Scheduled time after breakfast and the evening meal to attempt to stool also helps. Talking with teachers about the problem and allowing the children to have access to water and to the bathroom is important. Crackers, snack bars, and bread that are fortified with fiber can now be purchased at the local grocery store. Raisins in oatmeal cookies can provide extra fiber in a diet. While we work on getting children to eat more fruits and vegetables, fiber can be supplied in a more palatable manor. Getting children to eat fruits and vegetables can be difficult but should be encouraged. Treatment of simple constipation involves increasing activity, fluid intake, and fiber intake (fresh fruits and vegetables), and passing stool immediately when the urge is present. He would often see patients with abdominal pain, bloating, or nausea as the main complaint, but the cause was constipation. A Gastroenterologist (stomach doctor) taught me in residency that many children do not realize they are constipated. More frequently they will be embarrassed and not talk about it or not know that it is abnormal to have hard or painful stools. Some children will complain of pain with stooling or of hard stools. The start of school can affect many of these factors, and this is probably why we seem more constipation this time of year. The most common behaviors that lead to constipation are not taking in enough fiber, not drinking enough water, decreased activity, or holding stool when the urge to pass stool comes. It is usually related to factors that slow the passage of stool out of the colon or to not having enough moisture in the stool. ![]() Functional constipation is constipation without a problem in the intestinal tract. The most common cause of constipation is functional constipation. A better way to define constipation is having difficulty passing or passing hard painful stool. ![]() This makes it hard to define constipation based on how many days someone has gone without stooling. Everyone has a different pattern of stooling, ranging anywhere from several times a day to once every few days. We tend to see more constipation around when school starts, and I felt it would be good to discuss it now.Ĭonstipation is a symptom of a larger problem and should be treated as such. Constipation is a common problem among children but can be a difficult for parents and children to discuss with their physician.
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