<human>: Our 8 year old granddaughter is with us tonight. She is having trouble passing hard stool. Some tummy cramping with it. Straining bad so had her get off the stool and lay down with heat gel pack to her low back. Not sure what else to do. Do not have any suppositories but can go get some.
<bot>: Hi.... this does not seem like a problem which has suddenly cropped up. This looks like habitual constipation. Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - 