Constipation in children
Constipation is a widespread condition among infants and children1. As their bodies develop, they’ll go through a few important milestones, which may trigger it. This includes the introduction of solid foods, learning to use the toilet and starting school.
Constipation in children is recognised by infrequent, hard poo as well as accidents in their underwear. It can cause tummy ache as well as stress and upset for the child and their family2.
15 min read
Why do children get constipated?
The most important thing with constipation in children or infants is being able to spot the signs and symptoms. The good news is that for 90 to 95% of children affected by constipation, there's no cause for concern.
Infants
- At least four soft, grainy, yellow discharges are considered normal per day. Breastfed babies poo more than formula-fed babies.
- With the start of weaning, pooing can become less frequent, but the poo remains soft.
- After one year of age, most babies produce soft but formed poo once or twice a day.
Children
Children can get constipated when they're anxious about something, like starting a new school or problems at home. Another cause may be a diet lacking in fibre. Some children avoid going to the bathroom, even when they really have the urge to go. Sometimes, medicines like antidepressants and those used to treat iron deficiencies can cause constipation.
Spotting the signs of constipation in children
If your child doesn't poo every day, it doesn't necessarily mean they're constipated. Some children go three times a day, while others go once every one to two days.
But there are several clear signs you can look out for, such as your child going less than usual or having trouble or pain when they poo. You might also see staining in their underwear or a little blood on the toilet paper3.
So your child might be constipated if they have4:
Fewer than three poos a week
Trouble having a poo
Poo that's hard, dry, and unusually large
If your child's poos are hard and they often have to strain to poo or they feel pain while going - or perhaps they try to avoid going to the toilet - we recommend you speak to your doctor5,4.
What could be causing discomfort?
Most of the time, functional constipation in children is caused by painful poos. The pain can make your child want to avoid the unpleasantness altogether - and withhold their poo. Other causes include toilet training, changes in routine or diet, stressful events and illness. And sometimes, your child might hold in their poo because they aren't near a toilet, and that can make them constipated.6
Diet with a low intake of fibre
Constipation in children can be due to a diet that doesn't include enough fibre and enough fluid. Both help the bowels move as they should. Processed foods and fatty, sugary, or starchy foods can slow the bowels down4.
In certain children who don't respond to behavioural and medical management, constipation could also be linked to an intolerance of milk proteins. In this case, the suspected allergy trigger is usually removed from the child’s diet for 2-4 months to assess the involvement of milk proteins7.
Other causes
Functional constipation in children may result from withholding poo. Sometimes, children do this to avoid unpleasantness, such as anal fissures which cause pain, or simply because they're too busy to go8.
In some rare cases, constipation in children may be linked to a physical disorder or to the use of a specific drug. This is what's called organic constipation. In these rare cases, constipation is a sign of other medical illnesses. So talk to your doctor if your child continues to have problems or if the constipation lasts for 2 to 3 weeks3,4,8.
How to prevent occasional constipation in children
Once your doctor has told you your child is constipated, there are a few simple things you can do to help them feel better and develop helpful toilet habits. Children tend to imitate adults. So setting the right example by eating healthily can have a long-term effect on their diet (and yours!).
The Dulco® range
Talk to your doctor before giving your child any kind of over-the-counter medicine for constipation4. However, it's often necessary to use laxatives to help keep constipated children regular. Discover the Dulco® range of solutions.
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DulcoEase® Capsules
DulcoEase® Capsules are a gentle and effective laxative that gradually relieve constipation. The dual effect action softens poo and stimulates the bowel, resulting in an increase in bowel movements and softer poo that's easier to pass.
Dulcolax® Adult Tablets
Dulcolax® Tablets provide targeted relief that works away whilst you sleep, stimulating your natural bowel movement in harmony with your body. Take at night in the comfort of your own home to make it easier to pass poo when you wake up (between 6-12 hours later). So, you can expect to feel good inside and out.
Dulcolax® Adult Pico Liquid oral solution
Dulcolax® Adult Pico Liquid is a fruit flavoured liquid solution that provides predictable, overnight relief from constipation in 6-12 hours.
Dulcolax® Twelve Plus suppositories
Get fast relief in 10-30 minutes with this quick-acting stimulant laxative. Dulcolax® Twelve Plus 10mg suppositories work quickly to stimulate bowel muscles and soften poo, making it easier to pass.
-
Dulcolax® Adult Tablets
Dulcolax® Tablets provide targeted relief that works away whilst you sleep, stimulating your natural bowel movement in harmony with your body. Take at night in the comfort of your own home to make it easier to pass poo when you wake up (between 6-12 hours later). So, you can expect to feel good inside and out.
Dulcolax® Adult Pico Liquid oral solution
Dulcolax® Adult Pico Liquid is a fruit flavoured liquid solution that provides predictable, overnight relief from constipation in 6-12 hours.
-
DulcoEase® Capsules
DulcoEase® Capsules are a gentle and effective laxative that gradually relieve constipation. The dual effect action softens poo and stimulates the bowel, resulting in an increase in bowel movements and softer poo that's easier to pass.
-
Dulcolax® Twelve Plus suppositories
Get fast relief in 10-30 minutes with this quick-acting stimulant laxative. Dulcolax® Twelve Plus 10mg suppositories work quickly to stimulate bowel muscles and soften poo, making it easier to pass.
Learn more about occasional constipation
Here, you'll find answers to some of the most common questions about constipation. Our experts also offer guidance on how to get rid of constipation and stay regular.
Constipation And Diarrhoea: What is the connection?
Constipation is characterised by uncomfortable or infrequent bowel movements. Whatever your symptoms and complaints of constipation, it can be very uncomfortable and annoying when it's hard to poo.
How does the digestive system work?
Constipation is characterised by uncomfortable or infrequent bowel movements. Whatever your symptoms and complaints of constipation, it can be very uncomfortable and annoying when it's hard to poo.
What is constipation?
Constipation is characterised by uncomfortable or infrequent bowel movements. Whatever your symptoms and complaints of constipation, it can be very uncomfortable and annoying when it's hard to poo.
What is occasional constipation?
Constipation is characterised by uncomfortable or infrequent bowel movements. Whatever your symptoms and complaints of constipation, it can be very uncomfortable and annoying when it's hard to poo.
Bloating and Constipation
Constipation is characterised by uncomfortable or infrequent bowel movements. Whatever your symptoms and complaints of constipation, it can be very uncomfortable and annoying when it's hard to poo.
Constipation and Bowel Movement
Constipation is characterised by uncomfortable or infrequent bowel movements. Whatever your symptoms and complaints of constipation, it can be very uncomfortable and annoying when it's hard to poo.
How to manage occasional constipation in adults
Occasional constipation can happen to anyone from time to time. Because we know how frustrating and stressful it can be, we can help you identify the causes of your constipation. And, best of all, how to prevent it.
How to deal with constipation during pregnancy
Constipation is a common problem in pregnancy. Its symptoms can include infrequent bowel movements, hard and dry poo, or excessive straining. Most people respond to dietary changes or simple laxatives.
1. Müller-Lissner SA, Kamm MA, Scarpignato C, Wald A. Myths and misconceptions about chronic constipation. Am J Gastroenterol. 2005 Jan;100(1):232-42.
2. Benninga MA, Candy DC, Taminiau JA. New treatment options in childhood constipation? J Pediatr Gastroenterol Nutr. 2005 Sep;41 Suppl 1:S56-7.
3. Loening-Baucke V. Chronic constipation in children. Gastroenterology. 1993 Nov;105(5):1557-64.
4. Murren-Boezem, J. Constipation (KidsHealth). Department of Nemours Childrens Urgent Care. 2018. https://kidshealth.org/en/parents/constipation.html
5. Loening-Baucke V. Prevalence, symptoms and outcome of constipation in infants and toddlers. J Pediatr. 2005 Mar;146(3):359-63.
6. Gordon M, MacDonald JK, Parker CE, Akobeng AK, Thomas AG. Osmotic and stimulant laxatives for the management of childhood constipation. Cochrane Database Syst Rev. 2016 Aug 17;2016(8):CD009118.
7. Carroccio A, Iacono G. Review article: Chronic constipation and food hypersensitivity--an intriguing relationship. Aliment Pharmacol Ther. 2006 Nov 1;24(9):1295-304.
8. Constipation Guideline Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Evaluation and treatment of constipation in infants and children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2006 Sep;43(3):e1-13. doi: 10.1097/01.mpg.0000233159.97667.c3. PMID: 16954945.