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Constipation

 

Remember

  • Constipation usually means that your bowel movements are too hard.
  • High fiber foods such as fruits and vegetables help prevent constipation.
  • Leaving time in the morning to use the bathroom before work or school is helpful.

Teens usually don’t talk about their bathroom habits with their friends but if they did, they would find out that everybody, every once in a while, has trouble having a BM or bowel movement (pooping). This usually isn’t a serious problem.

 

What does it mean if you are “constipated”?

Becoming constipated means that you have a change in your bowel habits with fewer BM’s each week and/or pain when you have a BM. When you’re constipated your BM’s are usually too hard or too small. Some people may strain when they try to have a BM or feel like they don’t have a complete BM. Although everybody’s bathroom habits are different, you are likely to be constipated if you're having 3 or fewer BM's in a week. Sometimes people may wait so long to try and have a BM (because they think it’s going to hurt), that they get even more constipated.

 

What causes constipation?

Some medical conditions such as diabetes, irritable bowel syndrome, low thyroid, and pregnancy can cause constipation. Medications such as strong pain pills, antidepressants, and antihistamines can also cause constipation. Most of the time, however, constipation happens for reasons such as waiting too long to go to the bathroom and not having enough fiber in your diet. The good news is that dietary and lifestyle changes can keep you “regular” and help you feel better.

 

What are the signs of constipation?

Although there is no “right” number of BM’s a person should have, you will generally feel better if you have a BM every day or at least every other day.

 

Not having regular BM’s can cause stomach pain. Most people have pain before they pass a large, hard BM. Some people with constipation may notice bright red blood on the toilet paper or a streak of blood on their BM. This bleeding is a sign that the anus (the hole where the BM comes out) has been irritated. This can cause an “anal fissure” (a tear in this area) or a “hemorrhoid” (swollen tissue near the anus that is painful and often bleeds when a hard BM is passed). If this happens, it can be scary to see blood, but the soreness and bleeding will generally go away when you start having regular and soft BM’s. You should make an appointment with your primary health care provider (PCP) so he/she can tell you what can help you. Your PCP may suggest warm baths, a high-fiber diet, drinking more water, and over the counter medicines and/or ointments to make you feel more comfortable and help the fissure heal.

 

What helps constipation?

If you’re a teen, you’re probably very busy with school, sports, and other after-school activities. Maybe you don’t have much privacy, or perhaps even finding a bathroom is challenging. But if you have been uncomfortable because of constipation, it may be time to think about how you can feel better!

 

You will probably want to plan ahead by knowing where the bathrooms are, whether you are at school, playing sports, or hanging out in other places. Next, you’ll need to slowly add more fiber to your diet and drink more water. Finally, exercise is important for good health and can help your digestive system.

 

Tips:

Will the food I eat make a difference?

Yes! There are foods that tend to be constipating and there are foods that tend to help your digestive system process food and help get rid of the waste. Foods containing fiber can help prevent constipation. Fiber is found in fruits, vegetables, whole grains, beans, legumes, and nuts.

 

How can I work on getting more fiber in my diet?

Here are some tips for increasing your fiber intake:

At breakfast:

At lunch:

At dinner:

Snack time:

As a supplement:

Be sure to drink plenty of fluids when you increase your fiber intake. Otherwise your constipation may actually get worse! In addition, increase your fiber intake slowly to you won’t feel bloated or have diarrhea.

 

How can reading the food label help me? nutrition label highlighting fiber content

When reading the food label, check the amount of dietary fiber a food contains. Look for breads, crackers, soups, granola bars, cereals, pastas, and other grains that have at least 3 grams of fiber per serving. Aim for 20-35 total grams a day. To figure out whether a food is a whole grain, read the list of ingredients. The first ingredient should be a whole grain, such as whole wheat or oats. Some food labels advertise that a product is “high fiber,” which means that the food contains 5 or more grams of fiber per serving.

 

Are there any foods I should avoid if I’m constipated?

Certain foods such as, candy, cookies, ice cream and other sweets that are generally high in fat and sugar and low in fiber. They can actually make your constipation worse. Try to choose higher fiber foods if you have problems with constipation.

 

What if I don’t like high fiber foods?

If you are not a fan of high fiber foods such as fruits, veggies, and whole grains, your PCP may suggest that you drink a special powdered drink two or three times a day until you are no longer constipated. Drinking plenty of water and exercising each day may help too.

 

What about taking laxatives?

Taking enemas or laxatives (over the counter medicine) on a regular basis to have a BM is a common mistake that some people make. Ask your PCP before you decide to use these treatments, as they can cause cramping. Your body can get used to needing them to have a BM, so it's usually better to avoid them most of the time.

 

When should I call my health care provider?

You should call your health care provider if you have:

It's common to be constipated once in a while but if you have trouble or pain a lot of the time, or if you notice blood when you have a BM, you should make an appointment and talk to your PCP. Decreasing foods that cause constipation, increasing fiber, drinking more water, and exercising will help keep you regular.


Written by the CYWH Staff at Boston Children's Hospital

 

Updated: 8/9/2013

 

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