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All of these are rare, but your doctor will check your child for them. Disease вЂ“В in a very small number of children, diseases such as the absence of normal nerve endings in parts of the bowel, defects of the spinal cord, thyroid deficiency and certain other metabolic disorders can cause constipation.Children who drink large amounts of cow's milk each day may also become constipated. Diet вЂ“В a diet high in processed foods and low in fresh fruit and vegetables may lead to constipation.Change in toilet environment вЂ“В such as new or undesirable school toilets, or being told to hold on when they feel the urge to go (typically at school).Holding on further hardens the poo, and makes the next bowel movement even more painful. Holding-on behaviour вЂ“В a child may begin to вЂhold onвЂ™ after a painful or frightening experience, such as doing a hard poo when they have anal fissures.Toilet time should be set aside three times a day, every day, to allow for regular, undisturbed visits to the toilet. Many young children are too busy playing and put off going to the toilet. Bowel habits вЂ“В such as ignoring the urge to have a poo.Natural tendency вЂ“В some children have slow gut movement, which causes constipation.In most cases of constipation in children, no serious cause is found. Medically, soiling is called вЂencopresisвЂ™ or вЂfaecal incontinenceвЂ™. The poo can then pass into your child's pants, without them feeling it. Your child may not get the urge to go to the toilet because the rectum always feels stretched.

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This happens if your child's rectum (bottom) is full of poo for a long time and it becomes stretched. Long-term constipation can cause your child to soil themselves (do a poo or large smears in their pants). If your child is constipated, they might look more bloated than usual, and you may even be able to feel hard lumps of poo if you press gently on their tummy.

holding-on behaviour, such as squatting, crossing legs or refusing to sit on the toilet.

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anal fissures (small splits of the skin around the anus) that cause pain and bleeding when doing a poo вЂ“ they can be caused by straining to pass a large, hard poo.your child to feel less hungry than usual.stomach cramps (the pain tends to come and go).It can also become a problem after a child has had a painful or frightening bowel movement.

Bottle-fed babies and older children will usually have a poo at least every one to three days.Д¬onstipation is a common problem in children, particularly around the time of toilet training or starting solids.

Breastfed babies may have a poo following each feed, or only one poo each week.

There is a lot of difference in the firmness and frequency of normal bowel movements in children. This fact sheet is available in the following languages: Arabic,Д¬onstipation is when a child has a hard poo (faeces or bowel movement) and/or does not go to the toilet regularly.

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