Constipation
What Is Constipation?
Constipation in children is when they have decreased bowel movements or increased difficulty when passing stools (poop). Stools can be hard, dry and painful when passing.
Causes of Constipation in Children
Diet
Lack of fiber-rich foods like fruits, vegetables, and whole grains can lead to constipation.
Hydration
Decreased fluid intake can contribute to constipation (fluid helps keep the stool soft).
Routine changes
Changes in the child’s routine like starting school, traveling or stressful events can cause constipation.
Behavioral
Sometimes children will hold their stools because of fear from discomfort or pain when passing the stool or from privacy issues in public restrooms.
Medications
Certain medications, including some antacids and iron supplements, and opioids can cause constipation.
Medical Conditions
Medical conditions like hypothyroidism, cystic fibrosis, and certain neurological disorders can cause constipation.
Symptoms of Constipation
Infrequent Bowel Movements.
Difficulty Passing Stools: Very hard or painful bowel movements.
Abdominal Pain: Discomfort or bloating around the stomach.
Behavioral Changes: Avoids going to the bathroom.
Managing Constipation in Children (Without Medications)
Increase Fiber
Encourage eating more fruits, vegetables, beans, and whole grains. These are great sources of fiber.
Hydration
Drink plenty of fluids (especially water). If the child isn’t drinking enough water, the body can become dehydrated and take moisture from the stools, making them harder and more difficult to pass.
Managing Constipation in Children (With Over the Counter Medications)
Fiber Supplements (Psyllium)
How it works: Fiber supplements such as psyllium absorb moisture from the gut expanding it and turning it into a thick liquid. This promotes your bowels to move causing a bowel movement.
Stool Softeners (Docusate)
How it works: Docusate can help soften stools, making them easier to pass.
Laxatives (Polyethylene glycol (Miralax), Senna, Milk of Magnesia, Lactulose)
How they work: Laxatives relieve constipation by either bringing in more water to the gut causing the gut to move faster or by directing stimulating the gut to move faster.