BAB keras banyak kemungkinannya, bisa cara buat susu-nya atau dari makanan
yang kurang serat, perbanyak cairan atau kalo setelah makan dikasih air
putih yang banyak.
Btw, umur Rayhan kan udah 1 tahun tuh, coba dikenalkan dengan susu UHT.
BAB kerasnya udah berapa lama ?
kalo 3-6 hari sih normal-2 aja, nggak usah buru-2 ke dokter.

Apelnya dibuat jus aja. 
Kalo pepaya banyak cara pengolahan-nya, bisa dibuat jus kalo nggak mau ya di
mix aja misalkan sama pisang, atau dibuat puding buah
trus buahnya jangan melulu pisang, apel & pepaya aja Pak, bisa ganti jeruk (
bisa di jus bisa yang jeruk buah ), buah peer, mangga, melon dll.

Ini ada artikel mengenai BAB Keras ( konstipasi ) yang saya dapat dari Mbak
Lulu, semoga bermanfaat, dan semoga Rayhan cepat sembuh.

Original Article:
http://www.mayoclinic.com/invoke.cfm?id=HQ00416

Children and constipation: Ways to cope and when to worry

Does your child put off going to the bathroom because he or she is busy
doing more important things? Or is your child avoiding the bathroom for
fear of a painful bowel movement? This may be a sign of constipation.

Parents often think their worries about their children's bathroom habits
will end with the final diaper. But successful toilet training doesn't
prevent occasional troubles with bowel movements. Constipation is among
the most common.


To the rescue

If constipation is persistent, it can be difficult to manage. Fortunately,
parents can detect warning signs and take early corrective action. So just
as in those diaper-changing days, it's mom or dad to the rescue again.

Constipation refers to infrequency or difficulty in passing stool, or the
passing of hard stool at every bowel movement for two weeks or longer. If
your child is constipated, he or she may have the following signs and
symptoms:

Abdominal pain, gas and cramps.
Lack of appetite.
Increased irritability.
Soiled underwear. Some children, out of embarrassment, might hide or throw
away their underwear. A large amount of stool leakage in your child's
underwear may be a sign that your child has encopresis, a more serious
type of constipation that you should alert your doctor about.


Large or blood-streaked stools.
More frequent urination because of pressure on the bladder.

What's the cause?

Here's a list of things that commonly contribute to constipation in
children. Often, two or more of these factors in combination exacerbate
the problem.

Eating mainly low-fiber, high-fat and high-sugar foods.
Drinking too little water.
Ignoring the urge to go to the bathroom.
Having a condition such as hypothyroidism or an illness that reduces
hunger and thirst. Conditions associated with reduced muscle tone also may
cause constipation.


Taking a tricyclic antidepressant medication, such as doxepin (Adapin,
Sinequan) and nortriptyline (Aventyl, Pamelor), or taking iron
supplements.


Being inactive.
Children are most likely to become constipated when their routines change
- for example, when they shift from pureed to solid foods or start school.
Even changes in season can disrupt your child's bowel habits. To recognize
the problem early, monitor your child's bowel movements during periods of
adjustment to any changes.


Tips for prevention and relief

Drink plenty of fluids. The first thing to consider when dealing with
constipation is whether your child is getting enough fluids. Fluids of all
kinds are important, although water is best.
Consume foods that are rich in fiber. The bulk in fruits, vegetables and
whole grains, such as wheat bread and bran cereals, is beneficial. So are
prune and pear juices. Diets high in fat, sugar, protein or dairy products
may aggravate constipation. In general, foods from animal sources promote
constipation, and foods from plant sources do the opposite. Because it can
be difficult for parents to know what or how much their children are
eating in school or child-care centers, the diet at home becomes all the
more important.


Pay attention to your child's bowel habits. Encourage your child to go to
the bathroom as soon as there's an urge to defecate. If your child is
constipated, ask him or her to sit on the toilet after meals. It also may
be helpful for you to record his or her bowel movements on a calendar or
diary.
Encourage daily exercise. Just getting up and moving around is one of the
best ways to conquer constipation. Staying active helps the digestive
system flush waste from the body more quickly.
Help your child relax and loosen up. For constipation, doctors may
recommend certain muscle relaxation techniques. For example, young
children's feet don't usually reach the floor while they're on the toilet.
Placing a footstool underneath their feet may take pressure off their
pelvic bone and relax their muscles.
Laxatives. A doctor may also recommend a laxative or stool softener if
improvements in diet and toilet habits don't ease your child's
constipation. Check with your doctor before giving a laxative to your
child.


Promote thorough wiping and cleanliness. It's important to keep the anal
area clean to prevent skin irritation, which can lead to pain during
defecation. If the anal area is sore, tell your child to clean it with
lukewarm water and a soft cloth. Soap and other cleaning agents, such as
bubble bath, may cause further irritation.
Talking with your child. Your child may be reluctant to discuss bowel
habits, particularly after age 4 or 5, when all children become more
modest. However, it's important to reassure your child, whatever age he or
she happens to be, that mild constipation is bound to occur at one time or
another.
It's reasonable to wonder how often your child should be having bowel
movements, but there's no definite answer. As a general guideline, though,
at least three normal bowel movements a week is probably just fine.


When to call the doctor

In cases of persistent constipation, your doctor may need to rule out an
underlying cause. Give your doctor a call if your child:

Goes over 10 days without a bowel movement
Has had recurrent episodes of constipation since birth
Has difficulty participating in daily activities because of frequent bouts
of constipation
Develops anal tears or hemorrhoids


Has to strain in order to expel stool
Has blood in or on the stool
Has diarrhea, cramping or stool leakage along with constipation

Remain compassionate

Constipation is very common in children, and it can happen at any age.
Frustrating as the problem may be, parents should do their best to keep it
in perspective - it certainly shouldn't cost you any sleep. With your
patience and support, your child will establish regular bowel habits in
time.


HQ00416

October 06, 2003

thanks
Sulis

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