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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 36076
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.

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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
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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