Aisyah and Constipation

My baby is having constipation right now. It is more than 2 months already. We are not sure what was the cause. Coincidentally, she got the constipation one week after discharged from the hospital due to fever. Here, some chronology of her case. 2 months ago, she took 5 days to p**p, so we gave her enema at her b**t to trigger the p**p to come out. Her p**p was like goat's p**p. Round and hard. Then we discovered there was blood when we was cleaning her b**t.  It triggered us to bring her to see a doctor, doctor A. Doc A prescribed lactulose with 2 m/l dosage three times a day before meal. The result? Nothing change. She still cried whenever she  p**p. In the meantime, we controlled her diet and no longer gave her cheese and provided a lot of fruits. We also changed the usual white rice into brown rice. We tried the 2 m/l for almost 2 weeks. 

Since there was no result, we brought her to a pediatrician, Doctor B. Doc B explained to us how the digestion system works, intestine, fiber and when we asked him was it due to her diet? He said no. Apparently it was not true. It's partially due to diet as well. Doc B prescribed lactulose with 4 m/l dosage three times a day. The first day after using that dosage, her p**p was no longer as hard as before and she didn't suffer so much when p**ping. But after that, it went like before. She took 3 to 4 days to p**p. We tried that dosage for almost a month and still not satisfied because she still cried whenever she p**p. 

So we bring her to another pediatrician, doctor C. Doc C explained to us about everything. The diet, how the intestine works and prescribed us with lactulose with 5 m/l dosage (medicine dose is given based on weight). Aisyah drinks 100% breast milk so it is definitely not the milk case. I never heard any case baby got constipation due to not suitable breast milk. In fact, she's been drinking breast milk even before that constipation case. The doctor also explained to us if this dosage does not work, he will prescribed her with other medicine which is the liquid paraffin. We tried lactulose with 5 m/l dosage for about 2 weeks and increased her fiber intake (a lot of fiber in the form of green vegetables in her porridge). And the result? Nothing change. With Doc C, we also suspected it was due to Aisyah psychological thinking. Maybe she scared to p**p? We are not sure. 

So yesterday, we met again with Doc C. He gave us the liquid paraffin with 7.5 m/l dosage two times a day after meal and also provided to us referral letter to hospital. If Aisyah still does not p**p normally at the end of this week, she needs to be referred to the hospital. Why? Because they can provide other medicine which was not in his clinic (I'm not sure what medicine), admitted to be observed (this is weird since I'm the one who need to cook her food, right?), X-ray or maybe referred to child psychologist. The child psychologist will persuade her to p**p normally. He also asked us whether after I gave birth, the doctor gave the thyroid test. He explained normally after gave birth, the doctor will give the result test but apparently most of the doctor seems to forget. They did the test but forget to provide the result. I am so not sure about this. Might need to check Aisyah's book again. However, based on Doc C's observation, Aisyah should not have thyroid problem since there is no abnormality in her skin and she is a cheerful baby.

Hopefully there is good result by using the liquid paraffin. Really wish we does not have to go to the hospital. Amin. If need to see a child psychologist, I totally agree. 

Okay, that's all. Till then, Assalamualaikum.