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Troubles with Toileting

Constipation describes from the slow movement of poo through the bowel, which is affected by body movement, food, fibre and fluid intake, breath, stress & anxiety, repeated illness and the quality of the gut microbiota. Laxatives can help clear the bowel of slow moving pooh, and in the longer term, dietary treatment is often needed to help young children avoid getting stuck on laxatives. A collection of symptoms rather than a condition, constipation is especially common in the toddler years during toilet training. If un-tackled, it can become a tricky problem to solve, and can take years to treat effectively. Constipation can affect children of any age, and for teens is a symptom of irritable bowel syndrome. Fear of toileting; painful evacuation, holding in pooh and abdominal pain are all features, with diarrhoea showing up also as sneaky-pooh, otherwise known as overflow.

Managing Diarrhoea and loose pooh

Ongoing loose pooh really gets in the way of daily life, and is difficult to manage at any age. Carine considers the causes of loose stools in young children and teens with a careful history and dietary adjustment. Too much fructose or other sugars, food sensitivity or an increased transit time are common issues that are typically within a normal spectrum.

A close look at the nature of symptoms, what, when and how food is eaten can all help to provide pointers to manage symptoms. If loose stools are associated with growth faltering, poor appetite, persistent abdominal pain or IBS, a medical review may be suggested.

Treating Constipation

Nurturing Healthy Habits

Carine offers a combination of toileting, food, fibre and fluid advice alongside selected probiotics and body awareness which help form and maintain new habits. Children generally respond well to praise and progress, and so positive feedback, effective praise and encouragement are necessary and valuable in managing constipation. Typically, I would address a range of constipation matters over several appointments, over the course of 1 year.

Food, fibre and fluid intake

Assessing current intake, and meeting families and individual children where they are, working towards meeting needs for age group, using step by step targets.

Toileting throughout childhood

From potty training, early-school age and in the teenage years, getting more comfortable with toileting, timing and positioning, when and where is there holding, patterns of experience.

Attention to diet diversity and the gut microbiota

Plant foods, wholegrains, fermented and prebiotic foods and probiotic supplements all have a role to play in supporting good elimination.

Body awareness

Responding to awareness of body signals, using breathwork, becoming aware of patterns of holding, tension, understanding the patterns of the bowel.

Holistic treatment approaches
for Irritable Bowel Syndrome

IBS is a collection of symptoms rather than a condition, and there is no diagnostic test available. A diagnosis is made if there is ongoing abdominal pain, alongside pain associated with toileting plus either constipation of loose stools, usually for at least 3 months. The FODMAP diet has been used as a successful dietary treatment for adults, but is not evidenced for children or teenagers. The diet is too restrictive, and may cause nutritional deficiencies for growing children. Other mindful treatments, equally as successful as dietary treatment include breath work, yoga and talking therapy.

Carine’s approach to treating IBS in young people is a holistic one approach food, lifestyle and behaviour-change. Learning how to self-regulate and manage symptoms with awareness and diet. Dietary treatment may include single exclusions or modifications, and seeks to improve the quality of the diet, build diet diversity and support the gut microbiota. A 12-week yoga programme, with breath work offers an evidence-based alternative to dietary treatment; I aim to offer integration of the two.

Get in Touch with
Paediatric Nutrition

For any general enquiries, please fill in the form with the necessary information. Any information about booking treatments or assessments can be found below.

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Online Workshops for
Happier, Healthier Mealtimes!

Carine offers accessible online workshops on a variety of topics, designed to provide a space alongside others to listen, learn, share, practice and develop tools and strategies for nutritional health.

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