children who present with constipation have functional constipation.1

Yet, in some cases, constipation may be serious. Especially in infants - who do not pass motions within 48 hours of birth - this may be due to a serious disease called Hirschsprung’s disease.

Some other conditions that can cause constipation in children are2

  • Birth related malformations in rectum
  • A type of lung disease (Cystic fibrosis)
  • Complications due to type 1 diabetes and thyroid disease
  • Any type of poisoning
  • Side effects of some medicines

Some causes of constipation in infants according to Ayurveda are as follows4

  1. Weakening of Apan Vayu causes the stool to become hard & cause difficulty in evacuation.
  2. Slow movement of intestine due to high Vata dosha

Symptoms

Constipation in children

CONSTIPATION IN CHILDREN SYMPTOMS

The most common symptoms of constipation are5 -

  • Very few motions
  • Crying while passing motions
  • Hard stools that do not pass or cause severe pain
  • Pain or bloating in abdomen

Diagnosis

Constipation in children

CONSTIPATION IN CHILDREN DIAGNOSIS

Doctors generally diagnose constipation by taking a medical history, performing a physical exam and asking for certain tests such as colonoscopy, transit studies and Defecography apart from regular blood tests.5

Management

Constipation in children

CONSTIPATION IN CHILDREN AYURVEDIC TREATMENT

Ayurveda calls for identifying the basic underlying cause and treating them. Although the Ayurveda mention a number of formulations for treating constipation, they are difficult to administer to children due to the bitter taste. For this purpose medication that can be inserted through rectum (Phalavartis) are used. They can be easily administered to children, old persons those who cannot swallow the drugs.4

In case of breastfeeding infants, administering mild laxative to mother may help.

Diet Recommendations (Aahar)

  • Give freshly prepared food
  • Encourage proper chewing of food is important to children
  • Give plenty of leafy vegetables and salads
  • A glass of lukewarm milk with a teaspoon of ghee and sugar at bed time can help
  • Include Raisins/ Munnaka and fruits like anjeer (figs) apple, pear and peaches

Lifestyle changes (Vihar)

  • Encourage your child to form a habit of defecating early morning.
  • Regular physical exercise, walking, and regular practice of yogasanas especially the Pavanamuktasana, Uttanapadasana, mayurasana and Ardha-Matsyendrasana may be beneficial.

FAQS

Constipation in children
  1. What is GERD?

Acid reflux disease - also commonly known as Gastro-esophageal reflux disease (GERD) is condition in which acid from the stomach regurgitates or moves up into the esophagus (gullet).

  1. How are fissures caused?

An anal fissure may occur when due to passing of hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. One may experience spasms in the ring of muscle at the end of the anus (anal sphincter).

  1. Can a fissure heal completely?

With appropriate treatment and following of pathya apathya, a fissure can heal completely. Although care should be taken not to be constipated and have high amount of fiber in food.

  1. What is a kshar karma? How is it different from other surgery

Kshar karma is a specialized Ayurvedic surgical procedure that involves minimal blood loss and provides excellent relief in hemorrhoids and fistulas. It involves the applying of a sclerosing agent, such as apamarg kshar snuhi kshar etc.

It differs from conventional surgery as in it does not require anaesthesia, shows minimal blood loss and need not require inpatient admissions.

  1. What are the risk factors of developing bowel incontinence?

A number of factors can increase the risk of developing fecal incontinence. These include:

  • Age: It is more common in middle-aged and older adults.
  • Female gender: Fecal incontinence is slightly more common in women. One reason may be that fecal incontinence can be a complication of childbirth.
  • Nerve damage: People who have long-standing diabetes or multiple sclerosis — conditions that can damage nerves that help control defecation — may be at risk of fecal incontinence.
  • Dementia: Fecal incontinence is often present in late-stage Alzheimer's disease and dementia.
  • Physical disability: Being physically disabled may make it difficult to reach a toilet in time. An injury that caused a physical disability also may cause rectal nerve damage, leading to fecal incontinence. Also, inactivity can lead to constipation, resulting in fecal incontinence.
  1. What exercises can be done to have better control on the motions?

Certain asanas that help strengthen the pelvic floor (muscles around the anal opening) are recommended for better control over the anorectal area. These are -

Utkatasana                   Virabhadrasana                 Ananda Balasana             Shlabhasana

 

  1. Can celiac disease lead to anything serious?

Untreated, celiac disease can cause the following complications:

  • Malnutrition: The damage to your small intestine means it can't absorb enough nutrients. Malnutrition can lead to anemia and weight loss. In children, malnutrition can cause slow growth and short stature.
  • Calcium loss of calcium and low bone density: Malabsorption of calcium and vitamin D may lead to a softening of the bone (osteomalacia or rickets) in children and a loss of bone density (osteoporosis) in adults.
  • Infertility and miscarriage: Malabsorption of calcium and vitamin D can contribute to reproductive issues.
  • Lactose intolerance: Damage to your small intestine may cause you to experience abdominal pain and diarrhea after eating lactose-containing dairy products, even though they don't contain gluten. Once your intestine has healed, you may be able to tolerate dairy products again. However, some people continue to experience lactose intolerance despite successful management of celiac disease.
  • Cancer: People with celiac disease who don't maintain a gluten-free diet have a greater risk of developing several forms of cancer, including intestinal lymphoma and small bowel cancer.
  • Neurological problems: Some people with celiac disease may develop neurological problems such as seizures or peripheral neuropathy (disease of the nerves that lead to the hands and feet).

In children, celiac disease can also lead to failure to thrive, delayed puberty, weight loss, irritability and dental enamel defects, anemia, arthritis, and epilepsy.

  1. Who gets affected by pancreatitis?

Acute pancreatitis is more common in middle-aged and elderly people, but it can affect people of any age. Men are more likely to develop alcohol-related pancreatitis, while women are more likely to develop it as a result of gallstones.

  1. What are the common causes of developing ulcers in stomach?

Common causes of peptic ulcers include -

  • Long-term use of non steroidal anti-inflammatory drugs (NSAIDs)
  • An infection with the bacteria Helicobacter pylori (H. pylori)
  • Rare cancerous and/or noncancerous tumors in the stomach, duodenum, or pancreas

Addtionally, intake of alcohol and smoking also increase the chances of having a gastric ulcer.

  1. What causes hemorrhoids?

Swelling in the anal or rectal veins causes hemorrhoids. Several factors may cause this swelling, including -

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Sitting on the toilet for long periods of time
  • A lack of fiber in the diet

Another cause of hemorrhoids is the weakening of the connective tissue in the rectum and anus that occurs with age.

Pregnancy can cause hemorrhoids by increasing pressure in the abdomen, which may enlarge the veins in the lower rectum and anus. For most women, hemorrhoids caused by pregnancy disappear after childbirth.

 

References

Constipation in children
  1. Biggs WS, Dery WH. Evaluation and treatment of constipation in infants and children. Am Fam Physician. 2006 Feb 1;73(3):469-77.
  2. Baker SS, Liptak GS et al. Constipation in infants and children: evaluation and treatment. A medical position statement of the North American Society for Pediatric Gastroenterology and Nutrition. J Pediatr Gastroenterol Nutr 2000;30:109
  3. Parve SD, Nisargandha MA. An Ayurvedic Approach of Constipation. UJC Journal Dec 2014. Available at net/wp-content/uploads/2014/12/cntctfrm_6c410e94f466d16c3f2de1299bc74741_Final%2520..Ayurvedic%2520approach%2520of%2520Constipation.docx+&cd=16&hl=en&ct=clnk&gl=in accessed Aug 19th 2016
  4. Rathi B. A Short Study on Pharmaceutical Preparation & Clinical Evaluation of Phalavarti (Gudavarti) in Malavrodha(constipation). J Ind Sys Med. Jan 2013. VoI. 1: 30-34
  5. Diagnosis of constipation. Available at https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/constipation/Pages/diagnosis.aspx accessed on Aug 19th 2016
  6. Rawat A, Srivastava S, Ojha SK. Herbal remedies for management of constipation and its Ayurvedic properties. JIMSA 2012; 25(1): 27-9.

Disclaimer: The information on this page is not intended to be a substitute for professional medical advice. Do not use this information to diagnose or ayurvedic treatment of gastro-intestinal-diseases and/or constipation in children without consulting the doctor. Consult your physician before beginning an exercise regime. "While we have products /ayurvedic medicines for gastro-intestinal-diseases and/or constipation in children, you must consult an authorized physician before taking any of the products. For more information on products, visit www.dabur.com or call 1800-103-1644"