Constipation

Learning Objectives Define what constipation is. List five signs and symptoms of constipation. Discuss the potential causes of constipation. Discuss strategies to address constipation.

Activity: Myths & Truths about Constipation

What is Constipation? Less than 3 bowel movements/week Trouble having bowel movement Hard & dry poop – like small pebbles

Signs & Symptoms Go less than usual Feel bloated Have pain when going Steaks on underwear Wetting accidents Poor appetite Irritability Stool withholding

Activity: Round Robin Causes of Constipation

Causes of Constipation Environmental Stress, anxiety Changes in environment Trauma Bad toileting experiences Dietary Diet low in fiber Diet high in dairy Dehydration Medical Medications (e.g. antidepressant) Iron supplements Disabilities, developmental delays

Strategies to Address Constipation Adequate water (at least 3-4 glasses/day) Fiber-rich foods (fruits, vegetables, whole grains) A few oz of prune juice a day No more than 4 servings of dairy Try a fiber supplement Encourage exercise

Strategies to Address Constipation Regular meals Routine toilet schedule Alleviate fears & concerns around toileting Reward positive behavior changes versus outcome

Key Takeaways Children can get constipated when they are stressed, anxious, or because of change in environment. Pay attention to signs like poor appetite and change in stooling patterns. Strategies to address constipation include dietary and environmental changes.