Summary of Constipation Treatments for Children

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The below table, excerpted from “BABY POOP,” shows 24 different options for treating constipation in babies, along with comments on each one. What treatment is right for your baby? From the author of “BABY MATTERS,” check out “BABY POOP” for lots more helpful information. The studies show that natural methods are best.

Table  3. Constipation treatment options for babies and children

Agent

Action

Advantages

Disadvantages

Switch of formula or mother’s diet

·    Prevents constipation by eliminating allergens

·    Prevention, not just treating symptoms

·    Takes time and some sleuthing to find the right diet

Lower-iron formula for formula-fed

·    Reduces constipation from iron

·    If it works, elimination of cause

·    Concerns over anemia but not well-founded

Physical measures

·    Help move stool through

·    No chemical or sugar ingestion

·    None, generally harmless

Glycerin suppositories

·    Attract water into rectum

·    Ease passage of stool

·    Quick results

·    Appropriate for young infants

·    Concerns over dependency with frequent use

Saline (phosphate) enema (Fleet)

·    Adds and attracts water into lower colon

·    Stimulates movement

·    Quick results

·    Risk of phosphate overdose

·    Muscles can weaken with long-term daily enema use

Homemade salt enema

·    Adds and attracts water into lower colon

·    Stimulates colon by expansion

·    Quick results

·    Considered quite safe when properly used

·    Muscles can weaken with long-term daily enema use

Milk and molasses enema

·    Attracts water

·    Causes gas formation to push stool out

·    Quick results

·    Highly effective

·    Natural ingredients

·    Can be quite uncomfortable

Senna (Senokot) enema

·    Stimulates intestinal movements

·    Quick results

·    Generally not recommended under age 2

Senna products oral

·    Stimulates intestinal movements

·    Natural herb

·    Often need attendant softener

Bisacodyl (Dulcolax) oral, suppository, or enema

·    Stimulates intestinal movements

·    Commonly prescribed

·    May cause nutritional or fluid imbalances with long-term use

Docusate (Colace) oral

·    Softens stool

·    Commonly prescribed

·    Effectiveness not well-established

Prunes, pears

·    Add fiber and special water-attracting sugars

·    Natural

·    Regular usage is fine

·    Not before solid food age

Prune or pear juice

·    Adds fluid and special water-attracting sugars

·    Easy acceptance

·    Not before solid food age

·    Cause insulin surges

·    Cause tooth decay

Fiber powders and supplements

·    Add bulk

·    Maintain water in intestines

·    Food for healthy flora

·    Long-term use fine

·    Slow to act

·    Difficult acceptance

High fruit and vegetable consumption

·    Adds fiber and special normalizing sugars (both also found in breastmilk)

·    Promotion of gut and general health

·    Natural prevention

·    Only toddlers and older can eat enough

·    Not strong enough for urgent impaction

Probiotic foods and supplements

·    Provide healthy flora

·    Flora support

·    Promotion of gut and general health

·    Mild and slow effect

·    Require additional mode of treatment

Magnesium products (Natural Calm, Milk of Magnesia) oral

·    Attract water into intestines

·    Gentle

·    Simple

·    Valuable nutrient

·    Slight risk of overdose

Mineral oiloral or enema

·    Lubricates

·    Time-proven remedy

·    Reduce some vitamin absorption

Castor oil oral

·    Lubricates

·    Stimulates movement

·    Time-proven remedy

·    Can cause strong sensations

Palm, cod liver, or flax seed oil oral

·    Lubricates

·    Is anti-inflammatory

·    Nutritious

·    Small doses okay under 6 months

·    Difficult administration

Simple sugars, corn syrup

·    Draw water into intestines

·    Easily accepted

·    Okay under 6 months

·    Empty calories

·    Cause insulin surges

·    Cause tooth decay

Lactulose sugar

·    Holds water in intestines

·    Causes gas formation to push stool

·    Not absorbed as sugar

·    Not cause insulin surges

·    Feed healthy flora

·    Easily accepted

·    Prescription only, despite excellent safety record

Sorbitol sugar

·    Holds water in intestines

·    Causes gas formation to push stool

·    Not cause insulin surges

·    Feed healthy flora

·    Fight tooth decay

·    Easily accepted

·    Adds sugar calories

Polyethylene glycol (PEG) oral (Miralax)

·    Maintains water in the stool

·    Frequently chosen by pediatricians

·    Damages healthy flora

·    Increasing serious concerns over safety

Palmer, L. F. Baby Poop. 2015 FRONT-COVERwSticker

 

6 Comments

  • normal April 29, 2015 at 5:11 pm

    tq for your information

    Reply
  • cathrine May 1, 2015 at 7:02 am

    hi! just wondering what is the best formula to prevent constipation over the kids? cz my little one is having constipation problem also. since last week he hasn’t poo. im so worry bout him! brought him to see doctor but still the same. haih 🙁

    Reply
    • Linda F. Palmer May 5, 2015 at 9:40 pm

      I give several suggestions in my book, based on the various possible causes. It could be that he just needs a lower iron formula. More likely, he’d do better with a highly hydrolyzed formula or maybe a switch to soy, as cow milk proteins are the most common cause of constipation.

      Reply
  • dorry May 2, 2015 at 6:22 am

    hmmm..maybe u can check the above solution lo.. i think u can create a toilet routine for the kids, so that they will go toilet every day themselves la.. or give them eat fruit that got high fibre la, like banana, papaya, orange…

    Reply
    • Linda F. Palmer May 5, 2015 at 9:37 pm

      I guess I should add an excerpt from the book, as fiber sources are certainly well discussed and some things in this chart are mostly advised against.

      Reply
  • tonq May 4, 2015 at 7:15 pm

    thanks!!!!!

    Reply

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