Medication for Mild Constipation in Young Children - Pharmacology

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I would like to inquire: My daughter is 2 years and 5 months old and is experiencing mild constipation with pain during bowel movements.
She also does not like milk and does not eat much.
The doctor prescribed: MgO 250mg, 0.5 tablet (powdered) per dose for 3 days, totaling 6 tablets; and Sugar, 0.5g per dose for 3 days, totaling 6g.
However, I have checked with various pharmacies and health departments, and there seems to be no information on these medications.
I kindly ask your pharmacists for clarification.
Thank you!

CHi, 20~29 year old female. Ask Date: 2003/12/18

Dr. Hou Fangmin reply Pharmacology


Hello: Mgo, known as magnesium oxide, is indicated for alleviating stomach discomfort, aiding digestion, and relieving constipation; however, it is not a true laxative.
Sugar is a powdered sweetener that may be used in pediatrics, as children often dislike bitter tastes.
If constipation is not severe, consuming gelatinous foods, such as jelly, can be beneficial.
I hope this response meets your satisfaction.
If you have any questions, you can call the Taichung Hospital pharmacy at 2128 and ask for Pharmacist Hou.
Thank you.

Reply Date: 2003/12/18

More Info


When it comes to treating mild constipation in young children, it is crucial to understand both the medications prescribed and the underlying causes of constipation. In your case, your 2-year and 5-month-old daughter is experiencing mild constipation with painful bowel movements. The physician has prescribed Magnesium Oxide (MgO) and sugar as a sweetening agent.

Understanding the Medications
1. Magnesium Oxide (MgO): This medication is often used to relieve constipation due to its osmotic laxative properties. It works by drawing water into the intestines, which helps to soften the stool and promote bowel movements. The typical dosage for children can vary, but it is generally safe when used appropriately. In your case, the prescribed dose of 250 mg, taken as 0.5 tablets, seems reasonable for a child of her age and weight, especially if the physician has assessed her condition and deemed it necessary.

2. Sugar: The sugar prescribed is likely intended to make the magnesium oxide more palatable for your child, as many children are sensitive to the taste of medications. It is common practice in pediatrics to add flavoring agents to medications to encourage compliance, especially in young children who may be averse to taking medicine.


Addressing the Constipation
Constipation in young children can be caused by various factors, including dietary habits, fluid intake, and sometimes psychological factors. Since you mentioned that your daughter does not like milk and does not eat much, it is essential to consider her overall diet. Here are some recommendations:
- Increase Fiber Intake: Encourage her to eat more fruits, vegetables, and whole grains. Foods high in fiber can help promote regular bowel movements. Examples include apples, pears, prunes, and whole grain cereals.

- Hydration: Ensure she is drinking enough fluids throughout the day. Water is the best choice, but you can also include clear soups or diluted fruit juices. Adequate hydration is crucial for preventing constipation.

- Regular Bathroom Routine: Establishing a routine for bathroom visits can help. Encourage her to sit on the toilet for a few minutes after meals, as this is when the body's natural reflexes are strongest.

- Physical Activity: Encourage her to engage in physical activities. Regular movement can stimulate bowel function.


Monitoring and Follow-Up
It is important to monitor her response to the medication and dietary changes. If her constipation persists or worsens, or if she experiences severe pain, it is essential to follow up with her pediatrician. They may consider other treatment options or investigate further for any underlying issues.


Conclusion
In summary, the medications prescribed for your daughter appear to be appropriate for her mild constipation. However, addressing her dietary habits and ensuring she has a balanced intake of fiber and fluids will be crucial in managing her condition effectively. If you have any concerns about the medications or her symptoms, do not hesitate to consult with her healthcare provider for further guidance.

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