Often, this relates to poor fiber intake. Also can be normal if passed easily without too much straining. Size relates to the amount of food eaten. Brief straining under 10 minutes can occur at times at any age.Just not every time they have some straining. Key: they continue to pass normal size stools every day. Babies also become red in the face and draw up their legs during straining. It's also hard to pass stool lying on their back with no help from gravity. They are learning to relax their anus after 9 months of keeping it closed. Grunting or straining while pushing out a stool is normal in young babies. Caution: before 1 month old, not stooling enough can mean not getting enough breast milk. Stools every 4-7 days that are soft, large and pain-free can be normal. Imitators of Constipation: Normal Patterns and Stools At the very least, the child should be treated with changes in diet. Any child with pain during stool passage or lots of straining needs treatment.Passing a stool should be free of pain.Kids who go every 3 days often drift into longer times.Kids who go every 4 or 5 days almost always have pain with passage.Once children are on normal table foods, their stool pattern is like adults. Normal Range: 3 per day to 1 every 2 days.Slow passage of food through the intestines.Some children postpone stools because they are too busy to sit down. Reason: some children refuse to use public toilets. If they are already trained, it may begin with the start of school. Most often it's a battle around toilet training. This is the most common cause of recurrent constipation in children. Holding Back Stools Because of Power Struggles.It can also occur with a bad diaper rash or anal fissure (tear). This can happen with a Strep infection around the anus. If passing a stool causes pain, many children will hold back the next one. ![]() Not a cause in children unless they are confined to bed. Exercise also keeps the bowel from slowing down. It's rarely the only cause of constipation. This can also cause stools to be dry and harder to pass. A low fiber diet causes hard, small stools. Fiber keeps stools soft, bulky and easy to pass. Fiber is found in vegetables, fruits and whole grains. This is why you want your child to eat a well-balanced diet. Milk and cheese are the only foods that in high amounts can cause constipation. Use the Abdominal Pain (Stomach Pain) care guide if there is constant belly pain.
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