Constipation In Kids

Generally constipation is thought to be a problem of adults and elderly but it is quite common among kids as well and has increased in the recent years due to changes in diet and lifestyle.

WHAT IS CONSTIPATION?

• Passage of infrequent (less than 3 times/week) stool

• Passing of hard and dry stools associated with pain or straining

• The child may stand in a corner, tighten and cross his legs

• Complaint of stomach pain

• Blood on the surface of the stool

• Traces of liquid or potty may be noticed on the underwear

KEY CAUSES

Withholding Behavior

The child tries to hold the stool when the urge to pass stool is there or a strong bowel movement is there. This can be due

1. Fear of sitting in the toilet

2. Fear of passing stool because of the pain if away from home or in school

Improper Toilet Training

If toilet training is forced on a child and that is too very early, it sometimes becomes a battle between the parent and the child. The child tries to voluntarily hold the urge to pass stool and this slowly becomes becomes an involuntary habit.

Diet

Not enough fibre in diet. Some good sources of fibre in diet are whole grains & cereals, fruits, vegetables etc.

Changes in Routine

• Starting school

• Travel

• Changes in weather

Other causes include medication, cow milk allergy, family history and medical condition.

PREVENTIVE STEPS

1. High fibre diet with lots of fruits, vegetables and whole grain cereals

2. Increase liquid intake (water)

3. Disciplined toilet routine

4. Physical activity

5. Support and Reassurance

6. Medications for short time after consultation