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6 Baby Foods to Help Relieve Constipation

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These 6 Baby Food Purees Will Help Relieve Baby’s Constipation with no fuss from your little one. You can serve these purees when your baby is backed up or 2-3 times a week to keep things moving on the regular. Great for babies 6-12 months.

How to Relieve Baby’s Constipation

When you first start introducing purees, or when you introduce a new food, to your baby it is completely normal for them to get a little bit backed up. Your baby’s delicate digestive tract needs a little time to process all the new nutrients, fiber, and probiotics that you are giving it.

This is completely normal, so you don’t have to do into panic mode.

While I love and completely trust the Constipation Cure Puree recipe below to do its’ job, let me warn you that this puree is not for the weak of heart. It will definitely get things going and while you will love me for that, you might also curse me when it’s time to change your baby’s diaper.

What all of the 6 purees below have in common, is that they all have produce that starts with the letter ‘P’ in them – prunes, peaches, peas, plums and pears. ‘P’ produce helps get things moving down there all while tasting delicious so your baby will eat them. If you want, you can also add in a pinch of fresh ginger to any of the recipes below. Ginger is great for helping aid in digestion, calming an upset stomach and easing discomfort associated with constipation.

Signs of Constipation in Baby

your baby’s stool is hard and dry
your baby cries when going poo
baby is unwilling to feed and is generally unhappy
your baby’s stomach is hard when you gently press down on it
your baby’s stool has blood in or on it

7 Easy Ways to Help Baby with Constipation

Stop serving foods that can cause constipation (potatoes, cheese, bananas, rice cereal, pasta) and start serving purees loaded with fiber.
Serve purees with produce starting with ‘P’ – prunes, peaches, pears, peas and plums. These P produce help relieve constipation in baby and aid in baby’s digestive tract (see recipes below).
Start to re-introduce purees that are easy to digest, such as avocado and sweet potato purees.
If baby is older then 9 months, you can sprinkle a small pinch of ground flaxseed into any puree or finger food.
Make sure baby is getting enough water in during the day. Aim for 2-4 ounces in the morning and in the evening. This is in addition to the breast milk, formula or milk (for toddlers) you are already giving them.
Give your little one a warm bath to help them relax their digestion organs.
Start doing baby tummy exercises to get things moving. Place baby on their back and taking both legs in your hands, bend their legs towards their belly button and make a circle with their knees in a clockwise direction. You can also gently press on their tummies about 2 inches away from their belly button starting at the 9’oclock direction and moving to the 3’oclock direction. You will want to gently press down roughly 1 inch into their stomachs. Repeat both exercises around 10 times each.

This is the puree I would always turn to when my baby was constipated. It will definitely do the job, so don’t go too overboard when serving this, a little goes a long way. Just a warning;)

This is a great puree filled with fruits and veggies that will help relieve your baby’s constipation. If you want an even stronger constipation puree, you can substitute the fennel for two roughly chopped pears.

This puree is probably one of my all-time favorite purees because it just tastes so dang good and any baby will happily gobble it up. You can also substitute prunes for the dried dates, if you are so inclined.

This simple pear puree is great for mild cases of constipation. You can add in 1/4 – 1/2 tsp of fresh ginger to help ease digestion pain.

Pear Baby Puree (Stage One)

5 stars (19 ratings)

This smooth and creamy homemade Pear Baby Puree is a wonderful first puree for baby – easy on the taste buds and great for their growing bodies!

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You can use frozen chopped pumpkin if fresh is not an option or you can use organic canned pumpkin puree if neither is available.

Pumpkin, Yogurt + Prune Baby Food Puree

5 stars (6 ratings)

A fun seasonal baby food puree that takes only 15 minutes to make and is packed with vitamin A, beta carotene, potassium, protein and iron just from the pumpkin.

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This puree is loaded with so many nutrients that you should probably just serve this to your baby at least once a day anyway. Bonus, that it helps with constipation and digestive issues.

5-Minute Pear + Blueberry Baby Puree

4.86 stars (14 ratings)

This 5-Minute Pear + Blueberry Baby Food recipe is a simple and delicious baby food puree filled with fiber, antioxidants, folate and potassium for the win!

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More Purees to Relieve Constipation

Looking for even more purees to relieve your baby’s constipation, then check out these purees.

No-Cook Banana Peach Baby Food Puree (use spotted bananas)
Peach + Vanilla Baby Food
Banana, Pear + Ginger Baby Food Puree
Pea Baby Puree

Pears + Prums + Cloves Baby Food Puree

2 pears, cored and roughly chopped
4 dried prunes, pitted
1 cup hot water
pinch cloves

Fennel, Peach + Pea Baby Food Puree

1 fennel bulb
2 cups peaches, fresh or frozen, pitted and sliced
1 cup peas, fresh or frozen

Roasted Pear + Date Baby Food Puree

3 pears, peeled, cored and roughly chopped
5 dried dates, pitted
1 orange, juiced

Pear Baby Food Puree

6 pears
1/8 tsp cardamon or fresh ginger (optional)

Pumpkin, Yogurt + Prune Baby Food Puree

1/2 small pie pumpkin (roughly 3 cups), peeled and roughly chopped
1/2 cup full-fat plain yogurt
3 dried prunes, pitted

5-Minute Pear + Blueberry Baby Puree

2 cups pear, chopped (roughly 2 pears)
1 cup blueberries

Pears + Prums + Cloves Baby Food Puree

Fill a medium saucepan with 2 inches of water, and bring to a boil over medium heat.
Place the pears in a steamer basket over the boiling water, cover and cook for 8-10 minutes or until tender. Let cool slightly. Reserve steamer water.
Meanwhile, in a small bowl, place the prunes and hot water, and let sit for 10 minutes. Drain.
Add the pears, prunes and cloves into blender or food processor and puree until smooth, adding reserved water in 1/4 cup increments, if needed.

Fennel, Peach + Pea Baby Food Puree

Roasted Pear + Date Baby Food Puree

Preheat oven to 425 degrees F. Line a baking sheet with parchment paper or a silicone mat.
Place pears on the baking sheet, put into the oven and roast for 25-30 minutes. Let cool slightly.
Meanwhile, place the dates in a small bowl and cover with hot water, let sit for 10 minutes. Drain.
Transfer the pears and dates to a blender or food processor. Add in the orange juice. For a Stage 2 Puree – puree for 1-2 minutes or until completely smooth, adding in water in tbsp increments if needed. For a Stage 3 Puree – pulse in 10-second increments until ingredients are completely mixed together yet still chunky. Serve warm for an extra special treat.

Pear Baby Food Puree

Prep: peel and roughly chop the pears.
Combine: place the pear chunks, spices (if using) and water into a medium saucepan, cover.
Cook: heat on medium-low heat for 10-15 minutes or until tender when pricked with a fork.
Transfer: let cool slightly. Using a slotted spoon, scoop the pears out of the saucepan, leaving the excess water behind, and place in a blender or food processor.
Blend: turn on the machine and blend for 1-2 minutes until you have your desired consistency. If your pear puree is too thick, add the leftover cooking water in 1/4 cup increments.
Eat: serve to baby or freeze for another meal.

Pumpkin, Yogurt + Prune Baby Food Puree

Bring 2 inches of water to a boil in a medium saucepan. Place pumpkin into a steamer basket over boiling water, cover, and cook for 10-15 minutes, or when you can easily prick the pumpkin chunks with a fork. Let cool slightly. Reserve steamer water.
Meanwhile, place the prunes into a small bowl and cover with very hot water for 10 minutes. This will let them plump up and become tender. Drain.
Place the pumpkin, yogurt and prunes into blender or food processor and puree for 1-2 minutes until smooth, adding reserved steamer water in 1/4 cup increments if needed.

5-Minute Pear + Blueberry Baby Puree

Age: 4 months and up

Yield: roughly 12-25 ounces depending on recipe.

Storage: Fridge – store in an airtight container in the fridge for 3-4 days. Freezer – can be frozen for up to 4 months (this and this are my favorite freezer storage containers).

Favorite Kitchen Tools: Get a list of my favorite kitchen tools to make the best baby food here!

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Please note that I am not a medical professional. If your little one has been constipated for longer than 10 days or has a severe case and nothing seems to be working, then please call your pediatrician right away.

Are There Baby Foods that Help with Constipation?

While parenting brings many surprises, one of them is likely how much you’ll think about poop, or lack thereof, especially during that first year. But here you are worrying about your baby’s digestive tract and convinced that they’re constipated.

If you’ve recently introduced your baby to solid food, then your worries may be on target: solid foods can put a strain on your baby’s developing digestive tract and cause constipation. But there are things you can do to help!

Before you begin treating constipation you should determine if there is really an issue at all. So here’s the scoop on poop and how to tell if your worries are founded and your baby is constipated.

Breastfed babies

During the first few weeks, you’ll find yourself changing diapers with alarming regularity. Figure in every feed or so.

But don’t despair, because by the time your baby reaches 6 weeks old, they may have a bowel movement only once or twice a day. On the other hand, they may have one only every 7–10 days. (Yep, the frequency really can vary that much.)

The poop is yellow, soft, runny and sometimes lumpy and the smell isn’t unpleasant.

Formula-fed babies

A newborn, formula-fed baby typically poops up to five times a day. At about 6 to 8 weeks, this may decrease to around once a day.

Formula-fed babies have poop that is a camel to brown color with a thicker consistency, more like paste. Most likely, the less-than-aromatic smell means you’ll hermetically seal soiled diapers before you toss them into the garbage.

Signs that your baby is constipated

You’ve noticed that your baby’s tummy isn’t following the schedule that you got used to. Could it be constipation? Here are the signs that could confirm your suspicions:

You notice that they cry or fuss while they’re trying to have a hard bowel movement.
The poop, when it does come, is like hard pellets.
You notice streaks of red blood in the hard poop.

While it’s not easy for a baby on a liquid diet to become constipated, trouble can start when you start introducing your baby to solid foods at around 6 months. Here’s why:

New food types

Think of it as a learning curve: Your baby’s body is learning how to cope with a new kind of food to digest as they move away from their full liquid diet and you need to soften the learning curve. (Pardon the irresistible pun.)

Changes to fluid intake

Decreased fluids will make your baby’s poop harder and more difficult to push out. If they’ve started solids, they may need to up their fluid intake to offset the solid food. And if your baby is teething or feeling unwell, it can also lead to them taking in less fluid than usual.

Lack of fiber

Even though they’re just starting out, babies’ tummies work like ours. While initially the move to solids that have fiber (from breast milk or formula, which don’t) can cause temporary constipation, their tummies will adjust.

Make sure to monitor your baby’s fiber intake and pair it with plenty of hydration for a smooth ride the same way that you monitor yours.

OK, so you’ve confirmed that your baby is constipated. The next step is helping to alleviate the strain on their developing digestive system.

Remember that you can keep offering these foods as your baby develops into a toddler and beyond. In fact, there is little research or evidence to support specific foods (including high fiber ones) in treating or preventing constipation in infants. Most of these recommendations are based on evidence for older adults and children.

Keep in mind that good practice when introducing solids is to introduce foods as single ingredients. That way, if your baby is allergic to certain foods, you’ll be able to more easily trace the source.

If your little one hasn’t tried these foods before, don’t rush the process. Test out one at a time and then introduce combinations once you’re confident they’re well tolerated.

Back to basics. Give your baby’s digestive tract a break by feeding them mashed avocado or sweet potato purée. These are easy to digest and may give your baby the kick start they need.
B vegetables. Think broccoli, Brussels sprouts, and beans. Purée these for a meal filled with fiber.
P fruits. Your grandmother was right — bring on the prunes for quick work. A purée that includes a mix of prunes plus pears, plums, or peaches should work magic. Try subbing the prunes with dates for a change.
Bring on the fiber. If your baby is over 8 months, you can offer them whole grains like oatmeal, fiber-rich cereals, whole wheat pasta, and brown rice.
Water intake. Until 6 months an exclusively breastfed or formula-fed baby doesn’t need to drink water. Above this age, you can introduce small amounts of water.

Plums and pears with cinnamon

Cut 2 or 3 pears and plums into small pieces. Place in a saucepan with a small amount of water and simmer until soft. Add in a sprinkle of cinnamon. Blend thoroughly.

Sweet potato with apple and peach

Cut half a sweet potato, one apple, and half a peach into small pieces. Place in steamer basket and cook until tender. Blend until smooth.

Spinach and apple purée

Chop two apples into small chunks and cook in saucepan with about 1/2 cup of water. When they’re tender, add about 1 cup of spinach and cook another 2 to 3 minutes. Purée until smooth. Can be seasoned with cinnamon and ginger.

Some sources suggest prune, pear, and apple juices help to increase the water content in poop and can ease constipation.

However, the American Academy of Pediatrics recommends steering clear of fruit juice for children younger than 1 year old. You can stick with these fruits as purées for similar effects.

What is it about prune juice? The high levels of sorbitol and phenolic substances in prune juice and dried plums act as a laxative and diuretic properties. So if your child is over 1 year old, you can use small amounts of prune juice to encourage their system to run.

Some studies show that constipation may affect as much as 30 percent of children. If your child is part of the unlucky statistic, here are some foods that you may want to give them smaller amounts of until it passes:

bananas
dairy products such as cheese and yogurt
low fiber foods like white rice, white bread, and white pasta

If you’re like most parents, you’ll be up for whatever you can try to help your baby get comfortable fast. Here are a few tricks that you can use to ease your baby’s constipation:

Warm baths. These can relax those abdominal muscles and get them working.
Exercise. Lay your baby on their back and push their legs alternately as if they’re cycling a bike. Alternatively, hold their knees and feet together and push their feet towards their belly.
Massage. Use your fingertip to draw clockwise circles on your baby’s stomach.

If you see that despite your home remedies, your baby still is having hard stools or hasn’t pooped after 2 or 3 days from their last hard stool, then contact your pediatrician. Especially if you consistently notice blood in their poop or your baby is extremely irritable and appears to be in pain.

While dealing with your baby’s toilet issues may seem a tad unsavory, you’ll soon be so used to it, that you’ll find yourself sharing your insights over coffee with other parents. And don’t be shy about sharing the yummy food combinations you discover to keep things moving.

is it possible for a child to take, the rules of administration, dosage

Features of constipation in children

One can speak of constipation when the time interval between bowel movements increases in comparison with the individual physiological norm or with regular incomplete emptying of the intestine.

For babies of the first months of life on breastfeeding, a stool can normally be from one to 6-7 times during the day. With a gradual transition to the “common table”, the chair becomes thicker and less frequent. Constipation can be considered a decrease in stools - less than 6 times a week for babies up to 3 years ¹ .

In older children, the frequency of bowel movements can normally range from 3 times a day to 3 times a week. Constipation can be considered less than 3 stools per week for children over
3 years of age ¹ .

Non-drug correction

If the baby has constipation, first of all, it is necessary to review and adjust the feeding process: the feeding schedule and the amount of food. It may be necessary to refuse unreasonably early introduction of complementary foods. A nursing mother should drink enough fluids and limit the use of foods that stimulate gas formation and slow down the peristalsis of the large intestine: strong tea and coffee, alcoholic beverages, chocolate, sugar syrups, citrus fruits ² .

In a bottle-fed baby with constipation, use only adapted milk formulas and avoid frequent changes.

The baby needs to be provided with a sufficient amount of liquid: clean water, you can give herbal tea with fennel or chamomile for babies. Starting from 4-4.5 months, the baby can be given weakly concentrated dried fruit compotes or berry fruit drinks. It is worth introducing complementary foods in the form of vegetable and fruit purees no earlier than the 5th month of a child's life ² .

Abdominal massage may be helpful for babies with constipation problems before feeding.

Constipation can also be relieved by position therapy (laying the baby on the stomach with legs bent and brought to the body), light massage of the perianal area ² .

In the diet of a child with constipation older than one year of age, there should be food rich in dietary fiber and vegetable fiber, fermented milk and dairy products containing lacto- and bifidobacteria

^2.3

Wheat bran is abundant in dietary fiber, but its use in young children may be limited due to the bran's ability to absorb nutrients in the intestinal lumen. The diet should also include vegetables and fruits ² . It is also important for the child to observe the drinking regime - drinking enough water ⁴ .

Physical activity

A necessary condition for preventing constipation is constant regular physical activity (especially morning exercises), sufficient exposure of the child to fresh air (in cold weather - at least 2 hours, in warm - 4 hours or more) ³ .

Formation of toilet habits

To form toilet habits from the age of one and a half years, a child should be put on the pot 2-3 times a day after meals for 5 minutes (toilet training) ¹ . At this time, the baby should not play with toys, look at pictures in books, watch TV ³ .

Suppression of the urge to defecate

Suppression of the urge to defecate may be the main causative factor of constipation if the child is constantly busy and his day is scheduled to the minute, as well as in an unusual and uncomfortable environment ¹ . Therefore, for normal bowel movements, a comfortable toilet is important, including a footrest, if necessary, to provide support during defecation ⁴ .

Drug treatment

It is believed that even the initial therapy of constipation in children should not be limited only to the correction of nutrition and regimen. Such changes may increase the frequency of stools in healthy children, but not reduce symptoms in those with constipation ² .

Some drugs used in adults may be restricted for use in children for various reasons.

Also, some laxatives may have an unpleasant taste or require large amounts of liquid to be taken, which may make children reluctant to take the medicine ² . It is important to note that many children may have a negative attitude towards rectal manipulation: the use of enemas may cause additional fear and discomfort in children regarding defecation ^{2. 5} . In addition, often the use of rectal laxatives is considered possible only after unsuccessful treatment with oral laxatives ⁶ .

For the treatment of constipation in children, a doctor may prescribe a drug from the group of stimulant laxatives from the age of 0 years - oral drops Guttalax®

^2.7

The active ingredient, sodium picosulfate, is activated directly in the colon by bacterial degradation. Guttalax® promotes the natural process of defecation ⁷ .

Guttalax® has a dual mechanism of action:

On the one hand, it helps to increase intestinal motility, stimulating the act of defecation, and on the other hand, it helps to soften the stool by attracting water / electrolytes into the lumen of the large intestine ⁷.

What else is important to know about Guttalax®

The drug is not addictive when taken in recommended dosages ⁷

Guttalax® does not affect the digestion and absorption of nutrients in the intestines ⁷

Guttalax® drops do not have taste and smell, they can be easily added to the child in any food or drink

The drug in the form of drops allows you to choose an individual effective dose for the child ⁷

The use of drugs, including laxatives, such as Guttalax®, in such a special population group as children, is possible only after consultation doctor ⁷

Instructions for use and dosage*
⁷
According to the instructions for medical use, the standard dosage of Guttalax® for children is:

Children from 0 to 4 years old
90®025

: 1 drop per 2 kg body weight per day

Over 10 years old

Dosage: 10-20 drops per day

Children 4 to 10 years old

Dosage: 5-10 drops per day

The laxative effect may take 6-12 hours to develop

To help your child go to the toilet in the morning, you can give him Guttalax® drops at night before bed

* Use Guttalax® in children only after consulting a doctor.

Treatment of constipation involves a holistic approach, including information for parents on toilet training, advice on nutrition, drinking regimen, physical activity and daily routine ² .

More about the drug

THERE ARE CONTRAINDICATIONS. IT IS NECESSARY TO CONSULT WITH A SPECIALIST.

Constipation in children. Prevention. Diet therapy

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Sabitova Vasily Ilyasovna Gastroenterologist

06/21/2019

Constipation is widespread among both adults and children (5-30% depending on the diagnostic criteria). Symptoms become chronic in more than 30% of patients, not only cause discomfort and pain to the child himself, but also disrupt the quality of life of his family.

CONSTIPATION - a condition manifested by an increase in the intervals between bowel movements (compared to the individual norm) or systematically slow, difficult and / or insufficient bowel movements. Constipation also includes stools with “gruel”, but after defecation was absent for up to 3 days.

Constipation can be related to functional or organic causes (abnormalities, inflammation). In children, 90-95% of constipation is functional. The peak incidence of functional constipation falls on 2-4 years, when they begin to accustom the child to the potty / toilet.

Main causes of functional constipation

Pain
Fever
Dehydration
Wrong diet of a nursing mother
Insufficient drinking regime of a child with artificial feeding
Insufficient drinking regimen of a breast-fed child with the introduction of complementary foods
Early transition of the child to artificial feeding
Fast transition of the baby from one mixture to another (less than 7 days)
Irrational nutrition of the child (for a long time the child receives food with a large amount of proteins, fats and insufficient dietary fiber, abuse of drinks containing a large amount of astringents - tea, coffee, cocoa)
Excessive use of baby care products or the development of an allergic reaction of the skin of the perianal area
Consequences of perinatal injuries of the nervous system
Rickets, vitamin D deficiency
Anemia
Impaired thyroid function (deficiency - hypothyroidism)
Food allergy, especially cow's milk protein allergy
Forced potty training, period of adaptation to new conditions (nursery, kindergarten)
Physical inactivity - a sedentary lifestyle
Mental trauma or stress
Systematic suppression of the urge to empty the bowels, associated, for example, with the beginning of attending a kindergarten, school, etc.
Taking certain drugs
Constipation in family members

Frequency of defecation in children of different ages

Age	Number of bowel movements per week	Number of bowel movements per day
0 – 3 months breastfeeding artificial feeding	5 - 40 5 - 20	2.9 2.0
6 - 12 months	5 - 28	1.8
1 - 3 years	4-21	1.4
4 years and older	3 - 14	1.0

In addition to the frequency of the chair, you should pay attention to its nature. For a more objective assessment, the “Bristol fecal shape scale” is convenient, since it is the shape of the feces, and not the frequency of the stool, that is more consistent with the time of intestinal transit.

Bristol stool scale

In accordance with this scale, 3 and 4 form of feces is regarded as normal, and 1 and 2 indicate delayed transit (constipation). Quite often, in practice, there are situations when a child has a bowel movement frequency within the normal range, but the stool is dense, fragmented, in a meager amount. These signs indicate incomplete emptying of the bowels and are considered as manifestations of constipation.

The consistency of the stool in newborns and infants should be mushy. From 6 months to 1.5 - 2 years, feces can be both formalized and mushy. From the age of two, the chair must be decorated.

Signs and symptoms of constipation

abdominal pain, often bursting, aching, sometimes colicky
bloating
change in the shape and consistency of stool
excessive flatulence
unpleasant smell of flatus and stool
may have pain during bowel movements
straining to defecate
there may be blood in the stool - on the surface of the feces or in the form of traces on a napkin (indicates an anal fissure)

If you do not eliminate constipation and do not establish bowel movements, then there is a risk of coprostasis (formation of fecal stones) and fecal intoxication:

loss of appetite
lack of energy
general malaise
depression, irritability
nausea, vomiting
skin symptoms - dryness, rash, peeling
fecal incontinence, stool spotting
urinary retention and incontinence due to pressure from a crowded bowel on the bladder
bleeding from fissures, hemorrhoids

The treatment of constipation involves the achievement of the following goals:

1. Normalization of stool consistency (soft, painless stools)

2. Regularity of bowel movements (prevention of re-accumulation of feces)

The treatment of constipation is a sequential, complex, individual process and consists of several stages:

child and parent education
correction of nutrition and drinking regimen
elimination with the help of medications of existing coprostasis
maintenance therapy

It is necessary to exclude factors that provoke and contribute to constipation (normalization of motor and nutritional regimen, discontinuation of medications that can cause constipation, identification of a food allergen, exclusion or confirmation of neuromuscular disease, celiac disease, etc.).

Lifestyle normalization includes:

development of a conditioned reflex
active lifestyle
gymnastics
gentle abdominal massage training
for small children - laying out on the stomach, bending the legs to the stomach.

Education is the first step in the treatment of functional constipation. It must be remembered that episodes of fecal smearing and encopresis (fecal incontinence) are not arbitrary and should not be blamed on the child, who may already be frightened and disoriented. In some cases, when the intra-family situation is difficult, the help of a family psychologist may be needed.

It is important to understand that the treatment of functional constipation can be lengthy, based on trust, partnership and requires patience. Modern laxatives that are legal in children will not make the intestines “lazy”, will not cause “addiction”, they enter the bloodstream in minimal amounts or are not absorbed at all and are safe for long-term use.

Correction of the behavior of a child with constipation is based on the development of a routine of visiting the toilet, in order to achieve regular defecation. Defecation should be every time at the same time. The urge to defecate is based on the gastrocecal reflex, which manifests itself in the morning 1 hour after eating. A child with constipation needs to spend 3-10 minutes in the toilet (depending on age). It is necessary to plant the child on a potty or offer to visit the toilet after each meal.

A prerequisite for effective defecation is to provide a good support for the legs (a low bench on which the child can put his feet), which helps to increase intra-abdominal pressure.

If the defecation is not successful, the child should never be punished and vice versa. The daily frequency of bowel movements can be noted in a diary, which can be analyzed at a scheduled visit to the doctor.

Treatment of constipation should begin with lifestyle changes, which include dietary modification, drinking regimen and physical activity.

Calculation of fluid volume for healthy children

Children under the age of 1 year should drink at least 100 ml of water per day.

For healthy children weighing 10 to 20 kg the water requirement is calculated using the formula:

100 ml (volume of water for children under 1 year old) + 50 ml per kg for body weight over 10 kg.

For example, with a mass of 12 kg: 100 ml + 2 x 50 ml = 200 ml.

A child weighing 20 kg should drink water: 100 ml + 50 x 10 = 600 ml

For children weighing over 20 kg the following formula is suggested for calculation:

600 ml (volume of water for a child weighing 20 kg) + 20 ml for each kg over 20 kg.

For children over 3-5 years old you can use the calculation of the amount of water: 30ml / kg of weight

Principles of diet therapy for constipation:

meeting physical needs for nutrients and energy
exclusion of excess consumption of proteins and fats, which can inhibit intestinal motility
enrichment of the diet with dietary fiber
normalization of intestinal microflora with pro- and prebiotics

If the child is breastfed, then the mother's nutrition is corrected (restriction of products that promote gas formation). With artificial feeding, special mixtures are shown. For constipation associated with an allergy to cow's milk protein, therapeutic mixtures are prescribed if the child is bottle-fed. If the child is breastfed, cow's milk and products based on it are completely excluded from the mother's diet.

After the introduction of “thick” complementary foods, boiled water is necessary for all children, regardless of the type of feeding.

For older children, it is recommended to eat foods rich in vegetable fibers. It is not recommended to “smear food”, puree, “snacks”, “eating on the go”. Food should be crumbly, meat / poultry / fish - “piece”. A “bulk” breakfast is required to stimulate the “gastrocecal reflex”.

The main source of coarse-fiber vegetable fiber, containing a large amount of dietary fiber, is cereal bran, rye bread, as well as a number of vegetables and fruits. According to the principles of evidence-based medicine, a statistically significant increase in stool frequency and improvement in its consistency was demonstrated with the use of fiber compared with placebo.

Bran, as the main source of vegetable fiber, is recommended to be added to the second and third courses, after pouring boiling water over it and settling for 20 minutes. Bran can also be used in between meals, drinking plenty of fluids. For school-age children, the total amount of fluid when taking bran should be at least 1.5-2 liters per day, otherwise they mainly act as sorbents, absorbing fluid from the intestines, thereby increasing constipation. The dose is selected individually, it is recommended to start with 1 teaspoon 2-3 times a day, with a gradual increase to 40 g per day. When the effect is achieved, the dose is reduced and limited to one dose.

The American Academy of Pediatrics (2009) recommends a fiber intake of 0.5 g/kg/day (maximum 35 g/day) for all children. Fiber intake below the minimum recommended value has been shown to be a risk factor for chronic constipation in children.

However, long-term intake of a large amount of plant fibers due to fermentation by intestinal microflora is naturally accompanied by bloating and flatulence.

Children with constipation are shown to take cool liquids on an empty stomach (drinking and mineral water, juice, compotes, kvass), to enhance the laxative effect, it is possible to add honey, xylitol or sorbitol. It is very beneficial for bowel function to increase the intake of juices containing sorbitol/sorbitol, such as juice from plums, pears, apricots, peaches and apples,

With “sluggish” bowel function (hypomotor constipation), cool mineral water of medium and high mineralization is used, such as Essentuki 17, Batalinskaya, Arzni, Donat Magnesium, etc.; with spastic constipation (hypermotor constipation, stool form more often type 1) - warm and low mineralization (Essentuki 4). Calculation of mineral water - 3-5 ml / kg per day.

It is necessary to limit milk in its pure form and in dishes, as flatulence may occur with the appearance or intensification of abdominal pain. It is better to replace whole milk with sour-milk products - kefir, acidophilus, yogurt, yogurt, etc.

The diet of children with constipation includes dishes rich in vegetable fiber - salads from fresh vegetables, greens 2-3 times a day, baked apples, stewed vegetables, diluted vegetable and fruit juices with pulp. Food is cooked mostly unground, steamed or boiled in water.

It is preferable to take raw vegetables and fruits (in the absence of contraindications). Especially recommended are tomatoes, zucchini, pumpkin, carrots, beets, lettuce, cauliflower, apples. Dried fruits (prunes, dried apricots, figs) are given in soaked form and as part of cooked dishes. White cabbage, young green beans, green peas are allowed with good tolerance. Parsley, dill, celery are good to add to various dishes and salads.

If after reading the article you still have questions or you do not understand how to apply the recommendations in your particular case, we invite you and your child to be examined by a pediatric gastroenterologist at the DDC. For the convenience of parents, you can make an appointment with a pediatric gastroenterologist at the Children's Diagnostic Center on a weekday and on Saturdays.