Constipation

Written by Administrator

Constipation is a common problem in children with Down syndrome. It is related partly to the low tone of the abdominal muscles, which does not allow sufficient pressure to develop inside the abdominal when the child tries to pass a motion.

It is important to make certain that when your child sits on the toilet seat, her feet are in contact with the floor. If the child’s legs are too short to reach the floor, a low step or seat should be placed under each foot to give her something to push against. Take toilet training slowly, with little fuss, and do not keep the child for longer than 10 to 15 minutes on the potty or toilet, as this encourages negativity.

If constipation does occur, you doctor should be consulted. Treatment with laxatives may be needed for a period. The role of fibre in the diet is also important. Replace refined grains and grain products, such as white flour, white rice, and white pasta with whole-grain equivalents, and encourage your child to eat more fruit and vegetables.

Rarely, a mild form of Hirschsprung disease may not give rise to any problems until after infancy, when it causes constipation. This is why all constipation should have an examination which includes the doctor inserting a finger into the anus to check for this condition. In all constipated children with Down syndrome, thyroid hormone deficiency should also be excluded.
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