What is the treatment for chronic constipation lasting 7 months?

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Last updated: April 1, 2025 • View editorial policy

From the Guidelines

For a 7-month-old infant with constipation, the most effective treatment approach is to start with dietary changes and gentle interventions before considering medications, as recommended by the most recent and highest quality study 1.

Treatment Approach

The treatment of constipation in infants should prioritize non-pharmacological methods to minimize the risk of adverse effects and promote healthy bowel habits.

  • Increase fiber-rich options like pureed prunes, pears, or peaches, which act as natural laxatives.
  • Ensure adequate fluid intake, especially water if the baby is on solids.
  • Daily tummy massages in a clockwise direction and bicycle leg movements can help stimulate bowel function.
  • A warm bath may also relax the anal sphincter.

Medications

If dietary changes and gentle interventions are not effective, medications may be considered under the guidance of a pediatrician.

  • Glycerin suppository for occasional use.
  • Miralax (polyethylene glycol) in very small doses adjusted for infant use, as supported by studies 2, 3.

Important Considerations

  • Never give laxatives or enemas to an infant without medical supervision, as their digestive systems are delicate.
  • Constipation in infants is often temporary and related to dietary transitions, but persistent issues warrant medical evaluation to rule out underlying conditions.
  • The American Gastroenterological Association and the American College of Gastroenterology provide guidelines for the pharmacological management of chronic idiopathic constipation, which may be relevant for older children and adults 1.

From the FDA Drug Label

1.1 Chronic Idiopathic Constipation in Adults Lubiprostone is indicated for the treatment of chronic idiopathic constipation (CIC) in adults. 2.1 Recommended Dosage The recommended oral dosage of Lubiprostone by indication and adjustments for patients with moderate (Child Pugh Class B) and severe (Child Pugh Class C) hepatic impairment are shown in Table 1. Table 1 Recommended Dosage Regimen CIC and OICIBS-C Recommended Adult Dosage Regimen 24 mcg twice daily

The treatment duration for constipation with lubiprostone is not specified in the provided drug labels. No conclusion can be drawn regarding the 7-month treatment of constipation with lubiprostone [4] [5].

From the Research

Treatment Options for Constipation

  • Lifestyle modifications, such as increased intake of fiber and water, are suggested by most health professionals as the first line of treatment for constipation 6, 7, 8, 9
  • A well-designed diet that includes adequate fiber and mineral water can be an effective treatment for chronic constipation 6, 8
  • Polyethylene glycol (PEG), sodium picosulfate, bisacodyl, prucalopride, lubiprostone, and linaclotide are all more effective than placebo for treating chronic idiopathic constipation 7, 10
  • The combination of psyllium and PEG may be an important therapeutic option for patients suffering from chronic constipation 8
  • Biofeedback is an effective treatment option for dyssynergic defecation, a type of constipation characterized by difficulty with bowel movements 9

Medications for Constipation

  • Bisacodyl is a stimulant laxative that acts locally in the large bowel to enhance motility, reduce transit time, and increase the water content of the stool 10
  • Bisacodyl has been shown to be similar in efficacy to other laxatives, such as prucalopride, lubiprostone, and linaclotide, for the treatment of chronic constipation 10
  • The choice of medication for constipation should be based on the individual patient's needs and medical history, as well as the severity of their symptoms 7, 9, 10

Dietary Changes for Constipation

  • Increasing fiber intake, particularly soluble fiber such as psyllium, can help to soften stool and improve bowel movements 6, 8
  • Adequate fluid intake is also important for preventing constipation, as it helps to soften stool and make it easier to pass 6, 7, 8, 9
  • Mineral water, especially if rich in magnesium and/or bicarbonate, may be beneficial for patients with constipation 6

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.