What is the treatment of Osteogenesis Imperfecta and Constipation?

Managing constipation usually involves a combination of approaches. It is essential to determine the extent of the problem and develop a plan to correct it.

Keep a record of bowel movements, diet, and fluid intake. Even when a child appears to be "regular," keeping records about diet, illnesses, exercise, and bowel movements will help caregivers figure out if something in particular triggers the problem.

Be consistent about diet, exercise and activity, and fluid intake.

Children and adults with OI who become constipated often respond well to diet changes, a change in activity level, and mild home remedies. The primary care doctor should be consulted about the appropriateness of home remedies. A nutritionist or registered dietitian may offer useful suggestions for modifying the diet. If the problem persists, a gastroenterologist may be needed.

Treatment choices for constipation include:

1. diet and fluids
   
   
2. exercise and activity
   
   
3. certain home remedies
   
   
4. medications

Diet and Fluids

These changes to the diet can help people with constipation:

1. Add fiber to the diet, including whole grain breads, whole grain cereals, bran cereals or muffins, and popcorn. Ground beans can be added to other foods.
2. Increase the amount of fruits, fruit juice, and vegetables.
3. Add beans and nuts to the diet. For example, serve chili with beans.
4. Reduce the amount of processed foods and refined sugars.
5. Avoid "junk" foods that are high in fat and low in fiber.
6. Include foods, such as yogurt with active cultures, which contain the bacteria Lactobacillus acidophilus.
7. Limit soft drinks and drinks containing caffeine, such as cola, coffee, and tea.
8. Drink water throughout the day.

Strive for a diet that keeps the stool soft. Too much fiber has the secondary effect of creating too much bulk for someone with a connective tissue disorder. This can put pressure on the rectum. This pressure, along with inactivity, too much prolonged sitting, the lax or elastic muscles that a person with OI tends to have in the pelvic floor, and chronic constipation can lead to a more serious problem called rectal prolapse.

Exercise and Activity

Adding exercise and physical activity can help prevent and relieve constipation. Exercise helps move digested food through the intestines. Infants, children, and adults who sit, recline, or use a wheelchair require regular position changes. People should consult with their primary care doctor and physical therapist about beneficial exercises that suit their particular needs and abilities. For example, infants benefit from water play that encourages them to kick. Children and adults can benefit from swimming, walking, or bicycling.

Home Remedies

Home remedies may include:

1. Karo corn syrup
2. prune juice mixed with a good-quality apple juice or applesauce to make it more palatable
3. allowing enough time on the toilet. Some docto...