Question
A nine-year-old girl has started menstruating and only experiences bleeding during defecation, without any other symptoms. After a hospital examination, the doctor was unable to pinpoint the cause. The parents are confused about the early onset of ovarian development and are seeking dietary adjustments.
Answer
Constipation and intestinal dysfunction may be related, or may be due to an imbalance in intestinal motility and gut microbiota. If the girl has not had a bowel movement for a long time, it is recommended to try using a mild laxative, perform abdominal massage, and supplement probiotics. In terms of dietary adjustment, it is crucial to encourage the girl to consume more water and fiber-rich foods. If the situation remains uncertain, it is advisable to consult a doctor again. Additionally, to confirm whether the girl has entered early puberty, it is recommended to bring her to a pediatric endocrinology department in a provincial-level or higher hospital for a detailed examination, including the detection of sex hormone levels.