Laxatives For Children: Safe?

Constipation is a common issue for children, and while it's not usually a cause for concern, it can be distressing for both parents and children. Laxatives can be a safe and effective solution to help children go to the bathroom more easily. However, it's important to note that they should not always be the first solution and should only be used under the guidance of a healthcare professional.

There are several types of laxatives available for children, including oral and rectal options. Oral laxatives can come in the form of pills, powders, liquids, or chewable tablets, while rectal laxatives are administered as suppositories or enemas. The choice of laxative depends on factors such as the child's age, the severity of constipation, and their tolerance to different ingredients.

Some common types of laxatives include stool softeners, which add moisture to the stool; osmotic laxatives, which increase water in the intestines; lubricant laxatives, which coat the stool; and stimulant laxatives, which stimulate the rectal muscles. It's important to follow dosage instructions carefully and not to give more than one type of laxative at a time.

While laxatives can be beneficial, it's crucial to address the underlying causes of constipation. Increasing fibre and fluid intake, improving toilet posture, and making dietary changes can help prevent constipation in children.

Polyethylene glycol (Miralax) is a safe and effective laxative for children

Polyethylene glycol, commonly known by the brand name Miralax, is a safe and effective laxative for children. It is a polymer-based, over-the-counter medication used to treat occasional constipation and irregular bowel movements. It comes in powder form and is typically mixed with a beverage such as water, juice, or tea. The recommended dose for adults and children over 17 years old is 17 grams mixed with 4 to 8 ounces of liquid, taken once a day for up to a week. It is important to note that Miralax should not be used for more than one week without consulting a healthcare provider.

Miralax is an osmotic laxative, which means it works by drawing more fluid into the colon, softening the stool, and making it easier to pass. This type of laxative is generally preferred by healthcare professionals because it causes less cramping, bloating, and gas compared to other types of laxatives. It can be safely used in children as young as one year old, although it is recommended to consult a healthcare professional before administering any laxative to children.

Miralax has been shown to be effective in treating functional constipation in children and is used for both short-term and, in some cases, long-term relief. It has been found to have lower rates of side effects compared to other laxatives, although it may cause mild side effects such as nausea, bloating, and passing gas. However, it is important to monitor for any signs of allergic reactions, such as skin rash, itching, hives, or swelling of the face, and discontinue use if these occur.

While Miralax is generally safe, it is important to be aware of potential interactions and contraindications. It should not be used in children with a history of bowel obstruction or intestinal blockage, or those who are allergic to polyethylene glycol. Additionally, those with a history of irritable bowel syndrome or kidney problems should consult their healthcare provider before taking Miralax.

Laxatives are available in oral and rectal forms

There are four main types of laxatives for kids:

• Stool softeners: These add moisture to the stool, making it softer and easier to pass.
• Osmotic laxatives: Osmotic laxatives increase the water content in the intestines, aiding the passage of hard stools.
• Lubricant laxatives: Lubricant laxatives coat the stool, making it slippery and easier to pass.
• Stimulant laxatives: These stimulate the rectal muscles to help push the stool out.

The choice of laxative depends on the child's needs and should be recommended by a healthcare professional. It is important to follow the dosage instructions closely and not give more than one type of laxative at a time.

Stool softeners, osmotic laxatives, lubricant laxatives, and stimulant laxatives are the four main types of laxatives

Stool Softeners

Stool softeners are a type of laxative that works to gently lubricate the stool by adding a compound to it that absorbs water. They are also called emollient laxatives. Stool softeners are usually taken at bedtime and can be in capsule, tablet, liquid, or syrup form.

Osmotic Laxatives

Osmotic laxatives draw water into the intestines from the surrounding tissues. They help soften the stool and make it easier to pass. Osmotic laxatives may not be the best option for people experiencing constipation from dehydration. Anyone using osmotic laxatives should also drink more water throughout the day.

Lubricant Laxatives

Lubricant laxatives are oily laxatives that coat the intestines to help move stool through quicker. They may also promote salt and water secretion by the colon. Lubricant laxatives can be helpful in cases of serious fecal impaction but should be avoided in infants and children with uncoordinated swallow.

Stimulant Laxatives

Stimulant laxatives are fast-acting laxatives that stimulate the intestines into having a bowel movement. They are a good option for fast relief from painful constipation. However, they are not safe for regular use, as using them regularly may cause the body to become dependent on the laxative to have a bowel movement.

There are several natural remedies for constipation, including dietary and lifestyle changes

Constipation is a common issue for children, and it can be worrying for parents. While laxatives can be used to treat constipation, it's important to first try making dietary and lifestyle changes. Here are some natural remedies to relieve constipation in children:

Dietary Changes

• Increase fluid intake: Drinking water can soften stools, making them easier to pass. Children should drink at least 32 ounces of water per day. For babies under 6 months old, offer 2-3 ounces of water at a time, in addition to their regular feedings of breast milk or formula.
• Drink fruit juice: Fruit juices such as apple, prune, or pear juice contain sorbitol, which can act as a natural laxative. Offer 2-4 ounces of juice per day for babies over 6 months old.
• Increase fiber intake: Add more high-fiber foods to your child's diet, such as beans, whole grains, fruits, and vegetables. Reduce the amount of rice cereal, as it is low in fiber and can trigger constipation.
• Avoid rice cakes, white bread, and crackers: These foods are typically low in fiber and can contribute to constipation.
• Try prune paste: Prune paste is a natural laxative and can be easily mixed into oatmeal, spread on toast, or added to baked goods.
• Include high-fiber foods: Such as raspberries, blackberries, pears, apples, oranges, nuts, seeds (poppy, sesame, chia, flax), legumes (kidney beans, black beans, pinto beans, lentils, peas, chickpeas), and vegetables (butternut squash, broccoli, artichoke hearts, sugar snap peas, sweet potatoes, carrots, pumpkin).
• Reduce dairy intake: Dairy products can be hard to digest and slow down elimination, so moderating dairy intake and eliminating cow's milk may help relieve constipation.

Lifestyle Changes

• Encourage physical activity: A sedentary lifestyle can contribute to constipation. Regular physical activity stimulates intestinal contractions and bowel movements. Aim for at least 60 minutes of movement per day.
• Develop a bathroom routine: Teach your child not to ignore the urge to have a bowel movement. Encourage them to develop a pattern of using the bathroom after meals by having them sit on the toilet for about 10 minutes after eating.
• Regular bathroom breaks: Encourage your child to take regular bathroom breaks, especially when at home, to create a healthy routine and ensure they don't miss playtime.
• Tummy massage: Gently rub your child's belly in a clockwise circular motion to stimulate the bowels. You can also use a small amount of oil, such as extra virgin olive oil or castor oil, during the massage.
• Bicycle kicks: Have your child lie on their back and pretend to ride a bike with their legs. This movement helps stimulate the bowels.

Laxatives can have side effects and should be used with caution or avoided in some cases

Laxatives are generally considered safe for children and can be used to treat constipation when lifestyle changes, like adding more water and fibre to the diet, are not enough. However, laxatives should be used with caution as they can have side effects, and they may not be suitable for all children.

There are several different types of laxatives available for children, and each has its own set of advantages and disadvantages. For example, osmotic laxatives such as polyethylene glycol (found in products like MiraLax) draw water into the stool to help it move through the colon more quickly. While this type of laxative is generally well-tolerated, it can cause diarrhoea if not taken with enough water. Similarly, stimulant laxatives like Dulcolax can cause uncomfortable side effects such as gas and bloating.

Rectal therapies, including suppositories and enemas, are another option for treating constipation in children. These treatments are typically well-tolerated and produce results within minutes. However, they are not meant for regular or long-term use and may cause rectal discomfort.

Laxatives are not suitable for all children and should be used with caution in certain cases. For example, lubricant laxatives like mineral oil should be avoided for infants and children with swallowing difficulties. Chronic use of stimulant laxatives should also be avoided, as they can cause dehydration, flatulence, and cramping.

It may not be safe to give your child a laxative if they have a history of electrolyte imbalances or other medical conditions. Therefore, it is essential to consult your healthcare provider before giving your child any type of laxative to ensure it is safe and appropriate for their needs.

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