I know what you’re thinking…”There is NO WAY my child is constipated! They go every day (or more!) and don’t strain or complain of belly pain.”
Research
shows that constipation is the #1 cause of bedwetting and accidents and a child can be severely and chronically constipated, without any belly pain or anything palpable on exam and even when they are pooping regularly.
Think of constipation not in terms of how often a child poops, but in terms of whether there is a backup of poop in the colon and rectum. When that is the case, the rectum stretches and becomes desensitized, causing poop to drop out unexpectedly and a child to not feel the urge to go. This in turn causes more poop to back up and the cycle continues. Not to mention this blockage presses on, and sometimes even flattens, the bladder, causing daytime and nighttime pee accidents.
Here are 9 (possibly unexpected) signs your child is constipated:
1. Extra Large Poops
– Think poops that are bigger than yours! Want to get technical about it? We’re talking larger than ¾” x 6”.
2. Firm or Super Loose Poops
– Rabbit pellets, sausages and logs are not a great sign, but very loose stool isn’t either. The latter can indicate stool that is oozing around the clog. Ready for a gross analogy? You’re looking for thin snakes or mushy blobs, like soft serve ice cream or a chocolate milkshake.
3. Poop Accidents
– When the rectum is full of poo, it stretches, causing poo to drop out without warning.
4. Bedwetting & Pee Accidents or Frequent or Urgent Peeing
– A full and stretched rectum squishes the bladder, causing it to release pee without warning or control.
5. Recurrent UTI’s
– When poop is overflowing, bacteria can travel up to the bladder.
6. Infrequent & Frequent Pooping
- Pooping less than daily can be a sign but it is important to emphasize that daily pooping does not rule constipation out. Pooping more than twice a day or more can indicate a stretched-out rectum that lacks the tone to fully empty.
7. Belly Pain
– Constipation is the #1 cause of belly pain in children.
8. Skid Marks & Itching
– When a child can’t fully evacuate and is clogged, wiping is harder and that can lead to an itchy anus and skid marks.
9.
Ongoing Trouble with Potty Learning
– If your child is older than 3.5 years and/or has been stalled in the learning process for months or years, constipation is a very likely culprit.
What can you do if you suspect your child is constipated? An abdominal X-ray can confirm a blockage which can be resolved with a combination of treatments such as laxatives, suppositories and/or enemas. While that sounds scary (and traumatic!) to most parents, so is going about your day with a body full of poop and the drama of accidents at home and school and the strain it puts on a family. Finding the right product(s) and dosing to clear your child’s blockage and help their body recover will likely take some trial and error. A word of caution – you may encounter resistance from your child’s doctor and, if so, will need to advocate for them on this issue or seek out a specialist and/or second opinion.
Determining the hidden cause of your child’s potty struggles is the key to progress. More importantly, it’s the key to reaching a day when you can stop thinking about pee and poop! If your family needs support in this regard, our potty team is here to help.