My 3yr old has chronic constipation, nothing from doctor works - any tips?

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If he's been constipated his whole life, (also, possibly withholding) then you have to get him cleaned out before things will get better. My daughter sees a urologist because she has kidney reflux, but the urologist also deals with voiding disfuntions. My daughter also has chronic constipation. We can't fix her reflux with surgery until her constipation gets under control (she's 3 also...long history of crazy constipation and withholding) We are not on a strict schedule of miralax every day. We also have to give her a stimulant laxative once a month to give her liquid poop just to be sure she is really really cleaned out. THe miralax basically keeps her poop soft so it doesn't get backed up, but the laxative one weekend a month cleans her out to be sure there's nothing sticking around up there. Basically, the colon gets very very stretched out from having lots and lots of poop compacted inside of it. We're working for the next several months to keep her colon regular so it gets backto it's normal size. I would ask your ped. if you could consult a urologist that specializes in voiding disfunction. Sounds weird, but this is a problem that a urologist can help with.

Cathy - posted on 04/08/2009

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ok, so he's drinking lots of water, eating lots of fibre-rich foods, and plenty of fruit.  It really does sound like he's truly just afraid that if he lets go, it'll hurt.  You've got to sit him on the toilet, hold his hands, promise him that it won't hurt, and wait 'til it drops...if you catch him at the right moment, (you know when it's close) then nature should take its course.  I know how hard it is to see them in pain, and terrified, but at some point you'll have to force the issue and hold him on the toilet 'til it comes.  Then ... HUGE praise and a trip to his favourite shop for a treat, and consistency ... Good Luck !!

Lauren - posted on 04/08/2009

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The miralax works!!  my daughter gets constipated and then gets strep in her bottom.  its really painful which only makes the constipation worse b/c she holds it in.  the miralax is great...talk to ur Dr. about how much to give but my daughter takes 1 tsp twice a day for a week and then 1 tsp. for a week after that.  It usually fixes her in 2 weeks.  Good luck.

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Suzi - posted on 06/25/2018

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If you're still in this state, def take him to a pediatric gastroenterologist to see if there are any serious underlying issues.
Diet rich in vegetables and fruit, nuts (if he's not allergic), brown bread not white, a healthy breakfast cereal...and make sure he keeps hydrated!
And if that's not enough - it's not ideal, but better to get the enema / suppository habit than the excrement-witholding habit, the important thing is making sure he's doing a dooey every day

Terri - posted on 04/09/2009

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Prunes,prunes, prunes and a doctor at the childrens hospital said any fruit that starts with a p. peaches,pears plums,

Steffanii - posted on 04/08/2009

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my son went through this at 2 when he really started to potty change. he also had a great diet. i believe it is more psychological in nature. reassure him, give awards for trying. let a family member who is potty trained spend the day with him to make him more comfortable. and let him go at his own pace so he will relax and feel more at ease to have a bowel movement. this behavior is normal in the beginning stages of potty training, esp. with boys i have noticed.

Crystal - posted on 04/08/2009

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my daughter was also on mirolax, I thought she had appendicitis but she had hardened stool stuck in her intestines, calcified or something. It took ultrasound, cat scan and xray to find it poor girl. I have her eating prunes until she got sick of them, now I sneak mirolax into her morning glass of whatever once a day. This keeps her regular.

Jodi - posted on 04/08/2009

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Thank so much for your replies! Looks like it is off to the ped again to get a referral to another doc and some miralax. He is on other med - polylax, but that isn't making him go :(

Claudia - posted on 04/08/2009

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Is he in the process of potty training?  Does he hold it in because he's afraid of going in the toilet?  Or will he hold it in even if he's wearing a diaper/pull-up? 

Jodi - posted on 04/08/2009

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Thanks for your replies, but I have tried all of this. I think it is becoming more or a psychological issue - his diet is good, drinks lots of water, but you can tell he needs to do a poo, then holds it in. He is in agony! I have to give him an enema every few days - this is the only way he will go at the moment!

Claudia - posted on 04/08/2009

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Quoting Karishma:



Keep a glass of tap water filled overnite covered, make your son drink it on an empty stomach every morning, poop will be soft.






Yep, I have to agree with a glass of water (not sure I'd agree with tap) on an empty stomach every morning and plenty of water throughout the day.   Lots of fruit (except bananas) and apple juice.  Make sure you are giving plenty of fiber in the diet too!

Kelli - posted on 04/08/2009

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My son always gets constipated very easy. I discovered that activa yogurt works great for that. It kept his digestive system working properly and has only been constipated once in a blue moon. He eats better and sleeps better too! If your 3 year old likes yogurt its worth a try.

Karishma - posted on 04/08/2009

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Keep a glass of tap water filled overnite covered, make your son drink it on an empty stomach every morning, poop will be soft.

Skye - posted on 04/07/2009

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Quoting Jodi:

My 3yr old has chronic constipation, nothing from doctor works - any tips?



grape juice lots of grape juice it works soo fast

Kylie - posted on 04/07/2009

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Hi Jodi, A friend of mine had a baby with the same issue, though not quite a toddler she was told to feed the baby passionfruit pulp in its food, she swares by it now, Havent had to use it myself fortunatley though from the way she swares it works it will be the first thing I'll try if/when I need to.

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