Once children are on a regular diet, their stool pattern is like adults. Normal range: 3 per day to 1 every 2 days.Here is some care advice that should help.At the very least, they need changes in diet. Any child with pain during stool passage or lots of straining needs treatment.Passing a stool should be pleasant and free of pain.It can also be caused by waiting too long to stool. Most often, it's from a change in diet.What You Should Know about Constipation:.Painful stools occur 3 or more times after changes to diet.Stool softeners are being used and have not been discussed with your doctor.Exception: normal if breastfed infant more than 1 month old and stools are not painful. Infrequent stools do not get better after changes to diet.Suppository or enema was needed to get the stool out.You think your child needs to be seen, but the problem is not urgent.Suppository or enema was given but did not work.Needs to pass a stool but afraid to or refuses to let it out.Exception: normal straining and grunting. You think your child needs to be seen, and the problem is urgent.Age less than 12 months with recent onset of weak suck or weak muscles.Age less than 1 month old and breastfed.Vomits 2 or more times and stomach looks more swollen than normal.Rectal pain goes on more than 1 hour (includes straining) after using care advice.Stomach pain goes on more than 1 hour (includes crying) after using care advice.When to Call for Constipation Call Doctor or Seek Care Now Some children even have small, dry rabbit-pellet-like stools. 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. 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.
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