Suggest treatment for child suffering from achondroplasia, constipation and small rectum
Patient: Hi, i have a 14mth old baby girl who has achondroplasia and she keeps getting constipated, it has got to the point where she is straining to go toilet, there is a little blood when she does go and it is hard, she arches her back and i have helped her to go and i also noticed her rectrum seems to be smaller, pls help. Doctor: Hi,  Suggestions:  1. Natural methods are the best to relieve constipation. 2. Constipation is a risk factor for UTI 3. Maximum milk consumption per day should not exceed 300-400ml 4. Minimum 3-4 cups of fruits and vegetables to be consumed per day. Papaya is the best natural laxative. 5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. 6. 1 liter of water per day.  Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology