i am having rectal bleeding due to constipation but I am breastfeeding my 20 days old child so can I take dufalac instead of cremafin?

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Accepted Answer

I'm sorry to hear you're experiencing rectal bleeding due to constipation. It's important to manage constipation carefully, especially while breastfeeding, to ensure both your and your baby's health.

**Duphalac (lactulose)** is a commonly used laxative that is considered safe during breastfeeding. It works by drawing water into the bowel, which softens stools and makes them easier to pass. Because lactulose is not significantly absorbed into the bloodstream, it does not typically enter breast milk in amounts that would affect a breastfeeding infant.

**Cremaffin** is a different type of laxative, often containing liquid paraffin and milk of magnesia, and is also generally considered safe for breastfeeding mothers. However, both medications work differently:
- **Duphalac** is an osmotic laxative that softens the stool and can take a day or two to start working.
- **Cremaffin** usually works as a stool softener and lubricant, which can provide quicker relief.

### If you are considering switching from Cremaffin to Duphalac:

1. **Consult Your Doctor**: Always consult your healthcare provider before changing medications, especially while breastfeeding. They can confirm which option is best for your specific situation and rule out any underlying conditions that might be causing the bleeding.

2. **Use Correct Dosage**: If you get the go-ahead to use Duphalac, make sure to use the correct dosage as advised by your doctor to avoid side effects like bloating or cramping.

3. **Hydration and Diet**: Continue to drink plenty of water, eat a high-fiber diet (fruits, vegetables, whole grains), and engage in regular gentle exercise to help manage constipation naturally.

4. **Monitor Your Symptoms**: If the rectal bleeding persists, worsens, or is accompanied by severe pain or other symptoms, seek medical attention immediately. Persistent rectal bleeding may need further evaluation.

Both Duphalac and Cremaffin are generally safe while breastfeeding, but consulting your doctor is the best course of action to ensure you're choosing the right treatment for your situation.