Behind many tummy aches in kids lies a simple culprit: constipation. Here is what parents need to know to help ease the strain.

I have recently seen a flurry of children in my clinic and in hospital battling constipation.

Constipation is a common problem in children and can cause significant discomfort and stress for both the child and caregiver. It is typically defined as infrequent, hard or painful bowel movements. While occasional constipation is usually not serious, ongoing issues should be addressed to prevent complications.

The most common cause of constipation in children is a diet low in fibre and fluids.

Soluble fibre holds fluid and bulks the stools, keeping them soft. When children do not eat enough fruits, vegetables and whole grains, their stools can become hard and difficult to pass.

Dehydration also contributes, as the body draws extra water from the bowel, making stools drier. Encourage your child to drink plenty of water throughout the day and offer soluble fibre-rich foods like fruit, vegetables, oats or legumes at every meal.

If your child is a picky eater, try adding fruit to muffins and smoothies, or blend vegetables and legumes into soups and stews.

Regular toilet habits are also important. Children may avoid using the toilet if they have had a painful experience in the past or feel uncomfortable using available facilities. Withholding stools is a major contributor to childhood constipation and should be strongly discouraged.

Create a calm, unrushed routine around bathroom visits, ideally after meals when the digestive system is most active. Praise your child for trying, even if they do not succeed right away.

Physical activity supports digestion too. Encourage outdoor play or family walks to help keep the bowels moving.

If changes to diet, fluid intake and routine do not help, speak to a healthcare provider. They may recommend a gentle laxative or stool softener. Never give these without professional advice, especially in young children.

With consistent attention to diet, hydration, toilet habits and emotional well-being, most cases of constipation can be managed successfully at home. However, if your child has ongoing pain, blood in the stool, or constipation lasting more than two weeks, seek medical advice.

Good gut health is an important part of overall well-being, starting from childhood.

Nutrition Innovated dietitian and lactation consultant Claire McHugh has over 20 years experience. Specialising in infant and paediatric nutrition, Claire emphasises the importance of nourishing the entire family. Claire is based at Northcare Medical in Simbithi.

Contact: 032 815 0630.

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