Constipation in Children

Seeing your child struggle with constipation can be stressful, but understanding the causes and solutions can bring much-needed relief. This article explores the signs and causes of constipation, providing practical tips on how to manage and prevent it. 

For personalized advice and care, consider scheduling an appointment with Bootin and Savrick Pediatric Associates in Houston, Texas. We’re here to support your child’s well-being!

A constipated child sitting on a toilet in Houston, Texas.

Understanding Constipation in Children

Constipation in children is a common issue that can cause discomfort and worry for both kids and parents. It occurs when a child has infrequent bowel movements or has difficulty passing stools. There are different types of constipation, with the most common being functional constipation and chronic constipation.

Functional Constipation

Functional constipation happens when a child’s bowel movements are infrequent or painful, but there’s no underlying medical condition causing the problem. This type of constipation can be influenced by factors like diet, stress, or changes in routine. For example, a child might experience functional constipation after transitioning to whole milk, starting school, or even after a vacation.

Chronic Constipation

Chronic constipation, on the other hand, is a more persistent issue. It’s defined as infrequent bowel movements that last for several weeks or longer. This can lead to discomfort and complications if not addressed properly. Chronic constipation may not be easy to influence with diet or physical activity and warrants a doctor visit.  

What is Normal Pooping for Children?

Normal pooping habits can vary widely among children and depend on the child’s age and diet.

For infants, bowel movements can vary from several times a day to once every few days, depending on whether they are breastfed or formula-fed.

As children grow older and begin eating solid foods, their bowel movements typically become more formed and less frequent. Toddlers and young children usually have one to two bowel movements a day. During toilet training, it’s common for parents to notice changes in their child’s bowel movement patterns as they adjust to using the potty.

By the time children reach school age, their bowel habits should be more regular, often once a day. However, it’s important to note that “normal” can vary from child to child. As long as the bowel movements are not causing discomfort, are not hard or dry, and the child is not straining excessively, their pooping habits are likely normal.

Causes of Constipation

Constipation in children can be caused by a variety of factors, and understanding these causes can help parents address the issue effectively. Diet can influence stooling, but as parents know, it can be very difficult to change your child’s diet and we cannot force foods. Diet changes that can help if your child is open to variety include increasing fiber, which is found in fruits, vegetables, whole grains, and beans. Increasing fluids, especially water, can help constipation.

Another dietary factor is the consumption of too many processed foods, which often lack the necessary nutrients to support healthy digestion. Foods high in sugar and fat, such as candy, chips, and fast food, can slow down the digestive system and lead to constipation.

Some children just have “slower” systems. Additional causes can include changes in routine or environment, such as starting school or traveling, which can disrupt a child’s normal bathroom habits. Fear can also play a role—being scared to poop in the toilet or at school. Withholding behaviors can lead to harder stools and more retained stool. 

Certain medical conditions can also cause constipation. For example, celiac disease, an autoimmune disorder where the ingestion of gluten leads to damage in the small intestine, can cause constipation as one of the symptoms. In such cases, addressing the underlying condition is crucial for relieving constipation.

Signs That Your Child is Constipated

Recognizing the signs of constipation in children can help parents address the issue early and ensure their child’s comfort. Here are some common signs to watch for:

  1. Infrequent Bowel Movements: One of the most obvious signs of constipation is infrequent bowel movements. While the frequency of normal bowel movements varies from child to child, going less often than usual, particularly if it’s been several days, can indicate constipation.
  2. Straining or Painful Stools: If a child is straining or seems to be in pain during a bowel movement, it may be a sign that their stools are hard or difficult to pass. This can be especially noticeable during toilet training when children are learning to use the toilet independently.
  3. Abdominal Pain or Discomfort: A child might complain of a tummy ache or discomfort in the lower abdomen. This pain can be due to the buildup of stools in the intestines, causing pressure and bloating.
  4. Changes in Toilet Behavior: If a child starts avoiding the toilet or has changes in their toilet habits, it may be a sign of constipation. For instance, they might be reluctant to sit on the toilet or seem anxious about using it. This could also be noticed if a child uses excessive toilet paper, which might indicate discomfort or difficulty with bowel movements.
  5. Small, Hard, or Pellet-like Stools: The appearance of the stool can also be a clue. Small, hard, or pellet-like stools are often a sign of constipation.
  6. Soiling: Sometimes, constipation can lead to soiling or “accidents,” as liquid stool may leak around the hard stool stuck in the intestines.

When Should My Child See a Doctor for Constipation?

Parents should consider taking their child to the doctor for constipation if the problem persists or is accompanied by concerning symptoms. Chronic constipation, where a child has infrequent or difficult bowel movements over several weeks, is a clear sign that it’s time to consult the child’s doctor.

Additionally, if the child experiences painful bowel movements or shows signs of distress during bathroom visits, it’s important to seek medical advice. Other warning signs include blood in the stool, a swollen abdomen, weight loss, or vomiting. These could indicate more serious underlying conditions.

It’s also advisable to consult a doctor if the constipation is affecting the child’s quality of life, such as causing them to avoid activities or leading to toilet training challenges. Early intervention can help prevent complications and address any underlying childhood illnesses.

How is Constipation Treated?

When a child is constipated, it can be uncomfortable and distressing for both the child and the parents. Fortunately, there are several ways to treat constipation and help your child feel better.

First, focus on your child’s diet. Certain foods like starches, milk products, and bananas can make constipation worse and should be limited. Instead, encourage the intake of prunes, pears, and plums, which are natural remedies for constipation. Prune juice is also an excellent option, as it helps soften stools and promotes regular bowel movements. Additionally, ensure your child is drinking plenty of water throughout the day to keep their digestive system hydrated.

Introducing a daily probiotic helps some children, but not all. Probiotics are safe to try especially those with fiber. It can sometimes help keep your child more regular by promoting a healthy balance of gut bacteria. 

If still struggling, a pediatrician’s main treatment choice is MiraLAX. This gentle laxative can help treat constipation by drawing water into the stool, making it easier to pass. MiraLAX is often recommended to be taken daily for a few weeks to help establish regular bowel habits. MiraLAX can be generic and is found in the adult section. There is not a special pediatric version. 

It’s essential to approach treating constipation with patience and care. Encouraging your child to have a regular bathroom routine and providing a supportive environment during toilet training can also make a big difference.

Helping Your Child Overcome Constipation

If your child is experiencing persistent constipation, it’s important to seek professional guidance. At Bootin and Savrick Pediatric Associates in Houston, Texas, our experienced team is here to provide personalized care and support.

Schedule an appointment today to ensure your child’s digestive health and well-being. We’re here to help your child thrive!

Medically reviewed by Monica McGrann, MD

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