#asktheexpert My child is facing chronic constipation since 1 month. She is standing cross legged when she is supposed to pass the stool and not passing the stool. What could be done?

Question

Accepted Answer

It sounds like your child is experiencing chronic constipation, and the act of standing cross-legged when she is supposed to pass stool may indicate she is trying to hold it in, likely because she associates bowel movements with discomfort or pain. This is a common behavior when a child has had a difficult or painful experience while passing stool in the past.

Here’s what you can do to help:

1. Dietary Changes: Increase fiber intake: Include high-fiber foods like whole grains, fruits (apples, pears, prunes), vegetables (spinach, carrots, peas), and legumes (lentils, beans). These help soften the stool and promote regular bowel movements. Plenty of fluids: Make sure your child is drinking enough water throughout the day. Dehydration can worsen constipation. Limit constipating foods: Reduce the intake of dairy products (like cheese and milk), bananas, and processed snacks, which can contribute to constipation. 2. Encouraging Regular Bowel Movements: Establish a toilet routine: Try to set a regular time each day (like after meals) to encourage your child to sit on the toilet, even if they don’t feel the urge. The body can develop a natural rhythm over time. Positive reinforcement: Praise your child when they try to use the toilet. Avoid scolding or pressuring them, as this may create anxiety around potty time. 3. Physical Activity: Encourage your child to stay active, as movement helps stimulate bowel movements. Walking, playing, and running are great for digestion. 4. Abdominal Massage: Tummy massages: Gently massage your child’s belly in a clockwise motion to help relieve gas and encourage the passage of stool. 5. Stool Softener (If Necessary): If the constipation is severe or persistent, a stool softener like lactulose or glycerin suppositories may be recommended by a doctor. Never administer any medication without consulting a healthcare provider. 6. Behavioral Support: Your child may be avoiding stooling because of pain from previous experiences. Encourage them to relax and try to reassure them that it won’t hurt. Sometimes, playing with their favorite toys while sitting on the toilet can help distract them. 7. When to See a Doctor:

If your child’s constipation persists for more than a few weeks, or if they experience severe abdominal pain, vomiting, or blood in the stool, it’s important to consult a pediatrician to rule out any underlying conditions.

Your child’s constipation could be caused by a variety of factors, including diet, stress, or discomfort from passing stool. By addressing both physical and emotional aspects, you can help them get back on track to regular, comfortable bowel movements.