Martin D. Fried MD Pediatric Gastroenterology and Nutrition 3200 Sunset AVe Ocean NJ (732)682-3425 www.HealthyDays.info
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Male Speaker: A new mother new baby kids aren't going to bathroom for four, five days. Is there anything you could suggest to help the kid may be clove or we do not do anything? Dr. Martin D. Fried: I would want to something, I would want to help the kid go to the bathroom, I would try and do something noninvasive. I might have him take a MiraLax which is polyethylene glycols. Male Speaker: That's safe at any age. Dr. Martin D. Fried: Yes, yes even if you take it in large amounts for the most part diarrhea is the worst thing... Male Speaker: Lot of doctors recommend dark karo syrup is there any fear, anything wrong with that at all? Dr. Martin D. Fried: No basically syrup is osmotic, it makes you go to the bathroom because of the sugar particles that's in it which is what lactulose does, it's the same thing. MiraLax is the same thing but its polyethylene glycol. Male Speaker: If you're going to use it on a young child say at a month of age what would be the dose for a one month old? Dr. Martin D. Fried: Dose of MiraLax. Male Speaker: Yeah. Dr. Martin D. Fried: Well, the dose for an average pediatric patient is about a cap full. For a young kid I probably would use a half a cap full probably quarter of a cap full. Male Speaker: How much is a cap full usually? Dr. Martin D. Fried: 17 grams is a cap full, which is like at least a tablespoon, it's 15 grams. Male Speaker: Like a table spoon. Dr. Martin D. Fried: So, I would say like about a teaspoon, about a teaspoon. Male Speaker: If the kid is over a year, has not gone it's tremendous pain would you use MiraLax or would you do anything else? Dr. Martin D. Fried: I would do a rectal exam for sure and might also order an X-ray of the abdomen. I want to make sure that he is not impacted of certain area that the rectum is not dilated, that I would do a rectal exam for sure.
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