Constipation, which is very common in children, can lead to physical and psychological problems. Constipation is defined as infrequent defecation (less than twice a week) along with hard and/or difficult defecation that hurts the child.
Constipation is not normally observed in breast-fed newborn babies. If a newborn baby has not passed its first stool in the first 24 hours or if constipation begins in the neonatal period, it should be investigated whether there is a disease that may cause constipation. Constipation problems are common in formula-fed babies or during the transition from breast milk to complementary food. Cow's milk protein allergy or consumption of too much cow's milk can cause constipation.
In children, constipation is generally of the functional type (there is no underlying disease that may cause constipation). The stool rhythm is disrupted, the stool becomes hard and hurts the child due to reasons such as starting toilet training early, not eating enough, balanced and regular nutrition, a diet devoid of fiber, low fluid consumption, postponing the need for the toilet, a sedentary lifestyle, entering a new social environment (starting school). . In children who develop a fear of defecation, the problem begins to worsen with a vicious cycle. Complaints such as abdominal pain, loss of appetite, nausea and vomiting are also added. Chronic constipation also causes frequent urination and frequent urinary tract infections.
Toilet training should not be given before the age of 2.5, activities that will make the situation fun during toilet training, and a stool under children's feet so that their knees are above their hips while toileting. , protecting children from obesity, increasing the consumption of fiber foods, consuming fruits with their peels if possible, and drinking warm water in the morning will positively affect the functioning of the intestines.
Constipation in children often requires medication. It should be known that constipation medications should be used in appropriate doses and for at least 3-6 months. It is very important that the treatment is not stopped quickly and in a short time. Long duration of treatment is extremely important in terms of eliminating the child's fear of defecation.
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