🚼 What to Do About Constipation

Signs, home care, when to see the doctor, and prevention tips

Understanding Constipation

Constipation is a common problem where a child has fewer bowel movements than usual or stools that are hard and dry. It usually improves with the three Fs: fluids, fiber, and fitness.

Quick Action Guide

✅ Try at Home

  • • Offer plenty of water; for infants ask about small amounts of prune/apple/pear juice
  • • Add fiber-rich foods (apples, pears, oranges, beans, oatmeal, whole grains)
  • • Encourage daily physical activity
  • • Talk to your doctor before giving any medicine

📞 Call the Doctor If

  • • Constipation lasts a week
  • • Liquid stool in underwear when your child isn’t sick
  • • Severe belly pain, vomiting, or eating less

Signs & Symptoms

  • • Fewer bowel movements than usual
  • • Straining and pain during BMs
  • • Hard, dry stools; larger than usual stools
  • • Feeling full or bloated; belly pain
  • • A little blood on the toilet paper after a BM

Common Causes

Diet

  • • Low fiber intake
  • • Not enough fluids
  • • Excess fatty, sugary, or starchy foods

Routine & Habits

  • • Skipping or delaying bathroom time
  • • Travel or schedule changes
  • • Less physical activity

Other Factors

  • • Some medicines (ask your doctor/pharmacist)
  • • Stress or toilet training transitions

How to Help at Home

Fluids & Fiber

  • • Water, diluted juices (doctor-advised for infants)
  • • Fruits: apples, pears, oranges; Vegetables: beans, peas
  • • Whole grains: oatmeal, whole-grain cereals and breads

Daily Movement

  • • Encourage age-appropriate physical activity
  • • Create regular toilet routines (after meals)
  • • Use a footstool to support feet for easier BMs

Prevention Tips

Skip fatty, sugary, or starchy foods that can slow the bowels. Choose fiber-rich foods, keep kids active, and encourage regular bathroom habits.

  • • Offer water regularly throughout the day
  • • Include fruits, vegetables, beans, and whole grains at meals/snacks
  • • Encourage toilet time after meals; use a footstool for proper positioning

What to Avoid

  • • Forcing long toilet sits or creating stress around bathroom use
  • • Overuse of constipating foods (fried foods, excess cheese, refined snacks)
  • • Giving medicines without talking to your doctor first

Track Bowel Habits

What to Note

  • • Frequency and stool consistency
  • • Fluid intake and fiber foods eaten
  • • Any pain or straining

Simple Log Template

Date
BM?
Stool Type
Notes (pain, foods, fluids)
__/__/____
Yes / No
Hard / Soft
Water + fruit; no pain

⚠️When to Seek Medical Care

  • • Constipation lasting a week
  • • Liquid stool in underwear (possible overflow soiling)
  • • Severe belly pain, vomiting, or eating less
  • • Blood in stool or persistent bleeding on toilet paper

Frequently Asked Questions

Q: When should I worry about constipation?

A: Call your doctor if it lasts a week, there is severe belly pain, vomiting, eating less, or leakage of liquid stool in underwear.

Q: Should I use laxatives?

A: Talk to your doctor before giving any medicine for constipation.

Q: What foods help most?

A: Fruits (apples, pears, oranges), vegetables (beans, peas), and whole grains (oatmeal, whole-grain breads/cereals) plus water and daily activity.

Q: Can I prevent it from coming back?

A: Keep up fluids, fiber, and fitness; encourage regular, relaxed toilet time, especially after meals.

⚠️ Medical Disclaimer

This article provides general information about constipation in children and is not a substitute for professional medical advice. Always consult your pediatrician for diagnosis and treatment questions.