Avoiding constipation in children - natural methods for treating constipation in children

Difficulties with independent bowel movements in children are a common reason for pediatric visits. Functional gastrointestinal disorders, including constipation, affect approximately 0.3 to 8% of children. These issues arise most frequently during potty training or environmental changes such as starting school. Research indicates that boys experience constipation more often than girls. Constipation is defined as infrequent bowel movements, occurring less than every three days, often accompanied by abdominal pain, bloating, and reduced appetite. Chronic constipation is diagnosed when symptoms persist for at least one month in children under four or two months in older children. In 90% of cases, constipation is functional, not caused by metabolic, anatomical, or neurological conditions. Causes often include poor diet, fear of defecation, early introduction of cow's milk, psychological disorders, lack of physical activity, or certain medications.

Therapy for constipation in children requires a systematic approach, as the condition often recurs. Treatment may take months or even years, so early intervention is essential to prevent the accumulation of fecal matter in the intestines and weakening of the anal muscles. As with adults, treatment involves dietary modifications, regular bowel movements, and physical activity, with laxatives used if necessary. Research, including studies by Kuśmierek and colleagues, confirms that children with constipation consume insufficient fiber. The first step is to clear the intestines of retained stool, followed by dietary adjustments. A high-fiber diet with adequate hydration is recommended to facilitate bowel movements. Increasing physical activity and reducing sedentary behavior is also important. In some cases, laxatives such as lactulose or macrogols are used. Probiotics do not improve peristalsis but benefit the gut microbiome. Psychological support is necessary for psychogenic constipation.

Managing childhood constipation at home involves incorporating fiber-rich foods, increasing hydration, and encouraging daily physical activity. Preparing whole-grain baked goods, grain salads, and vegetable-packed sandwiches can be beneficial. A simple remedy is homemade plum juice: soak dried plums in boiling water overnight, then blend into a thick liquid. Gentle abdominal massages can also aid digestion. Parents should ensure their child feels comfortable and supported during bowel movements.