A new question is answered every 9 seconds

Child exposed to crack in utero is constipated

Resolved Question:

My daughter is three and a half. She has just been placed with me for adoption. She was exposed to high amounts of crack in utero. She routinely is constipated unless I let her drink a jug of juice daily. The autism clinic in hamilton ontario told me to give her miralax. A little watery stool but she's not had a proper bowel movement in four days. I suspect sexual abuse while in foster care so manual disimpacting will be traumatic. Is there anything else I can try before the er.

Category: Gastroenterologist, Medical

Ask Your Own Question

Category: Select Speciality
Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Additional reply. For Dr.Kini's reply please see previous post.


Thank you for asking your query at DoctorSpring.

Constipation is a common problem throughout childhood and often accepted as a normal variation that will resolve as children get older. A child is supposed to be constipated occasionally and this NOT related to child’s prenatal exposure to crack. Studies have shown no relationship between constipation and cocaine. You need not be worried in this regard.

A home approach is most of the times enough for managing constipation.

1. First of all make sure her toilet training is adequate. (I assume toilet training has been started already. If not please let me know)
2. Make sure she is comfortable in going to toilet. Withholding bowel evacuation can set on vicious cycle of constipation! This should be avoided at any cost. As Dr. Kini has said any fissure or anal problems which can cause pain (there by causing the child withhold the bowel movements) should be ruled out
3. Fibre , Fibre and more fibre - Eat more fruit, vegetables, cereal, and other foods with fiber .
4. Drink some prune juice, apple juice, or pear juice
5. Drink at least 32 ounces of water and drinks that aren’t milk each day
6. Avoid milk, yogurt, cheese, and ice cream till the constipation is resovled.
7. Sit on the toilet for 5 or 10 minutes after meals, if he or she is toilet trained. Offer rewards just for sitting there.
Among these the most important thing is fibre. Children’s diets are often low in fibre. But you need to increase the intake (atleast 20gms/day ). You can get information on high fibre based diets for children online. Orelse I can share some educational materials if you need. Please let me know.

Please feel free to ask followup questions.
Thank you

Dr. Deepu Sebin Sebastian
Category: Select Speciality
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
Dr. Deepu Sebin Sebastian and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.

Specialists from
UK, US, Ind,
Aus & NZ

48000+ consults
in 2015

98.1% Satisfied

100% Satisfaction

How it works

  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News


Make informed and better medical decisions.

Close x

Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.