1. Constipation

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

3. Activity: Myths & Truths about Constipation

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

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

6. Activity: Round Robin Causes of Constipation

7. 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

8. 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

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

10. 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.