Constipation in Children

Written by Anita Romaniw

life_constipationThe most common cause of constipation is a decision made by the child to delay going to the bathroom after having a painful experience. While there are few well-designed studies that have focused on childhood constipation, it is recognized that increasing fibre intake is important in preventing ongoing problems.

What is constipation?

A child is constipated when stools are hard, dry and difficult to pass. Infrequent, soft stools passed without pain are not a sign of constipation.

Possible causes of constipation in children over one year:

  1. Too much milk or cheese and not enough high fibre foods
  2. Not enough fruit, vegetables or whole grains
  3. Not enough water
  4. Not enough active play

Helpful tips:

  • Breastfeed into the 2nd year of life and beyond
  • Offer no more than 3 cups of milk per day to encourage appetite for other foods
  • Offer more water
  • If you are giving fruit juice, dilute it well with water to increase fluid intake.
  • Offer whole grain breads with 2 or more grams of fibre per slice
  • Offer cereals with 4 grams or more fibre per serving. Try the recipe below.
  • Add some oat bran, fruits or raisins to hot cereal.
  • Offer fresh fruit and raw or cooked vegetables more often than juice.
  • Get creative with baked beans. Try them on baked potatoes, crackers, in tacos or on toast.
  • Encourage lots of active play
  • Have regular meals and snack times
  • Have a regular toilet time and routine.

Cereal snack (for children aged 2 or older)
One serving = 1/4 to ½ cup

Choose a variety of any of the following to make a total of 2 cups of cereal:

  • 1/2 cup Shreddies
  • 1/2 cup Rice Chex
  • 1/2 cup Corn Bran
    1/2 cup Oat Rings
  • Add 1/2 cup dried fruit – choose from any of the following: Raisins, Apricots, Peaches, Apples, Pitted Prunes, Craisins.
  • Mix dried cereal and fruit together. For a treat, add a few chocolate chips.

For more information on nutrition management, contact your local health unit. For information on establishing toilet time and routine, contact the Children’s Constipation Hotline at 1-888-336-8708.

Used with Permission

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