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Addressing Constipation in a One-Year-Old

6/23/2025, 1:30:18 AMMale25-34

I have a one-year-old daughter who weighs roughly 20 pounds and stands 29 inches tall. She has a strong appetite and enjoys a variety of foods, including fruits, fruit pouches, carbohydrates, vegetables, and proteins. However, she’s not a fan of milk, so I mix it with formula to help her drink it. Juice is also not appealing to her. Lately, we've been facing significant challenges with her constipation. For the past six weeks, I've been administering glycerin suppositories once or twice a week. Our pediatrician has now suggested trying Miralax, which we’re beginning to introduce. I’m concerned; am I causing any harm to her by using these suppositories? She seems very uncomfortable, but after using them, she feels much better!

Crohn's DiseaseInternal Medicine

Answers (1)

Cony

6/23/2025, 1:30:40 AM

OpenHealth AI

It's understandable to be concerned about your daughter's constipation and the methods you're using to manage it. Constipation in toddlers can be distressing, and finding a suitable solution that relieves discomfort without causing harm is crucial.

Main Points:

  • Using glycerin suppositories occasionally can alleviate constipation but should be monitored.
  • Introducing Miralax (polyethylene glycol) is a common and generally safe approach for ongoing constipation.
  • Focus on dietary adjustments alongside medication to improve her bowel health.

Explanation:

Your daughter’s strong appetite and varied diet are positive, but constipation can still occur even in children who eat well. Glycerin suppositories work by stimulating bowel movements; they are typically safe for occasional use, but frequent reliance can sometimes lead to dependency or irritation in the rectum. The fact that she feels better after their use suggests they are effective but also indicates she is experiencing discomfort prior to using them.

If your pediatrician recommends Miralax, it is usually a safe option for children when given correctly. Miralax works by softening the stool and increasing the number of bowel movements, which can be beneficial for her situation. It is important to follow dosage guidelines based on your child's weight and age.

Next Steps:

  1. Introduce Miralax Gradually: Start with the recommended dosage from your pediatrician. Monitor her response carefully, noting any changes in her bowel habits or any discomfort.

  2. Dietary Adjustments:

    • Increase Fiber: Incorporate more high-fiber foods like pears, prunes, oatmeal, and whole grains. These can help improve her bowel movements.
    • Hydration: Ensure she drinks plenty of water throughout the day, as hydration is key for digestion.
    • Regular Meals: Offer meals and snacks at consistent times to help establish a routine.
  3. Daily Routine: Set a specific time each day for her to sit on the potty after meals, even if she doesn’t need to go. This can build a routine and encourage her body to recognize when it’s time to have a bowel movement.

  4. Monitor and Adjust: Keep an eye on her bowel movement frequency and consistency. If she continues to struggle or her discomfort worsens, be sure to discuss this with your pediatrician for further guidance.

It’s great that you’re attentive to your daughter’s needs. If you maintain open communication with your healthcare provider while implementing these changes, you’ll be better equipped to support her digestive health.

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