If you’ve managed to navigate your way through the tears, plastic potties and public toilet emergencies of toilet training you might think that toilet troubles were all behind you! For some children, this is absolutely true and you may come to miss the daily if not hourly family discussions about size, shape and frequency of their latest toilet tale. But, for many children even after toilet training, pooping can be a hot topic!

What is normal?

Every child is different so don’t assume your child is constipated if they don’t use their bowels every day. Some will have several bowel movements a day while others may only go once every couple of days.

 

“Every child is different so don’t assume your child is constipated if they don’t use their bowels every day”

What should a normal poop look like?

Colour

According to the Royal Childrens’ Hospital classic poo brown represents a healthy bowel movement. Of course, there is a colour palette within that brown and this is strongly influenced by your child’s diet.  Eating a lot of dark green leafy vegetables can colour poop a bright green whilst foods with high beta carotene (such as carrots) provides an orange hue but generally to alter colour dramatically your child we have to be eating a very large volume of it.

Very dark or very light poop and any blood within a stool should be discussed with your health care professional.

Size

Not surprisingly, this depends heavily on how much food your child consumes and how often they tend to go. More frequency tends to equal smaller volume on each visit.

Consistency

Ideally, for a child eating a normal diet, their poop should be formed but not hard.  Food they’ve eaten should be fully digested by the time it turns into waste – if it appears it isn’t then you might want to consider removing it from their diet and try again when they are a little older.

What to do when they just can’t go

You will know what is normal for your child and if things don’t seem to be running smoothly, here’s a few things to look out for.

  • Bowel movements less than 3 times per week
  • Audible straining whilst on the toilet
  • Hard, dry poop
  • Pain when passing a poop
  • Reduced appetite and irritability
  • Abdominal pain and bloating
  • Soiled underwear with loose stool if constipation has been prolonged
  • Toddlers might frequently rise-up on their toes, rock back and forth while squeezing their buttocks
  • Toddlers may also sit in a corner and tightly cross their legs

Always consult your health care professional with any concerns regarding your childs health.

“Constipation is very common and approximately one third of children will experience it”

 

 

 

What can help?

There are things you can do to help keep your child’s digestive system happy and healthy once you have established that there is nothing more serious occurring.

Hydration

Water helps keep their poop soft and therefore easy to pass. Check out the table below for the recommended daily fluid intake for children and adolescents.

Fabulous Fibre

You may not know that the human body cannot actually digest fibre and it passes through the human body relatively unchanged. But, fibre helps bulk up poop, adding size and weight at the same time as softening it. This helps their little gut pass it through more easily.

Great sources of fibre include:

  • Rasberries, avocado, apple, bannanas and almonds
  • Whole wheat pasta, wholemeal bread and green leafy vegetables

“the human body cannot actually digest fibre and it passes through the human body relatively unchanged”

 

Get it moving

Get them moving to help get it moving – exercise is great for encouraging intestinal contractions and bowel movements. Try a walk to the park or a treasure hunt in your back yard.

Healthy happy toilet habits

If your child has only just become an independent toileter it can really help regularity by establishing the right habits. You might want to try encouraging them to:

  • Sit on the toilet after each meal for 3-5 minutes even if they don’t really feel the urge to go
  • Respond to their body when they do feel the urge to poop rather than delay it

Adult sized toilets can be a little daunting for small children so make sure they have a child seat and step. Kids need to see that they can do it themselves and be reassured they wont actually fall into the toilet!

Don’t forget, constipation is very common and approximately one third of children will experience it.

References:

https://www.rch.org.au/kidsinfo/fact_sheets/Constipation/https://blogs.rch.org.au/news/2014/06/11/the-bowel-movement/https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/fiber/art-20043983#:~:text=Dietary%20fiber%20increases%20the%20weight,Helps%20maintain%20bowel%20health.https://www.betterhealth.vic.gov.au/health/healthyliving/water-a-vital-nutrienthttps://www.healthline.com/health/constipation-in-kids