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 it. what could be done in this situation ?

Question

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 it.  what could be done in this situation ?

Accepted Answer

Chronic constipation in children, especially when it persists for over a month, can become a cycle of pain and avoidance. In your child's case, the act of standing cross-legged when the urge to pass stool arises is a clear sign that she is trying to hold it in—likely due to fear of pain or discomfort. This behavior is common in children who have previously experienced hard, painful stools, and it becomes a psychological barrier to normal bowel movements.

The first step is to address both the physical and emotional causes. Ensure your child is eating a fiber-rich diet, including fruits (like papaya, prunes, and apples), vegetables, whole grains, and plenty of fluids. Fiber helps soften the stool and make it easier to pass. You should also reduce constipating foods such as excessive dairy, bananas, and processed snacks. Encourage regular toilet habits, especially after meals when the body’s natural reflex to poop (gastrocolic reflex) is strongest. Allow her to sit on the toilet without pressure—use a small footstool under her feet to keep her posture correct and comfortable.

If her stool has been hard for weeks, it might be necessary to use a stool softener or mild laxative (like lactulose or PEG) under pediatric supervision. Sometimes, a clean-out may be needed if stool has accumulated in the rectum. Emotional support is equally important—never scold her for accidents or withholding; instead, reassure her gently and praise her when she tries.

Since this has been ongoing for a month and she is showing clear withholding behavior, it would be wise to consult a pediatrician or pediatric gastroenterologist. Long-term withholding can stretch the bowel and worsen constipation, so early medical support and behavioral guidance can help break the cycle and bring relief.