Reference no: EM133705861

Question: At a 3-year-old Well Child Check (WCC) a grandmother states concern for grandson in the 50% for height but >95% for weight who has not had a stool in 2 days and often strains to have hard round stools, with occasional spots of bright red blood in the toilet. She states Tommy will only eat chicken nuggets, and there are no fruits of vegetables in a 48-diet recall. On exam the child is talkative, well-hydrated with a soft abdomen. How do you respond? You explain 1 stool/every other day is a warning sign and the child needs a saline enema and glycerin suppository. You explain 1 stool/every other day is constipation and Tommy needs Polyethylene glycol without electrolytes (MiraLAX) Explain importance of offering only nutritious foods and initiate a discussion to explore favorite fruits and vegetables including fun presentations. Write for a prescription/instruct caretaker "child to eat fruits and vegetables only until his next stool". You explain the Tommy needs a workup to rule out Hirschsprung's Disease