Constipation most commonly occurs when waste or stool moves too slowly through the digestive tract, causing the stool to become hard and dry.
Many factors can contribute to constipation in children, including:
Aug. 23, 2013
- Withholding. Your child may ignore the urge to have a bowel movement because he or she is afraid of the toilet or doesn't want to take a break from play. Some children withhold when they're away from home because they're uncomfortable using public toilets. Painful bowel movements caused by large, hard stools also may lead to withholding. If it hurts to poop, your child may try to avoid a repeat of the distressing experience.
- Early toilet training. If you begin toilet training too soon, your child may rebel and hold in stool. If toilet training becomes a battle of wills, a voluntary decision to ignore the urge to poop can quickly become an involuntary habit that's tough to change.
- Changes in diet. Not enough fiber-rich fruits and vegetables or fluid in your child's diet may cause constipation. One of the more common times for children to become constipated is when they're switching from an all-liquid diet to one that includes solid foods.
- Changes in routine. Any changes in your child's routine — such as travel, hot weather or stress — can affect bowel function. Children are also more likely to experience constipation when they first start school outside of the home.
- Medications. Certain antidepressants and various other drugs can contribute to constipation.
- Cow's milk allergy. An allergy to cow's milk or consuming too many dairy products (cheese and cow's milk) sometimes leads to constipation.
- Family history. Children who have family members that have experienced constipation are more likely to develop constipation. This may be due to shared genetic or environmental factors.
- Medical conditions. Rarely, constipation in children indicates an anatomic malformation, a metabolic or digestive system problem, or another underlying condition.
- Tabbers MM, et al. Nonpharmacologic treatments for childhood constipation: Systematic review. Pediatrics. 2011;128:753.
- Constipation in children. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/constipationchild/. Accessed June 12, 2013.
- Ferry GD. Constipation in children: Etiology and diagnosis. http://www.uptodate.com/home. Accessed June 12, 2013.
- Hay WW, et al. Current Diagnosis & Treatment: Pediatrics. 21st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=14. Accessed June 12, 2013.
- Constipation in children. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/pediatrics/approach_to_the_care_of_normal_infants_and_children/constipation_in_children.html. Accessed June 12, 2013.
- Ferry GD. Prevention and treatment of acute constipation in infants and children. http://www.uptodate.com/home. Accessed June 12, 2013.
- Ferry GD. Treatment of chronic functional constipation and fecal incontinence in infants and children. http://www.uptodate.com/home. Accessed June 13, 2013.
- Constipation. National Digestive Diseases Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/constipation/. Accessed June 10, 2013.
- Young L, et al. Integrative care for pediatric patients with pain. The Journal of Alternative and Complementary Medicine. In press. Accessed June 13, 2013.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. June 27, 2013.
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