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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 32655
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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3wk old infant: Was able to pass with no issue at birth.

Resolved Question:

3wk old infant: Was able to pass bm with no issue at birth. Over last few wks has become increasingly difficult to do so. Initially I suspected constipation, tried water, water & sugar, orange & prune juice with little effect. He strains alot with little effect. Eventually I stimulated his anus & this resulted in a bm. On most occasions I am required to 'help' him pass motions, either by massage or lifting his legs until he pushes. At worse I have stimulated his anus when at his most distressed. The motions are def not constipated in nature. They are soft & he passed them easily once stimulated to do so. I suspect an issue with his anal sphincter. Advise much appreciated. Also, he passes 2 motions of reasonable size in last 2 days with no help. My nxt route will be to attend the gp.thanks
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi. While this could be an anal sphincter disorder or an anal fissure there is also the possibility that it's an irritable bowel syndrome situation or a colon motility problem

He does need to be seen by a pediatrician for initial evaluation and from there he may need to see a pediatric gastroenterologist

Let me know if you need more information please.
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