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Children have different bowel movement patterns than adults. In addition, there is a wide spectrum of normalcy when considering children's bowel habits. [1] On average, infants have 3-4 bowel movements/day, and toddlers have 2-3 bowel movements per day. At around age 4, children develop an adult-like pattern of bowel movements (1-2 stools/day).
Constipation in a young child seen on X-ray. Circles represent areas of fecal matter (stool is white surrounded by black bowel gas). Specialty: Gastroenterology: Symptoms: Infrequent or hard to pass bowel movements, abdominal pain, bloating [2] [3] Complications: Hemorrhoids, anal fissure, fecal impaction [4] Causes
The colon normally removes excess water from feces. If the feces or stool remains in the colon too long due to conditioned withholding or incidental constipation, so much water is removed that the stool becomes hard, and becomes painful for the child to expel in an ordinary bowel movement.
Functional constipation, also known as chronic idiopathic constipation (CIC), is defined by less than three bowel movements per week, hard stools, severe straining, the sensation of anorectal blockage, the feeling of incomplete evacuation, and the need for manual maneuvers during feces, without organic abnormalities.
One study published in The American Journal of Gastroenterology concluded that sorbitol from prunes can help relieve constipation, increase normal stool, and decrease hard stool in patients with ...
The treatment of fecal impaction requires both the remedy of the impaction and treatment to prevent recurrences. Decreased motility of the colon results in dry, hard stools that in the case of fecal impaction become compacted into a large, hard mass of stool that cannot be expelled from the rectum. [citation needed]
Normal definitions of functional constipation include infrequent bowel movements and hard stools. In contrast, ODS may occur with frequent bowel movements and even with soft stools, [20] and the colonic transit time may be normal (unlike slow transit constipation), but delayed in the rectum and sigmoid colon. [2]
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