constipation children infants
Constipation in Children and Infants
Constipation can be a troubling problem for both, children who are suffering from it as well as their parents. If it turns chronic, the child become irritable, loses its appetite, and appears uncomfortable. It is therefore vital to deal with it early on.
- Breast milk is easily digested by babies, so normal breast-fed babies do not usually suffer from constipation. Infant formula takes more time to get digested.
- Bowel movements in newborn babies can vary a lot. They may pass stools almost as often as they feed, or they may go 3 to 4 days without doing so.
- More important than the frequency of bowel movements is the ease with which they occur, and the consistency of the stools. If the infant is not constipated, soft, easily-passed stools, even if they are infrequent, are normal.
- For babies who are being fed solid food, the consistency, color, and smell of the stools depends on what has been fed to them. It also depends on whether they are taking in adequate quantity of fluids.
- If the stools are harder in consistency, difficult to pass, and the frequency with which they are passed is also reduced, it is reasonable to assume that the child is constipated.
- When it comes to the frequency, all children differ from one another. However, if they are deviated from what is normal for them, and pass stools less frequently, they may be suffering from constipation.
- Some children feel uncomfortable in unfamiliar surroundings, so they may skip going to the toilet when they are away from home.
- If they previously had a painful episode of passing stools, they may resist doing so again. This leads to the accumulation of stools in the colon, which become harder due to the absorption of water from them
- If a child has had a traumatic experience in connection with passing stools, like getting scolded or beaten, then he or she is likely to resist doing it again.
- Anal injury, such as a fissure that makes it painful for the child to pass stools, can cause him or her to resist defecation.
- Dietary fiber is essential in food because of its bulk-forming properties. It prevents stools from becoming hard and dry. If a child's diet lacks fiber, he is prone to becoming constipated.
- Inadequate intake of fluids can lead to constipation. It is important for a child to drink water and not just beverages like carbonated drinks and fruit juices which have a lot of sugar in them.
- Children who are not physically active are at risk of becoming constipated.
- Some disorders of the nervous system, like cerebral palsy, Hirschsprung's disease, or others involving the spinal cord can cause constipation.
- Hypothyroidism makes all the body's processes slow down, including intestinal movements. Hence, children suffering from this also suffer from constipation.
- A lot of medicines have constipation as a side effect, because they slow down bowel movements.
- Other conditions that cause constipation are cystic fibrosis, depression, lead poisoning, and dehydration.
- Different types of laxatives are used for treating constipation in the short term. Their use should not be made a habit though, nor should they be substituted for a fiber-rich diet and adequate intake of water. Osmotic laxatives, that act by drawing water into the colon, help soften the stools. Stimulant laxatives increase bowel movements, moving stools forward. Laxatives should never be stopped suddenly, because constipation returns quickly with sudden discontinuation.
- If the stools are impacted and backed up in the colon, and if they cannot be cleared by conventional methods, then the bowels are cleared by surgery.
- For severe cases of constipation, an enema (introduction of a large volume of fluid in the colon via the anus) is used to clear the bowels.
- Surgery is performed to correct problems resulting from congenital abnormalities that are causing constipation.