### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my 7 month old, who is fixing to be 8 months old strains so hard to have a bowel movement, she turns red and purple trying to poop, when she finally does it is little pebbles, usuall one or two, we have tried prunes, pear juice water, warm water in the rectum, suppositories and everything nothing is working what can i do for her

### output:

Thanks for posting on Chat Doctor. Your daughter is having constipation. You have not indicated whether she is breastfed or formula fed. Constipation is often seen as formula milk is hard to digest. By 7 month of age weaning should have already been done and solids introduced. You may give her lactulose syrup along with foods with high fiber content. Include green leafy vegetables in the mashed and boiled food to be given to him. Vegetables are a major source of fiber. Lettuce, Swiss chard, raw carrots, and spinach are good. You may also give:Tender cooked vegetables, such as asparagus, beets, mushrooms, turnips, and pumpkin. Broccoli, artichokes, squashes, sweet potatoes, and string beans. Vegetable juices. Legumes, such as lentils, black beans, split peas, kidney beans, Lima beans, and chickpeasSunflower seeds, almonds, pistachios nuts, and pecansFruits are another good source of fiber. You can give:Apples and bananasPeaches and pearsTangerines, prunes, and berriesFigs and other Chat Doctor.  You can include:Hot cereals, such as oatmeal, farina, and Cream of WheatWhole-grain breads (whole wheat or whole rye)Brown riceHigh-fiber cereals (such as bran, shredded wheat, Grape Nuts, Ry Crisp, and puffed wheat)Whole-wheat pastas Bran muffinsSuppositories and P-enemas should be able to make her pass the stool. Consult your doctor if those are not working. Hope that helps. Feel free to revert in case of further queries if any.