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Pediatric Constipation Dietary Management

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Pediatric Constipation Dietary Management

  • Indications
  1. Constipation in Children over age 1 year
  • Precautions
  1. Dietary recommendations in Pediatric Constipation have changed over time
    1. Current guidelines focus on increasing fiber and fluids (after disimpaction protocol)
  2. Prior recommendations limited diet, but without evidence
    1. Milk products were eliminated and replaced wth non-milk products
    2. Foods labeled as "constipating" were eliminated (e.g. apples, bananas, jello, carrots, rice)
  • Management
  • General Measures
  1. Increase Dietary Fiber as below
  2. Avoid Caffeine
  3. Encourage increased water and fluids
  4. Encourage salads
  1. See Dietary Fiber
  2. Increase amount of bran in daily diet
    1. Unmilled bran or bran flakes
    2. Bran muffins
    3. Shredded wheat
    4. Graham crackers
    5. Oatmeal
    6. High fiber cookies
    7. Brown rice
    8. Whole wheat bread
    9. Cheerios
    10. Ralston or Wheetena
    11. Granola
  3. Add Bran flour to jelly, cereal, hamburger or casserole
    1. Child under age 6 years old: 2 heaping teaspoons
    2. Child over age 6 years old: 3 heaping teaspoons
  4. Encourage raw unpeeled fruits and vegetables tid
    1. Prunes, Figs, Dates, Raisins
    2. Peaches, Pears, Apricots
    3. Beans, Peas
    4. Celery
    5. Cauliflower, Broccoli, Cabbage