Constipation, a very common problem among kids, usually occurs because a child’s diet doesn’t include enough fluids and fiber, or can be due to a factor in the child’s environment.

A child is considered constipated when he or she has had fewer than three bowel movements in a week; when the stools are hard, dry, and unusually large; or when it’s hard for the child to have a bowel movement.

Constipation usually isn’t a cause for concern – it’s preventable and most cases can be remedied with healthy eating and exercise habits.

Causes of Constipation

Most of the time, constipation in a school-age child is due to a diet that doesn’t include enough water and dietary fiber, which both help the bowels move properly. Kids who eat a typical fast-food diet – rich in fats (burgers, fries, milkshakes) and processed sugars (candy, cookies, sugary soft drinks) – may find that they’re constipated more often.

Sometimes, medications used to treat iron deficiencies can lead to constipation. In babies, constipation can occur as they transition from breast milk to baby formula, or from baby food to solid food.

Keep in mind that kids tend to avoid going to the bathroom, even when they really have the urge to go. Often kids ignore internal urges because they don’t want to stop playing a fun game, use a restroom away from home, or have to ask an adult to be excused to go to the bathroom. When they ignore the urge to go, it’s harder to go later on.

Stress can also lead to constipation. Kids can get constipated when they’re anxious about something, like starting at a new school or problems at home. Research has shown that emotional upsets can affect how well the gut functions and can cause constipation, as well as other conditions, like diarrhea.

Some kids get constipated because of a condition called irritable bowel syndrome (IBS), which can occur when they’re stressed or eat certain trigger foods, which often are fatty or spicy. A child with IBS may have either constipation or diarrhea, as well as stomach pain and gas.

In rare cases, constipation is a sign of other medical illnesses, so keep your child’s doctor informed if your child continues to have problems, or if the constipation lasts for 2 to 3 weeks.

Symptoms of Constipation

Keep in mind that different kids have different bathroom habits. A child who doesn’t have a bowel movement every day isn’t necessarily constipated. One child might go three times a day, while another might go once every 3 days. Usually a child is constipated when he or she is going less than usual.

Your child might also complain of feeling full or bloated, or say that it hurts to poop, that he or she has to strain to poop, or that there’s a little blood on the toilet paper.

Dealing With Constipation

You can take the following steps to prevent and treat constipation:

• Give your child more fluids. Drinking enough water and other liquids helps stools move more easily through the intestines. The amount of fluids your child needs is going to vary according to weight and age. But most school-age children need 3 to 4 glasses of water each day. You may also want to give your child 1 to 2 cups of juice each day. If your infant is constipated during the transition from breast milk or into solid foods, you may want to try serving just a few ounces of apple juice each day. If the constipation persists, or it seems to be causing your child distress, it may be due to something like food allergies, so call your child’s doctor.
• Feed your child more fiber. Foods that are high in fiber, such as fruits, vegetables, and whole-grain bread, can help prevent constipation. Fiber can’t be digested, so it helps clean out the intestines by moving the bowels along, while a diet full of fatty, sugary, or starchy foods can slow the bowels down. Try apples, oranges, bananas, chiku, papaya, mango, boiled potatoes.
• Make sure your child gets enough exercise. Physical activity nudges the bowels into action, so encourage your child to get plenty of exercise. It can be as simple as playing catch, riding bikes
• Develop a regular meal schedule. Since eating is a natural stimulant for the bowels, regular meals may help your child develop routine bowel habits. If necessary, schedule breakfast a little earlier to give your child a chance for a relaxed visit to the bathroom before school.
• Get your child into the habit of going. If your child is holding it when he or she has the urge to go to the bathroom, you may want to have your child sit on the toilet for at least 10 minutes at about the same time each day, preferably after a meal.

Talk with the doctor before giving your child any kind of over-the-counter medication for constipation.
In most cases, these small changes can go a long way toward helping your child feel better and getting the bowels moving the way they should.

Constipation diet

• Add more fruits to the diet like pears, grapes, Orange juice & Papaya, guava, apple
• Add extra sugar to milk
• Soak 6-8 raisins in hot water. When cool, crush well and strain. When given routinely even to little infants, it helps to regulate bowel movement.
• Dissolve 1 tablespoons of honey in 1 cup of lukewarm water and drink on an empty stomach in the morning.
• Carrot juice.
• Green leafy vegetables ?palak, methi , etc with rice

• • Fruit veggies such as brinjal, cucumber, tomato, etc
  • Plenty of water to drink
  • No milk, bakery products, biscuits
  • Fried foods, beans, gas forming vegetables like cabbage, cauliflower and broccoli, nuts and dried fruits should be avoided.