Constipation

Dr. Maxwell’s quick Constipation Reference Guide for treating both occasional hard stools and chronic constipation that requires a bowel cleanout. Always talk with your doctor before starting any of the following treatments to ensure appropriate diagnosis and dosing. This guide is for education and reference purposes only.

General Principles

Hydration
- Drink plenty of water
- Limit juice and milk
Increase Fiber
- Fruits, vegetables, whole grains
- Chia seeds, flax seeds
- Prunes/prune puree
- Psyllium husk powder

Prunes and Fiber

Infant Constipation Drops
Be sure to talk with your pediatrician BEFORE using these for your infant. One of the key ingredients is PRUNES!

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Soften and Stimulate

Your doctor may recommend some of the following treatments to help soften the stool, or provide fast stimulation for a bowel movement

MiraLax (Polyethylene Glycol)

Probably the most common stool softener available. This softens stool by pulling extra water into the intestines and softening the stool. You may need to mix for up to 1-2 minutes so it completely dissolves. DO NOT dissolve in milk. Verify proper dosing with your medical provider.

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Pedialax Suppository

Only to be used occasionally. Frequent use can reduce the natural reflex to stool.

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Frida Windi Gas Passer

Used to help pass gas and provide rectal stimulation. Only to be used occasionally. Frequent use can reduce the natural reflex to stool.

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Constipation Cleanout

Also known as a bowel cleanout. This should only be done when discussed with your medical provider to ensure proper diagnosis and dosing. Different doctors may use different regimens, but they almost all include a stool softener (Miralax) and stimulant medication (Senna).
I like to use the Seattle Children’s 3 Day Cleanout and Maintenance Instructions

Constipation Bowel Cleanout (Seattle Children’s)ENGLISH

Constipation ESPANOL Bowel Cleanout (Seattle Children’s)Espanol

Senna

Must be given at NIGHT. Be sure to get the correct dose from your doctor before taking. The liquid syrup for kids (8.6mg/5mL) can be either a prescription from your child’s doctor, or found over the counter. Be sure to obtain the appropriate dose from your doctor BEFORE using.
Here are a few options: