Sneaky signs your child is constipated
Did you know…
Constipation can be a major factor in bedwetting, daytime urine leaks, poop leaks, and toileting battles. It can even impact your child's mood and behavior. 
“But she poops everyday, she can’t be constipated.”
It's a common myth that daily bowel movements means there isn't constipation.
And the truth is, your child can have a bowel movement everyday and still be constipated. Constipation isn't about frequency; it's about getting all poop out on a regular basis.
The "norm" is to have bowel movements anywhere from 3x/day to once every 3 days.
With such a wide range, how do you know what's normal?
Common signs of constipation in children
- Frequent abdominal cramping or pain 
- Decreased appetite or a variable appetite: Your child doesn't want to eat as much when there is excessive stool burden 
- Fear of toileting/negative emotions around toileting: Pain with bowel movements and negative emotions around it may contribute to withholding which can worsen constipation 
- Unpredictable bowel habits: This may show up as frequently fluctuating stool consistency, fluctuating frequency of bowel movements, variable sizes, or some combination of these 
- Only having bowel movements under certain conditions or in certain places: This may show up as withholding during school or when at someone else's home 
- Fecal incontinence: This often shows up as streaking in underwear or very small spots of leaking stool from something called encoporesis 
- Urinary incontinence: This may show up as being unable to achieve daytime dryness, regression of previous continence, or bedwetting. Bedwetting should resolve within 6 months of daytime continence. 
- Large, toilet clogging bowel movements that may look like logs or pellets OR frequent small bowel movements (this means they are not completely emptying) 
- Recurrent UTIs 
- An itchy anus, as it is difficult to get bottom clean 
What to do if your child is constipated?
So your child is constipated - now what?
The cause of constipation is different for every child, but here are some things to start with:
- Make sure your child is drinking enough water - 8oz per year of life, up to 64oz at age 8+ (ex/ 32oz at age 4) 
- Help your child get into a good position on the toilet - This means feet are flat and supported, and ideally knees are higher than hips. Did you know that they make a squatty potty for kids?!? The floor potties are great for little kids who can’t get into a comfortable position on a big toilet. 
- Support full emptying of bowels through taking deep breaths - this can be fun with bubbles, blowing bubbles in water with a straw, a kazoo, or a pinwheel. 
As each child is an individual, an assessment with a pediatric pelvic floor physical therapist or occupational therapist can be valuable.
At Root to Bloom I get to the root cause of your child’s constipation so that they can move past constipation and bloom.
To schedule a pelvic health therapy consultation click the button below:
 
                        