But in rare cases, in the long term, “constipation” can cause many complications. Especially if it is of the chronic type, that is, if the constipation lasts two weeks or more, with going to the bathroom intermittently, and with very small amounts of stool.
Approximately, about 20 percent of children in the "toddler" age group suffer from constipation.
Causes of constipation,
according to the Cleveland Clinic. Constipation in children is defined as if it is less than twice a week with the passage of hard, painful stools from the rectum ending in the anus. Approximately the same definition is used according to the “American Academy of Pediatrics (AAP)”, which says that the child suffers from the passage of large, hard and dry stools accompanied by painful bowel movements (mostly the child feels abdominal cramps due to constipation) and there may be contamination on clothes The inner child between the times he enters the bathroom and also there may be blood on the outside of the stool.
The main reason for the occurrence of constipation depends mainly on the diet. The more the child's food is very rich in processed foods, dairy products and sweets, the greater the possibility of constipation, as well as eating foods that do not contain large amounts of fiber such as whole grains, fruits and vegetables.
Any change in diet also causes a change in bowel movements. in younger children; Just changing the quality of the milk could be the reason. Whether it is from breast milk to artificial milk, or the beginning of eating natural dairy such as cow's milk, which can also cause allergies in the child.
In many times, the cause of constipation is the children's refusal to go to the bathroom after the exercises that the mother resorts to to urge the child to control (toilet training), especially if the child is young. Sometimes refusing to go to the bathroom is a result of the child's preoccupation with a specific game or unwillingness to go to public bathrooms, as happens frequently in schools; There is what is called “habitual constipation.” Because the child suffers from shyness or fear, and therefore he cannot ask permission during the lessons, which makes him control himself, and with the passage of time the nature of the bowel movement changes. In addition, the child does not get enough fluids, especially water, while spending long times outside the home.
There are some reasons not directly related to the digestive system, such as lack of physical activity and sedentary life, which can play a role in the occurrence of constipation. Because sports and exercise help the movement of food and facilitate the process of digestion, and also some medications or nutritional supplements lead to constipation, such as supplements that contain iron, especially high doses of them, as well as narcotic pain relievers (narcotics), and in rare cases it can cause a birth defect in the stomach. Formation of the intestines, anus, or rectum is a kind of chronic constipation, as well as cerebral palsy and some other nervous system disorders.
There are some symptoms that can accompany constipation, such as stomach pain; Because the child suffers from bloating, nausea and loss of appetite can also occur, and the child suffers from bad mood. While in the bathroom, crying, screaming, sweating, and redness of the face occur, and with time the child avoids using the bathroom so as not to suffer pain, which leads to exacerbation of constipation, as the stool begins to accumulate in the lower part of the intestine and becomes larger in size, and passing in the rectum becomes more difficult and painful.
Doctors emphasize the need to increase the amount of fluids in the child's diet, especially water (provided that it is not derived from dairy products, such as large quantities of natural milk that exceed two cups of milk per day). Also, the necessity of having fiber in the diet every day, and foods rich in fiber include fruits and fruit juices that contain “sorbitol” (prunes, mangoes, pears) and vegetables (broccoli and peas), as well as legumes such as beans, and bread that contains whole grains, and it is preferable to avoid foods that contain Low-fiber dense fats.
There are some procedures that help treat constipation, such as encouraging the child to engage in physical activity for a period ranging between 30 and 60 minutes a day, whatever the type of this activity. Whether it's a regular game or just random movement. It is also preferable to encourage the child to use the bathroom at specific regular times during the day, especially after meals, and advise him to go to the bathroom when he feels the need to do so anywhere. For younger children, it is preferable for the child to sit for at least 10 minutes at a time, and a small chair can be placed under his feet. This method helps to move the intestines and push the stool down, thus getting rid of the child from pain.
In the end, if these tips do not succeed in treating the child, then medications that help in bowel movement can be resorted to, but after consulting a doctor; Because these medicines should be used carefully with children, it is preferable to use topical suppositories that contain glycerine.
The Health Care Authority participates in 31 of its facilities as part of the “Examination of Pre-Marriage” initiative :Egypt
The Health Care Authority participates in a facility belonging to it as part of the initiative to examine those who are about to get married
The Public Authority for Health Care participates in the initiative of the President of the Republic to examine those who are about to get married, through its health facilities in the governorates of the comprehensive health insurance system.
The statement indicated that the authority is participating through 31 health facilities affiliated to it in the four comprehensive health insurance governorates (Port Said, Luxor, Ismailia and South Sinai), to conduct medical examinations for those about to get married.
The authority revealed the units and family medicine centers that were allocated to conduct examinations for those about to get married in the governorates, which included 4 family medicine facilities in Port Said Governorate, namely, “Sharq Al-Nawadi, Al-Emarati District, Al-Arab, and Port Fouad 2.” Al-Kabeer, Al-Qantara West, Al-Qantara Sharq, Nafisha, Al-Mustaqbal, Fayed, and the “Kilo 2” family medicine unit, located in 8 facilities in Ismailia Governorate. They are the units of “Sheikh Musa, Al-Zanaqatah, Al-Qurayah District, Al-Habil, Armant Al-Waburat, Asfun, and Al-Bairat.” Ten medical facilities have been allocated in the South Sinai governorate, which included family medicine units “Al-Araishiya, Jubail, Abu Suwayra, Al-Isba’ia,” in addition to family medicine centers. Al-Mansheya, Al-Ruwaisat, Ras Sidr, Dahab, Abu Zenima, Al-Muzaina.
The authority’s statement referred to the total number of those examined within the initiative to examine those who are about to get married, within 60 days since the launch of the initiative in the four governorates, as the number of those examined exceeded 7,100 young men and women, with 11 medical examinations for each visitor to the facilities of the Health Care Authority.
And the commission’s statement continued, during the initiative, a package of medical examinations was conducted for those about to get married, for the early detection of many non-communicable diseases such as (diabetes, high blood pressure, obesity), as well as the detection of infectious diseases (virus B, virus C, HIV). acquired), in addition to conducting analyzes (blood type, Rh factor, hemoglobin), and analyzes of genetic diseases, in order to ensure that they are free of diseases that may affect them in the future or the possibility of transmission of diseases between them, while the two parties who are about to marry are educated about ways of prevention and factors The risk that may lead to infection with any of the aforementioned diseases
During the activities of the "President of the Republic's initiative to examine those who are about to get married", which was launched under the umbrella of the presidential initiative "100 Million Health", health awareness of those who are about to get married is raised under the slogan "We are assured of our health...before we build our family">, while education and awareness services are provided. Providing counseling on marriage and reproductive health in relation to a normal marital relationship, correcting misconceptions and beliefs, providing both parties with information about some infectious diseases that are sexually transmitted in the event that one of the parties is infected, in addition to introducing them to information about some infectious diseases that can be transmitted to the fetus, as well as Introducing them to the means of family planning, and the appropriate means to organize the first pregnancy.
The participation of the Health Care Authority in the initiative comes in implementation of the directives of the President of the Republic to “examine those who are about to marry of both sexes to ensure that they are free of diseases in order to ensure the health and life of each of them, or the health of their offspring, and to inform them of the outcome of this examination.” The medical examination is a necessity before marriage because it aims to Protecting new generations from genetic diseases, in addition to protecting individuals from infectious diseases transmitted between spouses.
It is noteworthy that all examinations are carried out in a framework of complete privacy and confidentiality with visitors through a counseling session before conducting the examinations to provide special information about the examinations and the indications of their results, with the aim of raising health awareness of the importance of early detection and limiting the spread of infection with infectious diseases and limiting the risk factors that cause diseases. Infectious and non-communicable, and the results are delivered and explained to the visitor through a counseling session after the examinations, in which information on follow-up and referral for treatment is provided in the event that one of the detected diseases is found to be infected.
While the visitor’s journey begins within the facilities of the Health Care Authority within the activities of the initiative, by going to the reception desk and then the counseling room to raise awareness of the importance of examination for those intending to marry from both parties, then measuring the vital signs and testing the (triple viral detector) of the examined, then laboratory tests and sampling, passing through the examination. Al-Dhaheri, after reviewing the result of the triple viral test and the completion of the examination, leading to receiving the examination result within 7 days from the date of the examination, confirming that all means of medical and psychological support are provided to those who are proven infected during the examinations of those who are about to get married, and that their information is kept confidential.