Constipation is a common problem that affects children of all ages. While adjusting diet and hydration are important first steps, laxatives and stool softeners may be needed to help get things moving. This article will discuss some safe, gentle options to consider when your child is having trouble pooping.
Increase Fiber Intake
Adding more dietary fiber can help make stools softer and easier to pass. Good sources include:
- Fruits – raisins, prunes, pears, apples, berries
- Vegetables – broccoli, carrots, beans, peas
- Whole grains – whole wheat bread, oatmeal, bran cereals
Aim for an age-appropriate daily fiber intake. Go slowly to allow the digestive system time to adjust. Too much fiber at once can cause gas and bloating.
Stay Hydrated
Proper hydration is key for healthy bowel movements. Water helps keep stools soft. Signs of dehydration include:
- Dark yellow urine
- Crankiness, fatigue
- Dry mouth
Encourage your child to drink plenty of water and limit sugary drinks like juice and soda that can lead to dehydration. Infants under 6 months get hydration from breast milk or formula.
Try Prune Juice
Prune juice contains sorbitol, a natural laxative that helps draw water into the intestines to soften stools. It also contains fiber. Prune juice is safe for babies over 6 months old. Start with 1-4 ounces per day and gradually increase if needed. Too much can cause diarrhea.
Use Milk of Magnesia
Magnesium hydroxide, known as milk of magnesia, is an over-the-counter laxative suitable for children over 2 years old. It works by drawing water into the intestines to soften stools. Give 1-3 tsp orally once daily. Do not exceed the recommended dose.
Try Miralax
Polyethelene glycol 3350, sold as Miralax, is an osmotic laxative that helps soften stools by increasing fluid in the intestines. It is tasteless and can be mixed into drinks or food. The dosage for children is:
- 6 months to 4 years: 1/2 to 1 teaspoon daily
- Over 4 years: 1-2 teaspoons daily
It may take 2-3 days to work. Long-term use is not recommended without medical supervision.
Use Glycerin Suppositories
Glycerin suppositories lubricate the rectum and draw water into the intestines, stimulating bowel movements. They can provide fast relief but do not treat the underlying cause. Use for occasional constipation in children over 2 years old. Insert one suppository into the rectum and retain for 15-20 minutes.
Try Castor Oil
Castor oil has been used for centuries as a natural laxative. It contains ricinoleic acid which irritates the lining of the intestines, triggering bowel contractions. Oral dosage for children:
- 6 months to 2 years: 1/2 to 1 teaspoon
- Over 2 years: 1-3 teaspoons
Give on an empty stomach. It works within 2-6 hours. Do not exceed recommended amounts.
Increase Physical Activity
Regular physical activity can help stimulate the intestines and prevent constipation. Aim for 30-60 minutes of activity per day. Good options include:
- Playing outside
- Sports
- Running
- Jumping
- Dancing
Limit sedentary activities like TV, video games, and screens.
Give a Warm Bath
A warm bath can help relax the abdominal muscles and relieve constipation. For infants, gently massage the abdomen during bath time to stimulate the bowels. Always supervise children in the bath and maintain proper water temperature.
Try Abdominal Massage
Gently massaging the abdomen in a clockwise motion can help stimulate the intestines. Use a warm moist compress or warm hands. Be patient and massage for 5-10 minutes, a few times per day.
Establish Potty Training
Children often withhold stools once potty training begins. Set a routine of scheduled potty breaks to establish healthy bowel habits. Stay positive and avoid getting upset or punishments if accidents happen.
Avoid Constipating Foods
Some foods are more likely to cause constipation including:
- Dairy products
- Bananas
- Rice
- Applesauce
- Chocolate
Limit serving sizes of these when constipation is an issue.
Treat Underlying Conditions
Talk to your pediatrician if chronic constipation persists despite lifestyle and dietary changes. Some medical conditions that can contribute include:
- Hypothyroidism
- Celiac disease
- Anal fissures
- Neurological disorders
Treating any underlying condition may resolve constipation. Laxatives should not be used long-term without medical supervision.
When to See a Doctor
Consult your pediatrician if your child experiences:
- No bowel movement for more than 3 days
- Hard, dry stools
- Pain or bleeding with stools
- Constant straining or discomfort
- Loss of appetite
- Unexplained weight loss
- Fever or vomiting
Your doctor can check for potential blockages or other complications requiring treatment.
Conclusion
Constipation can often be relieved at home with simple measures like increasing fiber and fluids, exercise, and gentle laxatives when needed. Prune juice, milk of magnesia, Miralax, and glycerin suppositories are safe, effective options for kids over 6 months. See a pediatrician if severe or chronic constipation persists. Establishing healthy bowel habits early helps prevent problems.