Case study ( 1891 views as of November 21, 2017 )
Marcus, an active 8-year-old, has complained to his mother about tummy aches and pain when he tries to "go number 2". He shares that he can't go very often, but when he does it is lumpy and hurts. His mom takes him to their family doctor, who identifies the issue as acute constipation. Marcus' mom mentions Marcus is a bit of a picky eater - she has a difficult time getting him to drink fluids, especially after soccer practices and games, he prefers his sandwiches on white bread, and doesn't like to eat his vegetables.
The doctor recommends Marcus and his mom talk to a Registered Dietitian to see how Marcus can get more fiber into his diet and come up with some ways to stay hydrated throughout the day. Additionally, discussing the use of mild laxatives with both the dietitian and doctor may be appropriate. If Marcus's constipation doesn't resolve his mother should consider seeing a pediatric gastroenterologist or pediatrician to talk about long term management of his constipation.Author: Ms. Sarah Ware