Constipation

Constipation is either infrequent stools (3-4 stools weekly), large painful stools (Bristol Type 1-3), or straining to stool. Constipation is common, however opportunities for early intervention are often missed and a simple problem can become more complicated. Constipation can lead to anal tears, stool holding, and soiling accidents. When the lower intestine (colon) is impacted with stool it can also slow stomach emptying leading to loss of appetite, nausea/vomiting and even obstruction.

Treatment of constipation depends on the age of the patient but often addresses diet, improved hydration, and behavioral modification to prevent stool holding. An important part of preventing constipation in children is to ensure adequate fiber and hydration. The amount of daily fiber required is equal to age in years plus five (up to 25). Physicians often recommend natural laxatives (eg. prunes, pitted fruits) or prescription medications. See my fiber muffin and fiber smoothie recipes here which are a sure fire way to sneak in veggies/fiber of picky toddlers.

On rare occasion we may encounter a more serious underlying cause of constipation such as celiac disease or gluten intolerance, thyroid dysfunction, food allergies/protein intolerances, Hirschprung’s or cystic fibrosis. These cases require additional testing and treatment with a board certified pediatric gastroenterologist.

To learn more you can download a thorough review on the “Evaluation and Treatment of Functional Constipation in Infants and Children” by clicking the link below.