It must be laid down as a RULE never to be violated, that every child
must have at least one passage a day from the day it is born, and it is
the imperative duty of mother or nurse to see that it is accomplished.
The infant of only a few days or weeks old may require only a few drops
of olive oil, but if that delays in its effect it may become necessary
to give relief at once, and for this purpose we have in a small warm
water enema a most decided and effectual remedy. Soapsuds should never
be used, except in very urgent cases, for I have known a diarrhoea to
ensue from the irritation it caused which was very hard to control.
If the feces are not very hard a soap suppository may be used with
good advantage, and in the following manner: Take a piece of soap and
pare it to a point the thickness of a lead pencil and about an inch
long, moisten this and introduce carefully into the rectum; if the
straining bring only the soap away it may be well to use the water
enema afterward. If the constipation continues to be habitual a slight
modification of the diet becomes necessary; starchy foods must not be
given as often, and thinner than formerly; the milk too should be more
diluted; broth or beef tea substituted once or twice each day will
often have a good effect. When children are old enough to eat mixed
food the diet can often be so regulated as to materially contribute
towards opening the bowels. The children should be encouraged to drink
a great deal of water; from the lack of that alone some children become
constipated. Graham bread and boiled German prunes are especially to
be recommended; so are ripe raw fruits, grapes, strawberries, apples,
pears, etc. Children require fresh air and outdoor exercise to be well
and robust; they run and jump more when in the open air, all of which
gives tone and strength to the general system. If diet and outdoor
exercise alone does not remedy the evil, then the Femina laxative syrup
should be administered; it is efficient in its action, and pleasant to
take, and unlike most laxative or aperient remedies, there is no danger
of forming a habit of using purgatives.