How to manage anal itching and hard stools in a child?

Hello,

Welcome to icliniq.com.

I can understand your concern.

I have seen the picture that you have attached (attachment removed to protect patient identity). There appears to be a cut over the perianal region due to hard stools.

In my opinion, I suggest the child should be given:

1. Syrup Oflomac-M (a combination of Ofloxacin and Metronidazole) 0.13 fluid ounce three times a day for three days.
2. Syrup Lactulose 0.13 fluid ounce three times a day for three days.
3. Syrup Bandy Plus (Ivermectin and Albendazole) two teaspoons stat once at night for deworming single time only.
4. Apply Sucralano cream (Sucralfate, Lidocaine, Metronidazole) two times a day for one week.
5. Give more water to the child so that constipation and hard stools do not occur.

Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Hello,

Welcome back to icliniq.com.

The antibiotic is definitely needed because infection can also lead to constipation and hard stools, which can result in anal fissure and cut at the perianal region. Oflomac-M syrup does not result in constipation. The causes of constipation are if the child drinks less water or if the child does not eat all types of food. Antibiotics and constipation are not at all related. I suggest you start the antibiotic.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.