Amaltas is strong laxative ,not recommended for daily use. For 2yrs. Child you can give1/2tsp harde churan mixed with honey 2-3 times daily. Include spinach soup in diet. Soak 1 black date+ 2-3 black currant+ 1 dry fig in va cup of warm water, keep overnight, morning make smooth smoothie and give this drink. In fruits give Banana, pappaya, musk melon, .
Hlo,
For a 2-year-old child with constipation for >4 weeks and abdominal pain, please be careful with daily laxatives. I’ll answer clearly and safely 👇
❌ Amaltas (Cassia fistula) in toddlers - Amaltas is a strong stimulant laxative - NOT recommended daily for small children - Giving 1 stick every 4 days is already borderline strong for a 2-year-old
Daily use can cause: - Abdominal cramps - Dependence (bowel won’t work without medicine) - Electrolyte imbalance
👉 So: do NOT give amaltas daily to a 2-year-old.
✅ Safer & commonly used options for 2-year-old constipation
1️⃣ Lactulose syrup (safest & first choice) Very commonly prescribed by pediatricians. Dose: 5 ml once daily at night If stools are still hard → increase to 5 ml twice daily Takes 24–48 hours to work Safe for long-term use ✔ Softens stool ✔ No habit formation
2️⃣ Glycerin suppository (only when stool is very hard) Use occasionally, not daily Helps immediate stool passage Do not use more than 1–2 times/week
3️⃣ Ayurvedic gentle option (if you prefer Ayurveda) Draksha avaleha ½ teaspoon at night with warm water or milk Much gentler than amaltas Can be continued for few weeks
❌ Avoid Haritaki / Trivrit / Amaltas daily in toddlers
🍎 Diet & routine (VERY IMPORTANT) Even with medicines, this is essential: Water: frequent sips all day
Fruits daily: Papaya Pear Apple (without peel, grated)
Avoid: Excess banana Bakery items Cheese Fixed toilet sitting after meals (even if diaper)
🚨 When to see a pediatrician urgently Constipation >1 month with pain Blood in stool Very hard, large stools Poor appetite or weight loss
👉 Your child has chronic constipation, so lactulose + diet correction is the safest approach.
Tq
AS AMLATAS IS A VERY STRONG LAXATIVE IT US NOT AFVISABLE TOBGIVE FOR 2 YEAR OLD CHILD
BETTER OPTION IS GIVE 2 TO 3 SOAKED RAISINS AT MORNING GIVE FRUITS VEGETABLES PUMPKIN PAPAYA STEWED APPLE RICE DAL DALIYA LAUKI GHEE AVOUD BAKERY FOODS JUNK BISCUITS PROCESSED FOOD DO NOT OVERDEED DRY SNACK
Amaltas should not be given daily to a 2 year old child Giving one stick once in four days is already on the higher side for this age and daily use can make the intestine lazy and dependent Amaltas works by pulling water into stool and forcing bowel movement so if used repeatedly in a small child it can worsen weakness abdominal pain and long term constipation
In a 2 year old with more than four weeks of constipation and abdominal pain the problem is usually weak digestion low gut movement insufficient fluids fear of passing hard stool or irregular bowel habits not lack of laxatives Daily laxative use is not the solution at this age
If stool is very hard painful and child is crying while passing stool you can use amaltas occasionally only not daily and in much smaller quantity mixed with warm water or milk and stopped once stool softens
Focus more on correcting the cause Give warm water sips through the day Add ghee daily to food Include ripe papaya stewed apple soaked raisins water if tolerated Avoid biscuits bread bakery excess milk refined foods
If constipation is acute and persistent for weeks with pain the child should be evaluated by a pediatrician to rule out fissure stool withholding or other causes
So my advice — Do not give amaltas daily to a 2 year old… Use only occasionally if absolutely needed… Correct diet fluids routine and digestion first…
Don’t give amaltas
Can you describe the pattern of passing stool before this constipation issue.
Poor intake of fluids, low fibre diet can also leads to constipation issue. Plz make sure about the diet. Some babies may suppress the urge for passing stools
Intake ripe banana, grapes, dates, raisins . Restrict more milk consumption.
Triphala ghrita 3/4 drops can be given.
Or amalakyadariahta 1/2 tsp mixed with 1 tsp water can be given once after food intake.
Or abhayarishta 1/2 tsp mixed with 1 tsp water can be given
Don’t take all medicine. Prefer one medicine and observe your baby.
Do physical activities for 1 hour daily. Slight warm hand can be placed over abdomen area. Do cyclic movements of legs.
Take care, Dr. Shaniba
its normal use syrp luctos 2 ml at night
Don’t use Amaltas. Not suitable for 2 year old.
Use Lactulose Syrup 5ml twice.
Not at all safe.
Babies below 6 years of age should not be given harsh laxatives.
First start by giving FULL RIPEN BANANA or APPLE at night.
If that doesnot work, give a cup of hot milk with 2 tsp of ghee in it.
Even if that doesnot work give ISABGOL 1 tsp soaked in ½ cup water for half an hour.
If constipation continues start Syp. Kumari Asav No 3 2 tsp twice a day.
❌Completely avoid Breads Biscuits Bakery products Roti Junk and packed products Pizza pasta and other continental food.
✔️Must in the diet
Enough of milk and butter milk Ghee 3 tsp in the whole day Salads Vegetables Hydration upto 2 lts of liquid in whole diet
