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Constipation
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Pediatrics
Constipation
Constipation
Pain or crying when passing a stool
No bowel movement for 10 minutes after straining or pushing.
3 or more days without a bowel movement
Normal Range: 3 per day to 1 every two days
Once children are on normal table foods, their stool pattern is like adults
Causes of Constipation
High milk diet
Low fiber diet
Less fluid intake
Lack of exercise
Holding back stools because of pain or power struggles
Slow passage of food through the intestines – most often, this type runs in families & the condition is called Slow Transit Constipation
Treatment
Diet for Infants Under 1 Year Old :
Age over 1 month old who is on breast milk or formula - add pear or apple juice or fruit juice
Age over 4 months: add baby foods such as are peas, beans, apricots, prune, peaches, pears, or plums, i.e. high fiber foods twice a day.
Diet for Age Over 8 months Old:
On finger foods - add cereals and small pieces of fresh fruit
Diet for Children Over 1 Year Old:
Increase fruit juice (apple, pear, cherry, grape, prune)
Add fruits and vegetables high in fiber content such as peas, beans, broccoli, bananas, apricots, peaches, pears, figs, prunes, or dates
Increase whole grain foods
Limit milk products to 3 servings per day
For holding habit;
Use rewards to help your child give up this bad habit
Treats and hugs always work better
Avoid any pressure or punishment
Encourage Sitting on the Toilet and Set up a normal stool routine
Have your child sit on the toilet for 10 minutes after meals
Stool Softeners (Age Over 1 Year Old):
If a change in diet doesn't help, child may benefit from stool softener such as MiraLax or Fiber products such as Benefiber
Call Your Doctor If:
Constipation lasts more than 1 week after making changes to diet
You think your child needs to be seen
Your child symptoms becomes worse