Constipation

Constipation in Children: A Common Concern for Parents

Constipation is a frequent issue in children and can cause discomfort, irritability, and anxiety for both the child and their caregivers. Fortunately, most cases can be managed with simple changes in diet, routine, and—when needed—medical support.

What Is Constipation?

Constipation in children is typically defined as:

• Fewer than 3 bowel movements per week
• Hard, dry, or painful stools
• Straining or withholding behavior
• Incomplete or difficult passage of stool

Common Causes: Low fiber intake, inadequate fluid consumption, toilet training challenges, holding in stool (fear of pain or using unfamiliar bathrooms), changes in routine, diet, or stress, certain medications or medical conditions

Signs to Watch:

• Abdominal pain or bloating
• Infrequent or painful bowel movements
• Soiling accidents (encopresis)
• Irritability or decreased appetite

Home Management Tips:

• Increase fiber: Offer fruits, vegetables, whole grains, and legumes
• Encourage fluids: Water is best; limit sugary drinks
• Establish routine: Encourage regular toilet time after meals
• Exercise: Physical activity helps stimulate digestion
• Positive reinforcement: Avoid pressure or punishment

When to Call Our Office:

• Symptoms last more than 2 weeks
• Severe pain, vomiting, or weight loss
• Blood in the stool
• Refusal to eat or ongoing soiling

  How We Can Help:

  Dr. Sima Stein of Sima Stein, MD, located in San Jose, California, is a board-certified physician who can help your child determine if he or she has a constipation and how to help them manage it. Learn more about constipation and the ways Dr. Stein can help you and your child manage their condition. Our team can assess underlying causes, recommend dietary changes, and provide safe, age-appropriate treatments—including stool softeners when necessary.

  If you're concerned about your child’s bowel habits, we’re here to help. Call our office to schedule an evaluation. Sima Stein, MD, or request an appointment online today.