Understanding Constipation in Children
One of the most common reasons for constipation to become a recurring issue in a child is withholding of stool, following painful passage of hard stools.
Stool Withholding
One of the most common reasons for constipation to become a recurring issue in a child is withholding of stool, following painful passage of hard stools.
Common Trigger Times
A common time for this to occur is around the introduction of solids, following an illness or around the time of toilet training.
Comprehensive Evaluation
There are many causes of constipation and a thorough history and examination is important. If there is suspicion of an underlying disease than further testing may be required.
Stool Withholding
Common cause
Trigger Times
Solids, illness, training
Common Causes
Understanding the various causes of constipation helps guide appropriate treatment and prevention strategies.
Dietary Factors
Low fiber intake, insufficient fluids, or introduction of solid foods.
Behavioral Issues
Stool withholding, toilet training resistance, or fear of painful bowel movements.
Medical Conditions
Underlying diseases, medications, or anatomical abnormalities.
Lifestyle Factors
Lack of physical activity, changes in routine, or stress.
Common Trigger Times
Understanding when constipation commonly occurs helps parents recognize and address issues early.
Introduction of Solids
Around 6 months of age
Following Illness
After recovery from sickness
Toilet Training
Around 2-3 years of age
Treatment Approaches
Comprehensive treatment strategies tailored to your child's specific needs and underlying causes.
Dietary Changes
Increasing fiber intake, adequate hydration, and balanced nutrition to promote regular bowel movements.
Behavioral Therapy
Addressing stool withholding, toilet training issues, and establishing healthy bathroom habits.
Medical Treatment
When appropriate, medications may be prescribed to help manage symptoms and establish regularity.
When to See a Specialist
Most children experience constipation at some point, but persistent or severe constipation warrants specialist evaluation. See Dr Harveen Singh if your child has:
- Constipation lasting more than 2–3 weeks despite dietary changes
- Blood in the stool or on toilet paper
- Severe abdominal pain or distension
- Involuntary soiling (encopresis)
- Not passing stool for more than 7–10 days
- Poor weight gain or growth concerns alongside constipation
- Constipation in a newborn or very young infant
- Family history of bowel conditions
What to Expect at Your First Appointment
At your first consultation, Dr Harveen Singh will take a detailed history of your child's symptoms, diet, and bowel habits. The appointment typically includes:
- Full medical and dietary history
- Physical examination
- Review of growth charts and development
- Discussion of toilet training and behavioural factors
- Explanation of possible causes and contributing factors
- Individualised treatment plan including dietary advice and medications where appropriate
- Referral for further investigations (X-ray, blood tests) if clinically indicated
Referral & Medicare: A current referral from your GP or paediatrician is required to access Medicare rebates. Please bring your referral letter, Medicare card, and any previous test results to your appointment.
Related Conditions
Constipation is often linked to other digestive conditions. Dr Singh also treats:
Serving Patients Across Sydney
Dr Harveen Singh FRACP consults at four Sydney locations: