When your child is constipated, it hurts.
Aside from the common cold and ear infections, constipation is one of the most common complaints at both well and sick child visits. It causes abdominal pain, frustration (for both parent and child), and guilt. As parents, we often assume responsibility for these sorts of things. Hard, painful poop is no different.
Such is parenthood.
So, what’s a parent of a constipated child to do?
Most parents know when they’re dealing with constipation. Their world revolves around “when was the last time you had poop?” It’s not fun. It’s necessary. They’re familiar with the long waits at the bathroom door. The grunting, the crying, and sometimes the howling that comes from their child as they try to pass a bowel movement.
It can be heartbreaking, frustrating, and guilt inducing all at once.
And while each child has their own “normal” as far as frequency of bowl movements goes; having a bowel movement less than 3 times per week, passing hard, dry, painful, and large stools is a good indication that your child is constipated.
Vicious cycles soon set in when children start to hold it in for fear of the pain associated with large and hard stools. After a while of this, children soon become unable to feel the urgency to go. Thus, resulting in exacerbation of the constipation and accidents or soiling of their underwear. So, regardless of frequency, if your child is in pain and/or afraid to go to the bathroom, it’s time to help things along.
Most childhood constipation can be turned around by paying close attention to a child’s diet. Fiber and water are your child’s friend, and lots of it. Whole fruits and vegetables, whole wheat bread, and oatmeal are great sources of fiber. If you’ve got yourself a “picky” eater, giving a daily fiber supplement will help him get the daily fiber he needs.
Wash it away. Give your child water throughout the day; with every meal and for snack times as well.
Prune or pear juice given once or twice daily will aid in softening the stools and get your child on the right track. If your little one is reluctant to drink it plain, blend it up in a smoothie. Add some whole fruit, low-fat yogurt, ice, and a little skim milk. It’s healthy and full of fiber. A win-win. The goal is to soften the stool so it’s no longer painful to pass and for your child to start having regular, non-painful bowel movements.
Make sure your child gets the recommended 60 minutes of vigorous physical activity per day.
Sometimes, children will need a short course of laxatives to turn things around. Milk of magnesia, mineral oil, or Miralax are common pediatric stool softeners used to turn around this vicious cycle of constipation. In these cases, working closely with your child’s doctor will help you decide how long to continue.
While most cases of childhood constipation will respond to the dietary changes discussed above, some children have persistent constipation in spite of it. In these cases, it’s important to consider other conditions such as irritable bowel syndrome, food allergies, or thyroid problems to name a few.
If your child’s constipation has gotten so bad, he starts having fecal soiling of his underpants, consultation with a pediatric gastroenterologist may be in order to further evaluate and treat his constipation.
The bottom line is that constipation is distressing for parents and children alike. Help your child regain control by rev-evaluating and revamping his diet to include plenty of fiber and fluids. Get creative with daily homemade smoothies and be consistent about having him sit on the toilet at the same time each day until he becomes more regular. Help him recognize the signals from his body and explain to him how important those whole fruits and vegetables are in order for him to have pain-free bowel movements.
Constipation is a pain, but one you and your child can remedy together.
**This article was originally written for and published in The Sacramento Bee, where I write a weekly Dr. Mom column, on 6/28/12**
Does your child have issues with constipation? What has worked for you?
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