Herbal remedies and fiber rich diets can provide gentle support for regularity by promoting good bowel health. Constipation is one of the most common digestive issues in children (1) and the discomfort it causes can lead to irritability, pain, and frustration. Natural alternatives, such as herbal remedies and fiber rich diets, can provide gentle support for regularity by promoting good bowel health.✝︎ In this article, you’ll learn about common causes of simple constipation in kids and some home care techniques for occasional constipation in kids, and I'll share how you can make Prune & Fiber Energy Balls with the added benefits of PooMotion™, a kid-friendly herbal formula that supports healthy bowel movements.✝︎ What Causes Simple Constipation in Kids Constipation is unfortunately quite common in children, and in the absence of medical issues, I tend to see the below lifestyle and dietary factors as contributors: Low Fiber Diets Many modern diets are high in processed foods and low in fiber. Fiber is essential for healthy digestion as it helps add bulk to the stool and supports its movement through the intestines (3). When children’s diets lack sufficient fruits, vegetables, whole grains, and legumes (all rich in fiber), constipation can occur. Inadequate Hydration Not drinking enough water or other hydrating fluids can cause stools to become hard and difficult to pass (4). When the body is dehydrated, it absorbs more water from the waste in the colon, leading to dry, hard stools. Ensuring that your child drinks enough throughout the day is one of the most effective ways to support their digestive health and prevent occasional constipation. To learn more about dehydration in kids, read this article: Signs of Dehydration in Kids & Infants. Plus Dr. Green Mom’s Homemade Electrolyte Drink Recipe Ignoring the Urge to Go Children are often busy with play or school activities and may ignore the natural urge to use the bathroom. Kids who have experienced the discomfort of constipation sometimes become fearful of using the bathroom, associating it with pain or difficulty. This fear can lead to them holding in their stools, which only worsens the problem. When a stool stays in the colon for too long, it becomes harder and drier, making it more difficult to pass and perpetuating the cycle of constipation (5). Stress and Emotional Factors Stress and emotional factors can affect a child’s digestive system (6). Changes in routine, family stress, or even anxiety about school can disrupt normal bowel movements. Emotional stress often manifests physically, and for some children, this can result in constipation (6). If you believe your child may be struggling with anxiety, read this article: 6 Strategies To Support A Child Struggling With Anxiety Not Enough Movement Sometimes during travel, illness, or other times when your child is more sedentary than usual, the lack of physical activity can contribute to constipation (7). This is because physical activity plays a role in stimulating the muscles in the intestines, promoting the movement of stool through the digestive tract. Abdominal massage can also be helpful for this reason. To learn more about constipation, read these articles: → Treating Constipation In Kids & Babies With Integrative Medicine → Chia As A Natural Miralax Alternative For Kids — Plus My Favorite Chia Popsicle Recipe → Abdominal Massage For Infant Colic & Constipation Relief In Toddlers And Kids When to Consider More Serious Causes of Constipation While occasional constipation in children is often due to dietary and/or lifestyle factors, persistent or severe constipation may indicate an underlying medical issue. It’s important to recognize when to seek medical attention, as home remedies won’t resolve constipation caused by these conditions. Examples of Medical Issues That Can Cause Constipation In Kids Structural Abnormalities: Conditions like Hirschsprung’s disease, where parts of the colon lack the nerve cells needed for normal movement, can lead to severe constipation (8). Food Allergies or Intolerances: Intolerances to certain foods, such as cow’s milk protein, can contribute to ongoing digestive discomfort and constipation (9). Neurological Disorders: Disorders that impact muscle control, such as cerebral palsy, can affect the ability to pass a stool (10). Endocrine Disorders: Issues like hypothyroidism, which slows down metabolism, can impair normal bowel function (11). Medication Side Effects: Medications such as certain antacids or some iron supplements can cause or worsen constipation (12). When To See A Doctor About Constipation In Kids While occasional mild constipation can often be managed at home, it is important to consult a medical provider if your child experiences any of the below symptoms (13): Has severe stomach pain lasting over an hour Has constipation and develops a fever Is leaking stool Has constipation lasting longer than two weeks Experiences vomiting, or blood in the stool Shows signs of a swollen abdomen Isn’t growing or thriving as expected Relies frequently on laxatives or suppositories to pass stool Why Use Natural Remedies For Constipation? Conventional medicine will often prescribe medications like Miralax for managing constipation (2), and while there is a time and place for pharmaceutical intervention, when it comes to occasional mild constipation, natural remedies and home care can often be very effective. Beyond addressing the above lifestyle and dietary factors, natural remedies include eating specific foods like the p-fruits (prunes, peaches, pears, papaya, plums), utilizing herbal remedies, incorporating probiotics to improve gut health, and adding supplements like magnesium to the routine.✝︎ Note that there are different forms of magnesium available. Magnesium hydroxide, also known as milk of magnesia is most commonly used for constipation, but other forms, such as Magnesium glycinate may also help ease mild constipation (14).✝︎ To learn more about gut health, read this article: What Is Leaky Gut, And How Do You Heal It? A Kid-Friendly Recipe For Relieving Occasional Constipation: Prune & Fiber Energy Balls Here’s why I love my Prune & Fiber Energy Balls: Prunes are known for their high sorbitol content and are perhaps the most well known home remedy for constipation. Sorbitol is a natural sugar alcohol that helps soften stools and promotes bowel movements (15). Fiber, which is found in the oats and pecans in this recipe, adds bulk to the stool, helping it move more easily through the intestines, and supports regular bowel movements (3). Fiber also helps maintain overall gut health by supplying prebiotics (3), which nourish the beneficial bacteria in the gut, supporting a healthy microbiome. For targeted herbal support, PooMotion™ is added to the recipe. This gentle herbal formula contains licorice, marshmallow root, and yellow dock, all of which help soothe the intestines and promote regular bowel movements (16,17).✝︎ Dr. Green Life Prune & Fiber Energy Balls (with PooMotion™) This recipe incorporates prunes and fiber-rich ingredients, like oats and pecans, with herbal support to make kid-friendly energy bites that are packable, freezable, and great in a lunch box. ⏲️ Prep Time: 20 Minutes + 30 Minutes Refrigeration 🍴 Yields: 14 balls Ingredients 1 cup oats (I prefer these glyphosate tested, sprouted oats) 1 cup pecan halves 2 tablespoons cocoa powder (unsweetened) Pinch of sea salt 6 pitted medjool dates 1 cup pitted prunes, coarsely chopped PooMotion™ - optional (use your child’s recommended dose, then multiply by 14 for the number of balls the recipe yields) As needed: Coconut oil or nut butter for adding moisture (amount will depend on how dry your dates & prunes are. I used about 1.5 tbsp of almond butter) 2 tablespoons mini chocolate chips (optional) Directions Place all the ingredients except the chocolate chips into a food processor. Pulse the mixture until it becomes sticky and starts to form a crumbly dough-like consistency. You may need to stop and scrape the sides of the food processor a few times. If your mixture does not come together when you roll it into balls between your palms, you may need to add a little coconut oil or nut butter. Start with half a tablespoon and pulse again. I found that I needed to add about 1.5 tablespoons of nut butter. If desired, add the mini chocolate chips to the mixture and pulse gently to incorporate. Take small portions of the mixture and roll them into balls about 1 inch in diameter. Place the finished energy balls on a parchment-lined baking sheet or plate and refrigerate for at least 30 minutes to firm up. Once chilled, store the energy balls in an airtight container in the fridge for up to one week, or freeze them in freezer safe containers. Tip: Serve these energy balls with a big glass of water or herbal tea. Summary Constipation is a common issue for many children, often leading to discomfort, irritability, or frustration. Occasional mild constipation can usually be managed with home remedies, including increasing hydration, movement, dietary fiber intake, and supplementation with herbs and/or magnesium. Prune & Fiber Energy Balls are a kid-friendly snack that include my herbal formulation PooMotion™ to support your child's regularity.✝︎ These energy balls contain prunes, which are rich in sorbitol, plus oats and pecans for fiber, along with the soothing herbal benefits of PooMotion™.✝︎ This recipe is easy to make, kid-friendly, and perfect for busy school days, travel, or as a nutritious snack. † These statements have not been evaluated by the Food and Drug Administration (FDA). This product is not intended to diagnose, treat, cure, or prevent any disease. PRODUCTS MENTIONED IN THIS ARTICLE See Product See Product See Product See Product SHOP & EARN REWARDS. JOIN TODAY! References: Rajindrajith S, Devanarayana NM. Constipation in children: novel insight into epidemiology, pathophysiology and management. J Neurogastroenterol Motil. 2011 Jan;17(1):35-47. doi: 10.5056/jnm.2011.17.1.35. Epub 2011 Jan 26. PMID: 21369490; PMCID: PMC3042216. Bell EA, Wall GC. Pediatric constipation therapy using guidelines and polyethylene glycol 3350. Ann Pharmacother. 2004 Apr;38(4):686-93. doi: 10.1345/aph.1D297. Epub 2004 Feb 27. PMID: 14990783. Barber TM, Kabisch S, Pfeiffer AFH, Weickert MO. The Health Benefits of Dietary Fibre. Nutrients. 2020 Oct 21;12(10):3209. doi: 10.3390/nu12103209. PMID: 33096647; PMCID: PMC7589116. Arnaud MJ. Mild dehydration: a risk factor of constipation? Eur J Clin Nutr. 2003 Dec;57 Suppl 2:S88-95. doi: 10.1038/sj.ejcn.1601907. PMID: 14681719. Andrews CN, Storr M. The pathophysiology of chronic constipation. Can J Gastroenterol. 2011 Oct;25 Suppl B(Suppl B):16B-21B. PMID: 22114753; PMCID: PMC3206564. Gozali FS, Febiana B, Putra IGNS, Karyana IPG, Hegar B. Relationship between psychological stress with functional constipation in children: a systematic review. Pan Afr Med J. 2023 Sep 7;46:8. doi: 10.11604/pamj.2023.46.8.41130. PMID: 37928217; PMCID: PMC10620441. Huang R, Ho SY, Lo WS, Lam TH. Physical activity and constipation in Hong Kong adolescents. PLoS One. 2014 Feb 28;9(2):e90193. doi: 10.1371/journal.pone.0090193. PMID: 24587274; PMCID: PMC3938666. Boston Children's Hospital. (n.d.). Hirschsprungs Disease. Www.childrenshospital.org. https://www.childrenshospital.org/conditions/hirschsprungs-disease Connor F, Salvatore S, D'Auria E, Baldassarre ME, Acunzo M, Di Bella G, Farella I, Sestito S, Pensabene L. Cows' Milk Allergy-Associated Constipation: When to Look for It? A Narrative Review. Nutrients. 2022 Mar 21;14(6):1317. doi: 10.3390/nu14061317. PMID: 35334974; PMCID: PMC8955686. Mosiello G, Safder S, Marshall D, Rolle U, Benninga MA. Neurogenic Bowel Dysfunction in Children and Adolescents. J Clin Med. 2021 Apr 13;10(8):1669. doi: 10.3390/jcm10081669. PMID: 33924675; PMCID: PMC8069792. Yaylali O, Kirac S, Yilmaz M, Akin F, Yuksel D, Demirkan N, Akdag B. Does hypothyroidism affect gastrointestinal motility? Gastroenterol Res Pract. 2009;2009:529802. doi: 10.1155/2009/529802. Epub 2010 Mar 7. PMID: 20224642; PMCID: PMC2833301. John Hopkins Medicine. (n.d.). Constipation in Children. Www.hopkinsmedicine.org. https://www.hopkinsmedicine.org/health/conditions-and-diseases/constipation-in-children American Academy of Pediatrics. (2017, June 24). Constipation. HealthyChildren.org. https://healthychildren.org/English/tips-tools/symptom-checker/Pages/symptomviewer.aspx?symptom=Constipation Morishita D, Tomita T, Mori S, Kimura T, Oshima T, Fukui H, Miwa H. Senna Versus Magnesium Oxide for the Treatment of Chronic Constipation: A Randomized, Placebo-Controlled Trial. Am J Gastroenterol. 2021 Jan 1;116(1):152-161. doi: 10.14309/ajg.0000000000000942. PMID: 32969946. McRorie J, Zorich N, Riccardi K, Bishop L, Filloon T, Wason S, Giannella R. Effects of olestra and sorbitol consumption on objective measures of diarrhea: impact of stool viscosity on common gastrointestinal symptoms. Regul Toxicol Pharmacol. 2000 Feb;31(1):59-67. doi: 10.1006/rtph.1999.1368. PMID: 10715225. Aleman RS, Paz D, Cedillos R, Tabora M, Olson DW, Aryana K. Attributes of Culture Bacteria as Influenced by Ingredients That Help Treat Leaky Gut. Microorganisms. 2023 Mar 30;11(4):893. doi: 10.3390/microorganisms11040893. PMID: 37110316; PMCID: PMC10144211. Drugs.com. (n.d.). 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