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Constipation Councelling

This document provides information about childhood constipation, including its definition, causes, symptoms, and treatment options. Constipation occurs when a child does not pass stool often and it is hard and painful to do so. Common causes are painful past experiences, toilet training issues, lack of fiber in diet, and emotional problems. Symptoms include painful stool passage, soiling, and small hard stools. Treatment starts with increasing fiber intake and toilet habits. If fiber does not help, laxatives like macrogols or lactulose may be recommended to soften stools and increase bowel movements. With treatment, most children are able to return to normal bowel function.

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30 views2 pages

Constipation Councelling

This document provides information about childhood constipation, including its definition, causes, symptoms, and treatment options. Constipation occurs when a child does not pass stool often and it is hard and painful to do so. Common causes are painful past experiences, toilet training issues, lack of fiber in diet, and emotional problems. Symptoms include painful stool passage, soiling, and small hard stools. Treatment starts with increasing fiber intake and toilet habits. If fiber does not help, laxatives like macrogols or lactulose may be recommended to soften stools and increase bowel movements. With treatment, most children are able to return to normal bowel function.

Uploaded by

sakariye
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Introduction:

Focused hx: any bowel habit change? Encopresis? UTI ? any emotional problems? Toilet
training? Any change in diet recently? Pain while passing stool?

ICE

Definition: when your child is constipated they don’t pass stool often and when your child does
go, it hurts because the stools are hard and dry. Most children with constipation don’t have
anything physically wrong with them. Usually they’ve just got into the hapit of not going very
often.

Cause: common reasons that children become constipated include:

• They've found passing a stool painful before


• They find toilet training stressful
• They don't like using toilets outside their home, such as at school or nursery
• They don't have enough fibre in their diet
• Emotional problems.

Symptoms:

• Pain when passing stools


• Soiling of underwear or clothes (this is called overflow faecal incontinence)
• Small, dry, and hard stools like pellets. When these collect in the rectum and anus and don't
come out easily, this is called faecal impaction
• Avoiding going to the toilet.

Treatment:

Usually constipation lasts a few days and clears up without any treatment. But in some
children it doesn't go away. Treatments can help, but it can take a while for them
to work.

Things you can do for your child


Giving your child food with lots of fibre is likely to help with constipation. Your child is likely
to have more bowel movements and less pain in their abdomen.

Here are some ways to help your child get more fibre:

• If they eat breakfast cereals, make sure they're whole grain


• Give them fruit, such as apples, instead of fruit juice
• Give them brown rice and whole-grain bread and pasta instead of the white kinds
• Encourage them to eat high-fibre snacks, such as raw carrots.
I would also recommend you these steps to help keep your child's bowels healthy:

• Encourage your child to go to the toilet when they first get the urge, rather than to wait
• Set aside enough time for your child to sit on the toilet without feeling rushed
• Make sure your child drinks lots of fluids and gets lots of active play
• Make sure your child sits properly on the toilet and try to get them to relax
• If your child says that it hurts to 'poo', tell him or her to stop, and to try again later.

Medicines
If extra fibre hasn't worked your we may recommend a laxative. There are several types.
Research has found that laxatives that make stools softer can help. We call these
osmotic laxatives and they will probably help your child pass a stool more often.

Your child is likely to have more frequent bowel movements and feel less pain. This type of
laxative is also used if a child's bowels get completely blocked with large, hard stools (known as
impacted faeces).
Examples include:

• Macrogols: This often comes as a powder in sachets that you dissolve in a drink
• Lactulose: This often comes as a liquid your child can take mixed in a drink or from a spoon.

GOOD NEWS: Most children get constipated from time to time. But children who have
constipation that doesn't go away may need treatment to get back to normal.

Do you understand me so far? Do you have any question for me?


I will give you a written copy and we will contact with each other
Thank you.

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