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Constipation and Soiling

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Constipation in children is common and can be uncomfortable or upsetting for both you and your child. You might notice your child is finding it hard to poo, going less often, or complaining of tummy pain. The good news is that there are simple ways to help, and support is available to get things back on track.

More about constipation and soiling

Constipation is when your child finds it hard or painful to do a poo, or they do not go very often. You might notice they are going less than three times a week, or that their poo is hard, large, or difficult to pass. Some children try to avoid the toilet or “hold on,” which can make things worse. You may also see tummy pain, bloating, or poo in your child's underwear.

Constipation can happen for different reasons. Your child may not be eating enough fibre, like fruit, vegetables, or whole grains, or may not be drinking enough fluids. Sometimes it starts if going to the toilet has been painful before, so your child tries to avoid it. Changes in routine, toilet training, or feeling worried about using unfamiliar toilets can also play a part.

For your child, constipation can feel uncomfortable and upsetting. They might have a sore or full tummy and may be more irritable than usual. You may notice them crossing their legs, fidgeting, or trying to hold in their poo. This can affect their confidence, especially if there are accidents.

You should seek help if your child is in pain, avoids the toilet, has large or hard poos, or poo in their underwear. It is also important to get advice if it keeps coming back or is causing distress for you or your child. You do not have to manage this on your own. With the right support, most children improve and get back into a healthy routine.

Questions and answers

What should I do if I think my child is constipated?
If your child may be constipated, it is important to get advice early. Signs of constipation can include: Pooing less than three times a week, hard or painful poos, poo accidents in their pants and holding in or avoiding pooing. Please contact your GP. They can assess your child, start treatment if needed, and refer them to a specialist service if further support is required.
My child will only poo in a nappy - what can I do?
This is quite common and is often because your child feels more comfortable pooing in a nappy or feels worried about using the toilet. You can help by making gradual changes. For example, encourage your child to use their nappy in the bathroom first, then support them to sit on the toilet when they feel ready. Praise, encouragement and reassurance can help build their confidence.
How can I teach my child to wipe their bottom?
Learning to wipe is a skill that takes time, practice, and support. A helpful approach is backward chaining, where you complete most of the task for your child but let them finish the final step (such as the last wipe or pulling up their underwear). As they gain confidence, you gradually reduce how much help you give, allowing them to take on more of the task step by step. To get started, you can use a hand-over-hand approach, gently guiding your child’s hand so they can feel the movement and learn what to do. Over time, reduce this support as they become more independent. Use clear, simple instructions, encourage good positioning (such as leaning slightly forward), and remind them to wipe from front to back. Praise their effort rather than focusing on perfection, and keep the experience calm and positive while they learn.To get started, you can use a hand-over-hand approach, gently guiding your child’s hand so they can feel the movement and learn what to do. Over time, reduce this support as they become more independent. Use clear, simple instructions, encourage good positioning (such as leaning slightly forward), and remind them to wipe from front to back. Praise their effort rather than focusing on perfection, and keep the experience calm and positive while they learn.
Should my child's school follow the same toileting plan?
Consistency between home and school is important when supporting a child with toileting. Good communication between families and education settings can help ensure that the same strategies are used across different environments, promoting a consistent approach and supporting positive progress.

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