How to give a child a suppository for fever


What suppositories can be used for newborns for constipation?

Many young mothers face the problem of constipation in their baby.
Concern arises when there are no bowel movements for one to two days. As you know, babies under three months of age must empty their bowels on average 2-4 times a day. Babies aged about 1 year - 1-2 times during the same period of time. Gases are formed in the gastrointestinal tract of newborns who have difficulty defecating, which leads to their painful condition. The child cries more often than usual. As a rule, the problem of constipation occurs in children under 1 year of age. At this time, the baby’s digestive system has not yet fully formed and the digestion process is often disrupted.

Glycerin suppositories to combat constipation

Glycerin suppositories contain glycerin, sodium carbonate and stearic acid as additional components. The absence of aggressive substances in their composition allows the drug to be used even for children under one year old. The effect of such drugs is based on softening stool and mild irritation of the mucous membrane. Due to this, reflex emptying occurs.

If children have anal fissures, hemorrhoids or inflammation of the digestive system, it is necessary to refrain from using such products.

If the pharmacy only carries regular glycerin suppositories for adults, they can also be used for children by cutting off the necessary part, taking into account the age of the baby.

They differ only in the amount of glycerol concentration in one suppository.

One children's suppository contains 1.24 grams of glycerol, and one adult suppository contains 2.11 grams. It is recommended in the instructions for infants and children 2-3 years old to use half a child's suppository, for children 4-5 years old one whole suppository, and for children over 6 years old to use 2 children's or one adult suppository. The drug is administered one day per day 20-30 minutes after the morning meal.

The desired result is achieved 20-30 minutes after application.

Quite often, doctors prescribe Glycelax baby suppositories for constipation for children under 1 year of age. There is no need to calculate how to cut a regular glycerin suppository. One suppository of this drug contains as much active ingredient as a child of any age needs to facilitate the process of defecation.

Causes of constipation in newborns

  1. Violation, incorrect regimen or sudden change in diet (including too early introduction of complementary foods or eating monotonous food);
  2. The child is not active enough, moves little;
  3. Insufficient body weight of the child;
  4. The weather is too hot;
  5. Lack or deficiency of plant fiber in the diet;
  6. Rickets;
  7. Lactose deficiency.

How to help a child with constipation

Pediatricians recommend various remedies for constipation in newborns. If a child is given artificial formula as food, then in this case it is worth trying to switch to fermented milk products for children. This will help improve digestion. For a child over 4-5 months of age, fruit and vegetable purees or juices can be added to the diet. Oatmeal mixture will also help relieve constipation.

The mother should not forget to do gymnastics for the baby before each meal. The “bicycle” exercise helps improve digestion - when lying on the child’s back, the legs are alternately pressed to the stomach.

Doctors do not recommend using laxatives before the age of 1 year. These drugs can cause the body to lose adequate amounts of potassium and protein. They also negatively affect the voiding reflex.

It is best to consult a doctor who can expertly determine the cause of constipation and recommend the most appropriate treatment method.

Is it possible for newborns to use glycerin suppositories?

Recently, more and more parents are deciding to use glycerin suppositories for constipation in newborns. This same remedy is recommended by many pediatricians.

It is possible to prescribe suppositories with glycerin to a child as a treatment for constipation, but it should be remembered that such suppositories are used only for children over three months of age. If your baby is under this age, be sure to consult with a qualified healthcare professional before using glycerin suppositories.

Glycerin suppositories themselves do not cause addiction in a newborn, but only have an irritating effect on the rectum, stimulating the process of defecation. A negative effect can only occur if the use of suppositories is abused in large quantities and too often.

Features of administering suppositories at different ages

Each age has its own psychological characteristics . Infants cry and tense up when there is a sudden change in the situation and a change in sensations.

Here, the main task of parents is to make the process of introducing a rectal agent smooth and as less noticeable as possible.

Children from one to three years old are ready to endure if they receive a reward for it.

Patients aged three years and older need to be explained why this is necessary . Without appropriate ideological indoctrination, little conservatives will not allow themselves to light a candle.

Teenagers are the hardest to persuade to do this. There is only one way out - to allow the suppository to be inserted yourself.

How to administer a suppository to a baby up to one year old

The following preparation is required before the procedure:

  1. Prepare a changing table or other flat surface (bed) by covering it with a clean diaper.
  2. Place a rattle or any favorite toy, a package of medication, and scissors nearby.
  3. Wash and dry your hands.
  4. Wash the child or simply wipe the perineum with a damp cloth.

The medicine in the form of suppositories should be stored in the refrigerator, taken out 30-40 minutes before use to warm up.

The suppository is cut out of the cellular packaging with scissors, pinching the thick end between two fingers of the right hand, pointing the sharp end forward.

At this time, the baby should already be lying on the prepared surface with a toy in his hands.

The injection procedure for infants can be carried out in three positions:

    Lying on your back . With the left hand they take the heels, slowly lifting them up so that the pelvis is raised above the surface. The knees are carefully pressed to the tummy, quickly inserted, then squeezing the buttocks tightly for a minute. After this, it is advisable to place the baby on his tummy for 10-15 minutes.

Lying on your stomach . Many babies like to sleep or stay awake on their tummy with their bottom raised. This is a very comfortable position for insertion. The child is relaxed, the mother will only have to carefully administer the medicine and leave him alone, stroking his butt.

Lying on your left side . In this position, you need to pull the baby’s knees to the chest, spread the buttocks with two fingers of your left hand and, with a precise movement, point the candle with the sharp end forward, into the anus. Then squeeze your buttocks tightly for 30 seconds.

After manipulation, place on the tummy for 10-15 minutes.

The suppository in the rectum melts and dissolves very quickly, but the child still needs to be kept in a horizontal position for some time.

We invite you to see how to light a candle for a baby under one year old:

For a baby over a year old

Preparation for the procedure for older children is similar to the previous one. As an addition to the toy, you can include your favorite cartoons. At this age, the following insertion positions are recommended:

    lying on your stomach, placing a pillow or cushion under the pelvic area. Before insertion, you need to spread the buttocks, insert a suppository, and remove the pillow.

You can promise your baby something nice if he lies quietly for 15 minutes.

Lying on your left side. The suppository can be administered in the same way as for infants up to one year old.

For children over three years old, we can recommend a squatting position for insertion , with legs spread wide apart. This position is uncomfortable for parents, but many children like it. Then you will still have to lie on your stomach so that the candle does not fall out.

What to do with teenagers

In adolescence, there is also a need to use drugs in rectal form. For example, during a stomach infection or sensitive stomach mucosa. Teenagers during illness show extreme obstinacy, refusing medications in this form.

Parents can only ask a medical professional to explain the need for treatment and show how this manipulation can be done independently.

To do this correctly, you can invite your teenager to watch this video:

Contraindications

Doctors do not recommend using glycerin-based suppositories for children who suffer from acute hemorrhoids, as well as for infants with inflammation of the rectum or a fissure in the anus.

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Key points of the instructions

Before inserting a candle into a baby, you need to try to calm the baby down. Some mothers also advise telling him about the upcoming manipulations. It is important to gain his trust. Otherwise, the manipulation may leave trauma to his psyche. Particularly impressionable parents cannot administer the drug due to the child’s hysterics. It can be avoided if you keep your baby occupied with a toy or try to distract him in any other way. If there is such an opportunity, then you can involve loved ones in the manipulation. It is important that this person has sufficient experience in communicating with children.


Candles can only be placed with clean hands.

It is recommended to warm the suppository in your hands before inserting it into the rectum. All manipulations can only be performed at room temperature. It is allowed to immerse the suppository in warm water for a few seconds. Thanks to this, the medicine will be more gently administered into the anus of the newborn in the future.

At the first stage of the manipulation, it will need to be freed from packaging. First, the baby should be placed on his left side. To facilitate insertion, the hole is pre-lubricated with a softening cream. Vaseline can also be used.

Children have their legs bent at the joints. In this position, parents should also securely secure it. Pediatricians allow the administration of a suppository to a baby who lies on his back. However, you should first bend his legs to his tummy. This position is most often taken by the baby when changing diapers.

It is most convenient to spread the buttocks with your left hand. The right one is used for insertion. All manipulations are performed gently. The candle is inserted forward with the sharp end. You can use your fingers for additional fixation.

We should not forget that infants can reflexively throw the composition out. This situation can only be avoided if you keep your buttocks closed for several minutes. The beneficial components will have time to be absorbed into the blood if the child lies quietly for at least thirty minutes.

Mothers should also understand that it is correct to administer suppositories only after a complete bowel movement. Otherwise, the composition will provoke defecation. The only exceptions are medications for constipation. If the composition has not been inside for even ten minutes, then the manipulation must be repeated.

To preserve all the beneficial properties of the medicine, it should be stored in a cool place. Detailed information about this is contained on the packaging. If the expiration date has already expired, the composition will not have the necessary effect on the body.

Constipation suppositories for children

Probably the very first childhood problem is the baby’s stool: either he poops every half hour (you don’t have time to change the diaper), or he pushes to no avail for the second day in a row. And both situations force parents to run around the baby, either with rice water or with an enema, or to “rummage” on the Internet in search of information about an effective medicine that would make life easier for both the child and his parents.

A little about constipation

Constipation is a very common phenomenon, both in very young and very old people. There are many reasons for its occurrence. What is constipation? This is not only the absence of stool for several days due to a violation of the movement of feces through the intestines, but also a difficult act of defecation, when feces are still passed, but they are hard and too large in diameter, or even even resemble sheep feces.

When can you talk about constipation? First, you need to figure out how many times a day a child should go “to the toilet in a big way.” Infants (up to one year old) poop as many times as they eat (ideally). Gradually, trips to the toilet are reduced to 1-2 times a day. If the baby does not poop for 2-3 days, you can already provide him with first aid, determining the causes of this condition. Secondly, always pay attention to the stool (their consistency). Only by the age of three does feces become “formed”, and before that it is very liquid and mushy. If a child (especially a baby) suffers from straining, he needs help.

What are the causes of constipation? This question is very important! Only after finding out the causes of constipation can you begin to treat it. Unfortunately, many parents solve the problem of constipation using “grandmother’s methods,” and those who are more modern use medications. Without a doubt, both will work, but will it cure constipation? We can talk about the causes of constipation for a long time, because in fact there can be a lot of them and very different: from emotional mood to congenital pathologies in the structure of the rectum (for example, Hirschsprung’s disease - a section of the intestine does not have nerve cells and is not able to participate in contraction) . Constipation can also be caused by endocrine diseases (for example, diabetes) and, of course, problems of the colon and rectum (intestinal obstruction, tumors, scarring of tissue that makes the intestines obstructed).

That is why, if you have symptoms of constipation, do not rush to give your baby a candle or an enema, but find out the reason. Of course, before it is established, you simply must alleviate your child’s condition.

Principles of using suppositories in the treatment of children

Viferon suppositories are a powerful medicine that provides a long-term therapeutic effect, allowing you to maintain your child’s health and cope with viral diseases, colds and flu. It is recommended to administer the suppository rectally to young children according to the doctor's recommendation.

The active substances of the drug perfectly fight viruses and infections, of which quite a lot are concentrated around the baby. The product is effective when used during epidemics of influenza and other viral diseases.

It is very important to properly store the purchased package of candles. This must be done in the refrigerator, in accordance with the manufacturer's instructions, for no more than 2 years from the date of production.

The drug must be stored in the refrigerator

Otherwise, candles can easily melt at positive temperatures, since their composition is aimed at rapid dissolution and absorption in the body. Do not use suppositories that have expired.

It is not recommended to put a candle after a baby has had a bowel movement before. You need to wait until the child goes to the toilet and only then apply the medicine. Otherwise, the patient may reflexively empty his bowels immediately after the procedure.

An important point is the correct insertion of the suppository into the child’s anus. It is necessary to remove the suppository from the packaging only before inserting the suppository.

Viferon candles melt very quickly, so they are stored in the refrigerator and removed from the factory packaging only before use.

You need to insert the suppository rectally carefully, trying not to harm the baby, but at the same time do everything quickly and clearly. It’s good if there is an assistant nearby who can calm the baby and support him if he behaves restlessly.

To facilitate insertion, you can lubricate the anus with Vaseline or other oil, and also wet the suppository with warm water. You cannot hold a candle in your hand for a long time due to its rapid disintegration.

Oil is used to facilitate insertion

After the candle is inside, you should wipe off the remaining oil composition from the baby’s anus to avoid the development of irritation. The child needs to be reassured by talking gently to him and distracted with outside activities.

Features of constipation in the first year of life


When newborns are born, they are faced with the need to adapt to new environmental conditions.
At the same time, many of their organ systems are still poorly developed, stable neurohumoral regulation, and, consequently, the relationship between them has not been established.

Under these conditions, all the infants’ forces will be aimed at maintaining their life, growth and development, which is actually achieved through food, sleep and physical activity.

Causes

Due to the incompetence of the gastrointestinal tract, the appearance of constipation does not always signal the development of a pathological process, but only indicates the need for correction of nutrition, drinking and physical activity.

If these measures are ineffective, it becomes necessary to consult a pediatrician to further establish the true cause of constipation in children. Sometimes this makes it possible to exclude serious diseases or begin their timely treatment, preventing the development of complications in the future.

Difficulties with bowel movements in early childhood may occur for the following reasons:

  • Poor nutrition of the mother during breastfeeding, exposure to bad habits - smoking and drinking alcohol;
  • Uncoordinated transition to mixed or artificial feeding;
  • Errors when introducing complementary foods to infants;
  • Eruption of baby teeth;
  • Failure to comply with the thermal chain;
  • Rickets;
  • Functional damage to the intestine (impaired motility and muscle tone, defecation reflex, changes in the anorectal zone and pathology of the innervation of the perineal muscles, stress factors);
  • Organic intestinal damage (inflammation, infectious process, tumors, adhesions, diverticula, hernias, polyps);
  • Congenital anomalies of intestinal development (megacolon, dolichosigma) or birth injuries;
  • Hirschsprung's disease;
  • Metabolic disorders in hypothyroidism, celiac disease, lactose intolerance;
  • Food allergies.

We should also not forget about the possibility of developing defecation disorders due to psychological factors. This may occur due to early separation from the mother, an unfavorable atmosphere in the family, or the child’s fear of pain.

Main features


Considering the individual development dynamics of each child, the absence of bowel movements should not always be perceived as constipation. This is only true if there are 2 or more of the following signs:

  • Prolonged absence of bowel movements, which contradicts the individual frequency of stool of newborns;
  • Changes in the consistency of stool - its compaction (can be rocky or dry), discharge in small amounts in lumps;
  • Emptying requires excessive straining;
  • General disturbance in the well-being of infants - lethargy or irritability, tearfulness, restless sleep;
  • Decreased appetite;
  • In the chronic course - anemia, deterioration of the skin and its appendages, developmental delays.

A sharp increase in intra-abdominal pressure with strong straining in children in the first months of life is dangerous due to the formation of hernias of the anterolateral abdominal wall.

The addition of fever with increased body temperature, vomiting, loss of consciousness, convulsions, diarrhea, severe bloating, intestinal colic, as well as the detection of traces of blood in the stool is an indication for emergency medical help.

Candles as first aid

The acute development of severe defecation disorder often requires a quick response from parents. Often they do not know which remedy for constipation for infants to choose, so it is best to consult with a pediatrician.

Even today, most laxatives for constipation in newborns are contraindicated or have limitations. When performing a cleansing enema or using oral medications, such as syrups, forced bowel movements occur.

This primarily explains why they should not be used frequently. In such a situation, the state of the intestinal microflora, its peristalsis and sphincter tone suffers. In fact, you can prevent the formation of a natural bowel reflex or diarrhea.

Advantages


Constipation suppositories for children have the following advantages:

  • They act locally without causing serious disturbances in the overlying parts of the gastrointestinal tract;
  • They do not have a generalized effect (only a small part of the drug enters the systemic bloodstream);
  • Available without a prescription, affordable;
  • It is preferable in terms of the method of administration of the drug. Not every child will drink syrup or endure a cleansing enema;
  • The effect occurs quickly - within 10-20 (25) minutes from the moment of administration;
  • Providing a suppository for constipation in newborns is considered relatively safe compared to the choice of other medications.

It should be borne in mind that placing a candle is quite simple, unlike the same cleansing enema. In the absence of the appropriate skill to perform this manipulation, there remains a high risk of damage to the wall of the rectum or even the sigmoid colon with a bulb (syringe).

Operating principle

Almost all suppositories for constipation act by irritating receptors that are located deep in the mucous membrane of the rectum. This causes reflex stimulation of peristaltic muscle contraction and increased sphincter tone.

Children's suppositories for constipation in most cases contain various substances (glycerin, petroleum jelly), which transform from a solid state to a more liquid state under the influence of the child's normal body temperature. Thus, they envelop the mucous membrane, further improving emptying.

At the same time, the stool indirectly softens, which facilitates bowel movements without causing discomfort to the baby.

Some features


Despite all the advantages, reasonable price and effectiveness of suppositories for constipation in infants, it is necessary to understand that they also cannot be used for a long time.
They are suitable solely as a one-time way to ease bowel movements in order to improve the child’s condition before visiting a doctor. This is largely due to the fact that it is quite difficult to calculate the dosage for a newborn, especially in the first months of life. The risk is that external assistance may disrupt the process of its adaptation to environmental conditions.

If constipation appears as the first sign of a congenital abnormality of intestinal development or an infectious-inflammatory disease, laxative suppositories can only worsen the situation.

How to light a candle for a child: basic recommendations

Pregnancy, children > Need to know > How to insert a candle into a child: tips for parents

If the baby is sick, the pediatrician may prescribe suppositories (rectal suppositories) that need to be inserted into the rectum.

The use of this form of medication becomes most relevant if the child is still small, since older children can safely take the pill.

In addition, with the help of rectal suppositories, you can achieve a therapeutic effect that lasts for a long time.

Suppositories will also be a godsend for mothers whose children refuse to take injections.

Features of the procedure

Rectal suppositories come in different types. They are prescribed to children as a laxative or to administer a specific medication.

If you do not have the necessary experience and you do not know how to insert a candle into a child, then such a procedure may seem scary and difficult at first glance.

To carry out the manipulations, you will need the candles themselves, baby cream or Vaseline. If the child has already grown up, he must be told that this is necessary so that he can recover faster and it is better than injections or medications to explain exactly how the procedure will take place.

It is necessary that the baby takes these manipulations calmly. Otherwise, the procedure may be painful. If the child is still small, then he needs to be distracted. For this purpose, you can call someone close to you for help.

Before starting the procedure, the candle must be warmed at room temperature.

To make the process go faster, you can immerse it in warm water without removing it from the protective packaging or hold it in your palms for a while.

Step-by-step procedure

The stages of administering a rectal suppository are as follows:

  1. Wash your hands well with soap and remove the candle from
    Rectal suppositories have a longer therapeutic effect

    packaging.

  2. Place your baby so that he lies on his left side. You can smear Vaseline or baby cream on the baby's anus so that he does not feel discomfort.
  3. Next, you should bend the baby’s legs at the hip joints and knees. They must be fixed in this position. The suppository is administered to infants while they are lying on their back and their legs are pressed to their stomach, as when changing a diaper.
  4. Using your left hand, you need to carefully spread the buttocks apart without scaring the baby. With your right hand, insert the rectal suppository into the anus, holding it with your finger (the candle is inserted with the pointed end).
  5. The baby's buttocks should be closed for one or two minutes. Otherwise, he may reflexively squeeze the candle out. It will be better if the baby lies quietly for at least half an hour, without making sudden movements.

special instructions

Rectal suppositories are administered to the child only after the intestines have been emptied. If, after administering suppositories for fever, a bowel movement occurs, the suppository should be reintroduced. If more than 10 minutes have already passed and the contents of the rectal suppository have been absorbed into the rectum, the procedure does not need to be repeated.

Since rectal suppositories contain oils and paraffins, they tend to melt quickly. At body temperature, they begin to liquefy and, without completely dissolving in the rectum, flow out, so

Suppositories should be used as prescribed by a pediatrician

It is best to place a diaper under the baby's bottom.

Due to these properties of suppositories, it is recommended to store them in a dark and cool place (from 8 to 15 degrees). Before use, be sure to read the instructions for use and under no circumstances use them after the expiration date.

Best views

Rectal suppositories for newborns who have problems with bowel movements do not get rid of the cause, but only temporarily eliminate the symptom. Therefore, they are used only in extreme cases, when the situation is dire and safer measures have not had the desired effect.

Infants are not recommended to administer rectal suppositories for constipation on their own for longer than three days.

The list of drugs for rectal administration, unfortunately, is small, which is due to the impossibility of using complex pharmaceutical drugs in children.

The following suppositories for constipation are most effective for newborns:

  1. Glycerin based;
  2. Based on sea buckthorn oil.

There are also gas-forming suppositories, but their use in newborns is prohibited. As an alternative remedy, you can use Microlax, which is also injected into the rectum (there is a special line for children from 0 to 3 years old).

Glycerin suppositories

The most famous representative is the drug "Glycelax". They can be used for hypo- and atonic constipation, as well as other disorders of the gastrointestinal tract in the perinatal period.

The main active ingredient, as you might guess, is glycerin. Its absorption from the rectal mucosa occurs quickly and almost completely. It is metabolized in the liver, while being a substrate for gluconeogenesis (increases the concentration of glucose in the blood plasma). As a result, only 7-14% is excreted in the urine.

Contraindications

The following contraindications for use exist:

  • Individual intolerance to the components of the drug (including auxiliary);
  • Exacerbation of hemorrhoids;
  • Inflammation of the mucous membrane of the colon;
  • Rectal tumors;
  • Severe nephropathy (kidney failure)


It is also possible to develop local allergic reactions in the form of itching and burning of the skin. During breastfeeding, you should always consult your doctor.

Terms of use

Suppositories for newborns are inserted into the rectum. Before this, it is advisable to calm the child, perform a soothing massage of the abdomen with stroking movements, and then, lifting the legs, carefully place it in the anus.

It is advisable to use them only after 3 months of age and for older children (0.75 g once a day).

Treatment should be stopped after normal intestinal motility is restored. Next, preference should be given to non-drug measures (diet, exercise, massage) if there is no need to continue therapy.

Before insertion, suppositories do not need to be lubricated with mineral liquid or solid oils.

Sea buckthorn candles

Sea buckthorn suppositories are less effective than glycerin suppositories, but they also have wound healing and anti-inflammatory effects.

The drug itself is affordable, simple and safe to use to combat constipation in children. But you also shouldn’t use it on your own for more than 2-3 days, especially if the problem does not go away. In this case, it is necessary to carry out diagnostic measures in order to clarify the cause of the development of the pathological process.

Contraindications


The main active ingredient of these rectal suppositories is sea buckthorn oil concentrate.
That is, the product is made exclusively on a natural basis, which has a minimum of contraindications for use due to the absence of ballast components. The risk exists only if there is an allergy to sea buckthorn or cross-reactions with other plants. They should also not be used for prolonged diarrhea (often followed by constipation in newborns), severe inflammatory diseases of the gastrointestinal tract and cholelithiasis.

In rare cases, they indicate the development of local hypersensitivity reactions in the anorectal area.

How to light a candle for a baby

Infants have a weak immune system. That is why they suffer from negative external influences much more often than adults. To quickly and effectively relieve some symptoms, it is recommended to insert special suppositories rectally.

Thanks to this, the necessary components are absorbed into the blood and give a positive effect much faster. The form of the drug is very popular in the treatment of young children. The therapist prescribes them to the child only after a detailed examination. The method is convenient, because in the first year of life, children cannot yet swallow pills on their own.

In turn, not all parents will be able to administer the drug intramuscularly. This requires experience.

To light a candle for a baby, you need to stock up on the following manipulation tools:

  • Medicinal suppositories (only those drugs prescribed by a doctor can be used).
  • Vaseline or baby cream. They are necessary for introducing the drug into the anus without damage.

Main contraindications

The anti-constipation remedy acts locally and therefore has no contraindications. A composition with paracetamol to lower body temperature can only be used if the child is already one year old.

Do not use other tablets to reduce fever at the same time. Paracetamol can cause allergies, which manifest as redness of the skin.

Cases of malfunction of the heart and gastrointestinal tract have also been recorded.

Candles should not be used if the baby has previously been diagnosed with kidney or liver disease. They are also dangerous to use for inflammation in the rectum. In this case, the likelihood of worsening the overall clinical picture increases.

With the help of rectal suppositories it will be possible to normalize body temperature. However, this method cannot be used to eliminate pain and spasms.

A paracetamol suppository can be administered to a newborn baby only once. It will effectively reduce body temperature. After this, you should seek medical help. The pediatrician will be able to select a medicine that will fully correspond to the individual characteristics of the child’s body.

An overdose is dangerous for a child. That is why it must be avoided. Otherwise, the risk of developing liver and kidney problems increases.

Suppositories are used only in small quantities if the course of treatment also includes antibiotics. In this case, the dose is selected separately by the attending physician.

Source: https://floragaz.ru/zdorovye/kak-postavit-svechku-grudnichku

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