Specialized Digestive
Care for Your Child

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Summit, NJ
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Constipation

Chronic constipation accounts for an average of 3-5% of a pediatric office visits. It is common during a child's first year of life, and even more common between the ages 2 and 4.  Insufficient fiber and water in a diet, improper toilet training, and an intentional "holding" of the feces by the child,- are the issues which cause this condition, and must be addressed first.  Miralax is an excellent, non-addictive, and easy-to-use medication, but it is not always necessary. See the link below for more information: 

 

http://digestive.niddk.nih.gov/ddiseases/pubs/constipation_ez/

Constipation is not only infrequent (less than 3 stools a week in older children and adults), but also hard and painful stools.  Some exclusively breast fed infants may have infrequent stool (less than once a week).  Formula fed infants in average 3-6 times a day, and 1-4 year old children 2-3 times a day.  Painful defecation (e.g. due to an anal fissure) may lead to a fecal retention behavior, and eventually to fecal soiling.

Constipation and fiber

American Academy of Pediatrics recommends a fiber intake of 0.5gr./Kg/day up 20 - 35gr. a day.  After the age of 2 it may be calculated as an age plus 5.   Consider Heather's Tummy Fiber, avoid Benefiber chewable tablets (an artificial sweetener), and always maximize amount of fluids (water) intake.

  • Serve whole-grain bread, such as rye, pumpernickel, whole wheat, oatmeal, and bran.  Try to avoid wheat.  It is genetically modified, contribute to obesity, and one among "junk food to stay away from".  
  • After 12 month of age serve at least 2 whole fruits and 2-3 vegetables a day.  Leave the skin on.
  • Serve beans frequently.
  • Introduce variety of  nuts early in children diet.
  • Sprinkle bran over cereals, yogurt, ice cream, but too much  bran may cause bloating.  

                                                                           RECIPE:

  •   https://leonardva.wordpress.com/tag/vegetarian-white-bean-dip/
  •   http://www.food.com/recipe/magic-black-bean-brownies-gluten-free-372580
  •   http://www.food.com/recipe/cha-cha-chili-53366

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  • Dr. Boodish's no fail constipation cure:

1 cup of pitted prunes, chopped

1 cup of figs, chopped

1 cup of sun dried (no sulfates) raisins

2 tbsp chopped apricots

Combined all above ingredients with 1/2 cup of boiling water.  Stew for 1 hour, add more water if too thick.  It should have a consistency of   preservatives.  Serve as desired.

IT IS GREAT FOR KIDS WITH CONSTIPATION:

Juice plus fiber   to order...1-800-431-1119.   www.fiberjuice.com 

Securil is a new probiotic product. It is not a drug.  It may be beneficial as a component of a therapy of constipation or/and irritable syndrome-constipation.


               

Soiling

As a diagnostic consideration, fecal soiling (encopresis) should be considered in children above 4, who pass their stools in places other than a potty or a toilet bowl.  It is often associated with constipation, especially due to an intentional fecal retention (holding). An aggressive therapy of constipation, and  toilet training are usually sufficient treatments. See links below for details: 

 

 

http://kidshealth.org/parent/emotions/behavior/encopresis.html

http://www.healthychildren.org/English/health-issues/conditions/emotional-problems/pages/Soiling-Encopresis.aspx

NEW  and has excellent reviews:   Laxin Forte is a natural   product for a therapy of constipation, and it can be ordered on line (e.g. amazon.com)