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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?.
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Learning Objectives • Define what constipation is. • List five signs and symptoms of constipation. • Discuss the potential causes of constipation. • Discuss strategies to address 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
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 • Children can get constipated when they are stressed, anxious, or because of change in environment. • Pay attention to signs like poor appetite and change in stooling patterns. • Strategies to address constipation include dietary and environmental changes.