Constipation

Constipation

Many children experience constipation throughout their childhood, but by encouraging them to develop good toilet habits, eat a healthy diet and drink adequate fluid – you can help them keep those painful poos away.


Kids constipation?

Constipation is when your child has hard poo or when your child doesn’t go to the toilet regularly. Your child may be experiencing chronic constipation if they are doing less than 3 poos per week, doing large poos, are refusing to go to the toilet, or doing a poo becomes painful for them.

Signs and symptoms?

  • Is your child having stomach cramps that come and go?
  • Do they look more bloated than normal in their tummy?
  • Are they refusing to sit on the toilet and are holding on?



Contributing factors?

  • Fear and anxiety around going to the toilet, especially if they are told to hold and wait when they are at pre-school or school.
  • Not having enough fruit, vegetables, water and dietary fibre in their diet, particularly if they a fussy eater



How you can help your child?

  • Encourage your child to sit on the toilet regularly throughout the day for a few minutes after each meal
  • Give your child praise for sitting on the toilet, even if they don’t poo
  • Use age-appropriate rewards, stickers, star charts or other options to reinforce good toilet habits
  • Providing plenty of fresh fruit and vegetables in their diet for fibre and adequate water will help
  • Be aware that changes to their routine like having to use pre-school/school toilets or having to hold on when they are at pre-school /school can trigger constipation


We encourage you to seek help if your child is experiencing chronic constipation, is in significant pain, and if you have tried some simple diet and habit changes without seeing an improvement. Some children with additional medical concerns may need help to manage constipation.

How we can help?


Physiotherapy help with constipation in kids?

Our physiotherapists can provide you and your child with an individualized assessment and suggest treatments that may include:

  • Getting you to complete a bowel diary for them to work a personal plan for them
  • Toilet training advice, including regular scheduled sits and signs that your child needs to go to the toilet.
  • Advice and tips to maintain a healthy diet to minimize pain from constipation
  • Recommendations of medications that may be suitable depending on age

Related Blogs

By Kylie Conway July 23, 2025
Potty Training Isn’t One-Size-Fits-All Toilet training is a significant milestone for children and their families. However, for neurodivergent children, including those with autism, ADHD, or sensory processing differences, this journey can present unique challenges. Understanding the Challenges Neurodivergent children may face several obstacles during toilet training: Sensory Sensitivities: Discomfort with the feel of toilet paper, coldness , the sound of flushing or poo/ wee hitting the water, or the brightness of bathroom lighting. Communication Differences: Challenges in expressing the need to use the toilet or recognising bodily cues can lead to accidents Routine Resistance: A preference for sameness and resistance to change can make adapting to new routines difficult. Gastrointestinal Issues: Conditions like constipation or diarrhea can complicate the process and cause discomfort and withholding. Strategies for Success Implementing tailored strategies can make toilet training more manageable: Visual Schedules: Use clear, step-by-step visual aids or routine boards to outline the toileting process, helping children understand expectations Positive Reinforcement: Celebrate small successes with praise or rewards to encourage continued progress. Instead of giving a reward each time a step is completed, agree on a certain number of ticks or stickers needed to get the reward. Rewards can be toys, food, family time or praise; make it meaningful for your child! Sensory-Friendly Environments: Modify the bathroom setting to reduce sensory overload, such as using soft lighting, noise-cancelling headphones or a heater. Consistent Routines: Establish regular toileting times to build predictability and reduce anxiety. Professional Support: Engage with specialists, such as pelvic health physiotherapists, to address specific concerns and help you along this journey. You're Not Alone Remember, every child's journey is unique, and progress may be gradual. Patience, understanding, and tailored support are key to navigating the challenges of toilet training. If you need assistance or have concerns about your child's toileting journey so far, don't hesitate to reach out. Together, we can work towards a positive and successful toileting experience.
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