baby sitting in the bathroom in front of a toilet

Understanding your child’s bowel movements

Bowel movements are a normal part of life, but they can vary significantly from one child to another. From the frequency and consistency of stools to their colour and odour, there are many factors to consider when determining what is typical and what might be a cause for concern. By familiarising yourself with the basics, you can better support your child’s health and address any potential concerns promptly.

What’s Considered Normal?

The frequency and consistency of bowel movements can vary greatly from child to child. For infants, especially those who are breastfed, it’s normal to have several soft, mustard-coloured stools a day. Formula-fed babies may have fewer bowel movements, which can be firmer and more odorous. As children grow and begin eating solid foods, the frequency of their bowel movements may decrease, and the stools will become more formed and varied in colour, depending on their diet.

For toddlers and older children, having one to three bowel movements a day is generally considered normal. However, some children may only go every other day. The key is to look for consistency in your child’s habits. Sudden changes in frequency, consistency, or the appearance of their stools can sometimes indicate an issue.

Common Variations and What They Mean

Colour: The colour of your child’s stool can vary depending on their diet. For example, eating a lot of carrots can give stools an orange hue, while leafy greens might make them green. However, there are some colours that may warrant further attention:

  • Red or Black Stools: This could indicate the presence of blood, which may be due to anything from a minor anal fissure to a more serious gastrointestinal issue.
  • White or Pale Stools: This could suggest a problem with the liver or bile ducts.

Consistency: The consistency of stools can also vary. Normal stools should be soft and easy to pass. However, if your child’s stools are consistently hard and dry, they may be experiencing constipation. On the other hand, frequent loose or watery stools can indicate diarrhoea, which may be caused by an infection or a dietary issue.

Odour: While it’s normal for stools to have an odour, particularly as children start eating solid foods, a sudden change to a particularly foul smell could indicate an infection or digestive issue.

Recognising and Managing Constipation

Constipation is a common issue in children and can often be managed with dietary changes and increased fluid intake. Signs of constipation include infrequent bowel movements, hard, dry stools, and discomfort during bowel movements. Encouraging your child to drink plenty of water and eat a diet rich in fibre, including fruits, vegetables, and whole grains, can help alleviate constipation. In some cases, a healthcare provider may recommend a mild laxative or stool softener.

When to See a Doctor

While variations in bowel movements are often normal, there are certain signs that warrant a visit to the doctor. These include:

  • Persistent changes in bowel habits
  • Blood in the stool
  • Unexplained weight loss
  • Severe abdominal pain
  • Prolonged diarrhoea or constipation

It’s important to remember that you know your child best. If something seems off, it’s always better to err on the side of caution and consult with a healthcare professional.

Encouraging Healthy Bowel Habits

To help maintain healthy bowel habits, encourage your child to eat a balanced diet, stay hydrated, and get plenty of physical activity. Establishing regular meal times and encouraging your child to go to the toilet when they feel the urge can also promote regular bowel movements.

By knowing what to look for and when to seek help, you can ensure your child remains healthy and comfortable. Remember, every child is different, and variations in bowel habits are normal. The key is to stay informed and attentive to any changes.

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