Constipation Learning Objectives Define what constipation is List

Constipation

Learning Objectives • Define what constipation is. • List five signs and symptoms of constipation. • Discuss the potential causes of constipation. • Discuss strategies to address constipation.

Activity: Myths & Truths about Constipation

What is Constipation? • Less than 3 bowel movements/week • Trouble having bowel movement • Hard & dry poop – like small pebbles

Signs & Symptoms • Go less than usual • Feel bloated • Have pain when going • Steaks on underwear • Wetting accidents • Poor appetite • Irritability • Stool withholding

Activity: Round Robin Causes of Constipation

Causes of Constipation Environmental • Stress, anxiety • Changes in environment • Trauma • Bad toileting experiences Dietary • Diet low in fiber • Diet high in dairy • Dehydration Medical • Medications (e. g. antidepressant) • Iron supplements • Disabilities, developmental delays

Strategies to Address Constipation • • • Adequate water (at least 3 -4 glasses/day) Fiber-rich foods (fruits, vegetables, whole grains) A few oz of prune juice a day No more than 4 servings of dairy Try a fiber supplement Encourage exercise

Strategies to Address Constipation • Regular meals • Routine toilet schedule • Alleviate fears & concerns around toileting • Reward positive behavior changes versus outcome

Key Takeaways ü Children can get constipated when they are stressed, anxious, or because of change in environment. ü Pay attention to signs like poor appetite and change in stooling patterns. ü Strategies to address constipation include dietary and environmental changes.