{"id":2210,"date":"2024-12-26T15:24:22","date_gmt":"2024-12-26T12:24:22","guid":{"rendered":"https:\/\/dregemeneroglu.com\/cocuklar-kabiz-olmasin-diye-oneriler\/"},"modified":"2024-12-26T15:43:29","modified_gmt":"2024-12-26T12:43:29","slug":"cocuklar-kabiz-olmasin-diye-oneriler","status":"publish","type":"post","link":"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/","title":{"rendered":"Suggestions to Prevent Constipation in Children…"},"content":{"rendered":"

Bir \u00e7ocuk cerrah\u0131 olarak en sevmedi\u011fim konunun bu kab\u0131zl\u0131k konusu oldu\u011funu s\u00f6yleyebilirim. Belki de pediatristler ve pediatrik gastroenterologlardan seken, zor olgularla biz \u00e7ocuk cerrahlar\u0131 u\u011fra\u015fmak zorunda kald\u0131\u011f\u0131m\u0131z i\u00e7in, ya da bir cerrah olarak tedavinin sonucunu h\u0131zl\u0131ca g\u00f6rmeye al\u0131\u015ft\u0131\u011f\u0131mdan ciddi, kronik kab\u0131zl\u0131\u011f\u0131 olan \u00e7ocuklarla u\u011fra\u015fmak zor geliyor. Daha \u00f6nce \u201c\u00c7ocu\u011fum neden kab\u0131z oldu? Nas\u0131l Tedavi edebilirim?\u201d<\/span><\/span><\/strong><\/a> ve \u00a0\u201cKab\u0131zl\u0131k m\u0131 ana fiss\u00fcrden yoksa anal fiss\u00fcr m\u00fc kab\u0131zl\u0131ktan kaynaklan\u0131yor?<\/a>\u201d<\/span><\/span><\/strong> ba\u015fl\u0131kl\u0131 videolar \u00e7ekmi\u015ftim. \u00dczerlerine t\u0131klayarak videolar\u0131 seyredebilir, veya sitemden arama butonuna “kab\u0131zl\u0131k” yazarak ilgili bloglar\u0131 okuyabilirsiniz.<\/span><\/p>\n

As a pediatric surgeon, I can say that constipation is one of my least favorite topics. Perhaps it\u2019s because we pediatric surgeons often deal with challenging cases that are referred by pediatricians and pediatric gastroenterologists, or maybe it\u2019s because, as a surgeon, I\u2019m used to seeing the results of treatments quickly, making it particularly difficult to deal with children who have serious, chronic constipation. I\u2019ve previously recorded videos titled \u201cWhy Is My Child Constipated? How Can I Treat It?<\/a><\/span><\/strong><\/span>\u201d<\/em> and \u201cDoes Constipation Cause Anal Fissures, or Do Anal Fissures Cause Constipation?<\/strong><\/span>\u201d<\/span><\/a><\/em> You can click on the titles to watch the videos or search for \u201cconstipation\u201d on my website to read relevant blog posts.<\/span><\/p>\n

 <\/p>\n

In this section of the Pediatric Surgeon\u2019s Journal<\/strong>, I\u2019ve written some suggestions to help prevent constipation in children, so they don\u2019t experience it and we don\u2019t end up with difficult cases in our clinic.<\/span><\/p>\n

 <\/p>\n

Once a child becomes constipated, treatment becomes challenging. Constipation causes the stool to harden, which makes it painful to pass; this pain causes the child to hold it in, leading to even harder stools, which makes passing stool even more painful. And so, the vicious cycle continues.<\/span><\/p>\n

 <\/p>\n

To prevent this vicious cycle, I have two key recommendations: diet and toilet habits.<\/span><\/p>\n

 <\/p>\n

Dietary Suggestions<\/strong><\/span><\/p>\n

 <\/p>\n

Children should drink plenty of fluids during the day, and it\u2019s important to remember that water is the healthiest option. Alternatives include ayran (a yogurt-based drink) and warm milk with honey or olive oil, but carbonated and caffeinated beverages like cola, tea, coffee, energy drinks, and others should be avoided. For breakfast, include foods like green olives, dried apricots, walnuts, boiled eggs, cheese, and fruits such as apricots, plums, pears, and apples (with the skin on). For meals, I recommend lean meats, bulgur pilaf, whole-grain pasta, whole-grain rice, vegetable dishes, and legumes (e.g., beans, chickpeas, lentils), prepared using baking, boiling, or grilling methods.<\/span><\/p>\n

 <\/p>\n

Since dairy products and protein sources like meat, poultry, and fish are low in fiber, balance them with fruits, vegetables, and legumes. Always include plenty of salads with meals, as raw foods are beneficial. As snacks, dried fruits (e.g., apricots, figs, raisins, cranberries) and raw nuts (e.g., almonds, hazelnuts) are great options. When consuming bread, opt for whole-grain, rye, or multigrain bread and rotate between these types. Foods like kefir, yogurt, tarhana (a fermented soup base), boza (a fermented millet drink), pickles, and turnip juice are indispensable.<\/span><\/p>\n

 <\/p>\n

Foods to Avoid<\/strong><\/span><\/p>\n

 <\/p>\n

Avoid white bread, biscuits, white rice pilaf, plain pasta, pastries, processed packaged foods, processed meats (e.g., sausages, salami), fried or spicy foods, chocolate, pizza, toast, hamburgers, and all forms of potatoes (fried, mashed, chips, etc.). Fruits like peaches, bananas, peeled apples, and carrots should also be avoided. However, keep in mind that they are children, so occasional small bites of a banana or chocolate are acceptable, but don\u2019t hand them an entire banana or a full chocolate bar.<\/span><\/p>\n

 <\/p>\n

Toilet Habits Suggestions<\/strong><\/span><\/p>\n

 <\/p>\n

The most crucial aspect is establishing a regular toilet routine. When we eat, the food in our stomachs triggers the gastrocolic reflex, causing movement in the intestines. This reflex should be utilized by encouraging children to sit on the toilet every morning and evening, ideally at the same times, following the dietary recommendations mentioned earlier. After meals, have the child sit on the toilet within 5 minutes. Excuses like \u201cI don\u2019t feel like it,\u201d \u201cI want to play,\u201d or \u201cmy friend is waiting\u201d should not be accepted. Set a body rhythm and follow it consistently.<\/span><\/p>\n

 <\/p>\n

Toilet posture is equally important. The environment should be comfortable, not too hot or cold. The child\u2019s feet should touch the ground while sitting, and ideally, their knees should be 10\u201315 cm higher than their hips. Elbows can rest on the knees, but they shouldn\u2019t lean forward excessively, and their legs should be slightly apart.<\/span><\/p>\n

 <\/p>\n

It\u2019s unnecessary to strain immediately after sitting on the toilet. Simply wait patiently and comfortably; the stool will pass naturally. Straining too much can unintentionally close the passageway. Encourage children to avoid distractions like sitting cross-legged or on their heels to hold in stool and direct them to the toilet instead.<\/span><\/p>\n

 <\/p>\n

Finally, regarding urination, children should be encouraged to urinate first thing in the morning and to go every 2\u20133 hours while at school. Boys, in particular, should be encouraged to urinate while sitting, as described earlier. It\u2019s essential to teach children the importance of going to the toilet as soon as they feel the need, without delaying or holding it in.<\/span><\/p>\n

 <\/p>\n

Let\u2019s conclude this journal entry here. Stay healthy and happy!<\/span><\/p>\n

 <\/p>\n

Prof. Dr. Egemen Ero\u011flu<\/strong><\/span><\/p>\n

September 2024<\/em><\/span><\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Bir \u00e7ocuk cerrah\u0131 olarak en sevmedi\u011fim konunun bu kab\u0131zl\u0131k konusu oldu\u011funu s\u00f6yleyebilirim. Belki de pediatristler ve pediatrik gastroenterologlardan seken, zor olgularla biz \u00e7ocuk cerrahlar\u0131 u\u011fra\u015fmak zorunda kald\u0131\u011f\u0131m\u0131z i\u00e7in, ya da bir cerrah olarak tedavinin sonucunu h\u0131zl\u0131ca g\u00f6rmeye al\u0131\u015ft\u0131\u011f\u0131mdan ciddi, kronik kab\u0131zl\u0131\u011f\u0131 olan \u00e7ocuklarla u\u011fra\u015fmak zor geliyor. Daha \u00f6nce \u201c\u00c7ocu\u011fum neden kab\u0131z oldu? Nas\u0131l Tedavi edebilirim?\u201d […]<\/p>\n","protected":false},"author":2,"featured_media":2174,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-2210","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"yoast_head":"\nSuggestions to Prevent Constipation in Children... - Prof. Dr. Egemen Ero\u011flu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Suggestions to Prevent Constipation in Children... - Prof. Dr. Egemen Ero\u011flu\" \/>\n<meta property=\"og:description\" content=\"Bir \u00e7ocuk cerrah\u0131 olarak en sevmedi\u011fim konunun bu kab\u0131zl\u0131k konusu oldu\u011funu s\u00f6yleyebilirim. 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Belki de pediatristler ve pediatrik gastroenterologlardan seken, zor olgularla biz \u00e7ocuk cerrahlar\u0131 u\u011fra\u015fmak zorunda kald\u0131\u011f\u0131m\u0131z i\u00e7in, ya da bir cerrah olarak tedavinin sonucunu h\u0131zl\u0131ca g\u00f6rmeye al\u0131\u015ft\u0131\u011f\u0131mdan ciddi, kronik kab\u0131zl\u0131\u011f\u0131 olan \u00e7ocuklarla u\u011fra\u015fmak zor geliyor. Daha \u00f6nce \u201c\u00c7ocu\u011fum neden kab\u0131z oldu? Nas\u0131l Tedavi edebilirim?\u201d […]","og_url":"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/","og_site_name":"Prof. Dr. Egemen Ero\u011flu","article_publisher":"https:\/\/www.facebook.com\/egemen.eroglu.750","article_published_time":"2024-12-26T12:24:22+00:00","article_modified_time":"2024-12-26T12:43:29+00:00","og_image":[{"width":1024,"height":977,"url":"https:\/\/dregemeneroglu.com\/wp-content\/uploads\/2024\/09\/97c-1024x977.jpg","type":"image\/jpeg"}],"author":"Egemen Ero\u011flu","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Egemen Ero\u011flu","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/#article","isPartOf":{"@id":"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/"},"author":{"name":"Egemen Ero\u011flu","@id":"https:\/\/dregemeneroglu.com\/#\/schema\/person\/1f71bde4af4a347b008c79d5d542aa7f"},"headline":"Suggestions to Prevent Constipation in Children…","datePublished":"2024-12-26T12:24:22+00:00","dateModified":"2024-12-26T12:43:29+00:00","mainEntityOfPage":{"@id":"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/"},"wordCount":918,"publisher":{"@id":"https:\/\/dregemeneroglu.com\/#organization"},"image":{"@id":"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/#primaryimage"},"thumbnailUrl":"https:\/\/dregemeneroglu.com\/wp-content\/uploads\/2024\/09\/97c-scaled.jpg","articleSection":["Blog"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/","url":"https:\/\/dregemeneroglu.com\/en\/cocuklar-kabiz-olmasin-diye-oneriler\/","name":"Suggestions to Prevent Constipation in Children... - 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