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constipation in kids

Parenthood has a way of making table talk out of otherwise taboo subjects. Case in point: You will likely keep a subconscious log of your child's bowel movements for several years—and for good reason. Although constipation is relatively common with up to 30% of children experiencing it, parents who understand the triggers and best treatment methods can help reduce discomfort and avoid recurrences.

When trying to find relief for constipation, the very first step should be determining the cause, says Dr. Latha Vrittamani, MD, a pediatrician with Stanford Children's Health. The challenge here is that there are multiple possibilities, including both physical and psychological triggers.

That said, the majority of pediatric constipation cases Dr. Vrittamani sees at her Bayside Medical Group practice are associated with three transitions: when an infant is starting solids, when a toddler is toilet training and when a child is starting school.

Unfortunately, as diets become more processed and lives become busier, research shows rates of constipation are increasing among the general population—and the issue can compound when a child begins to associate pain with going to the bathroom.

"When there is constipation, try to tackle it early because chronic constipation comes from not intervening at the right time," says Dr. Vrittamani.

Here is what parents should know about pediatric constipation so there can be peace at potty time once again:

Identifying constipation

For the most part, constipation is easy to identify: A child is uncomfortable while unable to pass a stool, experiences minutes of straining and pain while attempting a bowel movement, or goes three or fewer times per week with hard, dry stool. Other side effects may include a distended belly or, in more serious cases, vomiting, fever or bloody stool—which Dr. Vrittamani says are good cues to call a doctor.

Although some children are more prone to constipation due to genetic causes, dietary or psychological factors can be the difference between relatively easy bowel movements or chronic struggles. A smaller number of constipation cases may be related to other causes, such as spinal abnormalities, Irritable Bowel Syndrome (IBS) or other conditions diagnosable by a physician.

But there are some misconceptions about constipation that can throw off parents. It's common for breastfed newborns, for example, to go days between stools and they may even appear to strain in order to have a bowel movement because of immature abdominal toning. The difference in these cases is that the babies don't experience the more tell-tale signs of constipation, such as belly distention, irritability or hard stools. (It is best to trust your own gut if you're concerned or call your family pediatrician!)

Dietary causes + cures for constipation

More typically, constipation challenges coincide with the introduction of solid foods—especially as highly starchy, processed or dairy-rich foods enter the baby's diet. Some culprits may even be surprising, such as apples, sweet potatoes and bananas. Rather than banish these foods from the home altogether, Dr. Vrittamani suggests "mixing and matching" at mealtime with foods that can help keep the digestive system moving along.

A few good examples she points to include…

  • "P- fruits," such as prunes, plums, pears, peaches, papaya and pineapple
  • Avocado
  • Berries
  • Lentils
  • Flaxseed for babies over 8 months
  • Brussels sprouts or broccoli
  • Prune juice

If diversifying your child's diet isn't working or you're eager for a short-term solution, Dr. Vrittamani also suggests offering small amounts of a concentrated apple juice. Even in a small dose, the pectin naturally found in apple juice can help stimulate the digestive system—and the encouragement to drink extra fluid can help, too. In fact, limited fluid intake is a commonly overlooked cause that may contribute to constipation. But, thankfully, it is just as easily fixed by encouraging water consumption throughout the day. (A good reminder for us all!)

A few more remedies include…

  • Moving baby's legs in a bicycle motion or encouraging older kids to play.
  • Taking a baby's temperature rectally, which can loosen stools.
  • Giving your baby a warm bath.
  • For older children, drinking warm lemon water.
  • Offering a probiotic supplement or food, such as yogurt.

If the constipation persists, a physician such as those at Stanford Children's Health would be able to offer advice on the proper course of treatment. Dr. Vrittamani says this should always be done before drastic, potentially dangerous steps are taken.

Specifically, she would advise against…

  • Stimulating laxatives
  • Milk of magnesia
  • Changing a baby's formula preparation to include more water
  • Switching to a low-iron formula
  • Mineral oil for children under age 2

Common psychological triggers

Although dietary changes may benefit anyone struggling with constipation, the cause isn't always dietary in nature: Especially in situations like toilet training or going to school for the first time, a child may end up "holding it in" out of fear or anxiety. This can be avoided or minimized by reading a child's cues about how he or she is feeling before sending the child into uncomfortable new territory.

Looking at potty training, parents should look for readiness signs, such as vocalizations about wet diapers and an interest in using the potty that is encouraged with books and videos on the subject. "What is important is for us to realize that when parents do start toilet training they want to do it in a way that is non-threatening so the child is involved in it," says Dr. Vrittamani, adding parents should use "encouragement rather than punishment" and employ non-food rewards.

Like the rest of us, children are also beings of habit, so it can help to create a routine out of potty time. Dr. Vrittamani suggests encouraging a child to sit on a toilet after breakfast each day for no more than 10 minutes, but without distractions from books or videos.

For school-aged children, the same kinds of stress may contribute to constipation, which can be compounded by anxiety about cleaning themselves or having to tell a teacher when they need to go. "All of this becomes a self-esteem issue eventually," says Dr. Vrittamani, explaining parents should work with children before school on having bathroom confidence and independence.

Just as constipation triggers can vary from child to child, the right solution may require a bit of time and experimentation to pin down. But with these best practices in mind for a solid starting point, you can minimize the struggle—and hopefully prevent constipation from making a return to your home anytime soon.

This article was sponsored by Stanford Children's Health. Thank you for supporting the brands that support Motherly and mamas.

These challenges from Nike PLAYlist are exactly what my child needs to stay active

Plus a fall family bucket list to keep everyone moving all season long.

While it's hard to name anything that the pandemic hasn't affected, one thing that is constantly on my mind is how to keep my family active despite spending more time indoors. Normally, this time of year would be spent at dance and gymnastics lessons, meeting up with friends for games and field trips, and long afternoon playdates where we can all let off a little steam. Instead, we find ourselves inside more often than ever before—and facing down a long winter of a lot more of the same.

I started to search for an outlet that would get my girls moving safely while we social distance, but at first I didn't find a lot of solutions. Online videos either weren't terribly engaging for my active kids, or the messaging wasn't as positive around the power of movement as I would like. Then I found the Nike PLAYlist.

I always knew that Nike could get me moving, but I was so impressed to discover this simple resource for parents. PLAYlist is an episodic sports show on YouTube that's made for kids and designed to teach them the power of expressing themselves through movement. The enthusiastic kid hosts immediately captured my daughter's attention, and I love how the physical activity is organically incorporated in fun activities without ever being specifically called out as anything other than play. For example, this segment where the kids turn yoga into a game of Paper Scissors Rock? Totally genius. The challenges from #TheReplays even get my husband and me moving more when our daughter turns it into a friendly family competition. (Plus, I love the play-inspired sportswear made just for kids!)

My daughter loves the simple Shake Ups at the beginning of the episode and is usually hopping off the couch to jump, dance and play within seconds. One of her favorites is this Sock Flinger Shake Up activity from the Nike PLAYlist that's easy for me to get in on too. Even after we've put away the tablet, the show inspires her to create her own challenges throughout the day.

The best part? The episodes are all under 5 minutes, so they're easy to sprinkle throughout the day whenever we need to work out some wiggles (without adding a lot of screen time to our schedule).

Whether you're looking for simple alternatives to P.E. and sports or simply need fun ways to help your child burn off energy after a day of socially distanced school, Nike's PLAYlist is a fun, kid-friendly way to get everyone moving.

Need more movement inspiration for fall? Here are 5 ways my family is getting up and getting active this season:

1. Go apple picking.

Truly, it doesn't really feel like fall until we've picked our first apple. (Or had our first bite of apple cider donut!) Need to burn off that extra cinnamon-sugar energy? Declare a quick relay race up the orchard aisle—winner gets first to pick of apples at home.

To wear: These Printed Training Tights are perfect for when even a casual walk turns into a race (and they help my daughter scurry up a branch for the big apples).

2. Visit a pumpkin patch.

We love to pick up a few locally grown pumpkins to decorate or cook with each year. Challenge your child to a "strongman" contest and see who can lift the heaviest pumpkin while you're there.

To wear: Suit up your little one in comfort with this Baby Full Zip Coverall so you're ready for whatever adventures the day brings.

3. Have a nature scavenger hunt.

Scavenger hunts are one of my favorite ways to keep my daughter preoccupied all year long. We love to get outside and search for acorns, leaves and pinecones as part of our homeschool, but it's also just a great way to get her exercising those gross motor skills whenever the wiggles start to build up.

To wear: It's not truly fall until you break out a hoodie. This cozy Therma Elite Kids Hoodie features a mesh overlay to release heat while your child plays.

4. Have a touch-football game.

Tip for parents with very little kids: It doesn't have to last as long as a real football game. 😂 In fact, staging our own mini-games is one of our favorite ways to get everyone up and moving in between quarters during Sunday football, and I promise we all sleep better that night.

To wear: From impromptu games of tag to running through our favorite trails, these kids' Nike Air Zoom Speed running shoes are made to cover ground all season long.

5. Create an indoor obstacle course.

Pretending the floor is lava was just the beginning. See how elaborate your personal course can get, from jumping on the couch to rolling under the coffee table to hopping down the hallway on one foot.

To wear: These ready-for-any-activity Dri-FIT Tempo Shorts are perfect for crawling, hopping and racing—and cuddling up when it's time to rest.

This article was sponsored by Nike. Thank you for supporting the brands that supporting Motherly and mamas.

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14 Toys that will keep your kids entertained inside *and* outside

They transition seamlessly for indoor play.

With Labor day weekend in the rearview and back-to-school in full swing, most parents are fresh out of boxes to check on their "Fun Concierge" hit list. It's also the point of diminishing returns on investing in summer-only toys. So with that in mind, we've rounded up some of our favorite toys that are not only built to last but will easily make the transition from outdoor to indoor play. Even better, they're Montessori-friendly and largely open-ended so your kids can get a ton of use out of them.

From sunny backyard afternoons to rainy mornings stuck inside, these toys are sure to keep little ones engaged and entertained.

Meadow ring toss game

Plan Toys meadow ring toss game

Besides offering a fantastic opportunity to hone focus, coordination, determination and taking turns, lawn games are just plain fun. Set them up close together for the littles and spread them out when Mom and Dad get in on the action. With their low profile and rope rings, they're great for indoors as well.

$30

Balance board

Plan Toys balance board

Balance boards are a fabulous way to get the wiggles out. This one comes with a rope attachment, making it suitable for even the youngest wigglers. From practicing their balance and building core strength to working on skills that translate to skateboarding and snowboarding, it's a year-round physical activity that's easy to bring inside and use between Zoom classes, too!

$75

Detective set

Plan Toys detective setDetective Set

This set has everything your little detective needs to solve whatever mystery they might encounter: an eye glasses, walkie-talkie, camera, a red lens, a periscope and a bag. Neighborhood watch? Watch out.

$40

Wooden doll stroller

Janod wooden doll strollerWooden Doll Stroller

Take their charges on a stroll around the block with this classic doll stroller. With the same versatility they're used to in their own ride, this heirloom quality carriage allows their doll or stuffy to face them or face the world.

$120

Sand play set

Plan Toys sand set

Whether you're hitting the beach or the backyard sandbox, this adorable wooden sand set is ready for action. Each scoop has an embossed pattern that's perfect for sand stamping. They're also totally suitable for water play in the wild or the bathtub.

$30

Water play set

Plan Toys water play set

Filled with sand or water, this tabletop sized activity set keeps little ones busy, quiet and happy. (A mama's ideal trifecta 😉). It's big enough to satisfy their play needs but not so big it's going to flood your floors if you bring the fun inside on a rainy day.

$100

Mini golf set

Plan Toys mini golf set

Fore! This mini golf set is lawn and living room ready. Set up a backyard competition or incorporate into homeschooling brain breaks that shift focus and build concentration.

$40

Vintage scooter balance bike

Janod retro scooter balance bike

Pedals are so 2010. Balance bikes are the way to go for learning to ride a bike while skipping the training wheels stage altogether. This impossibly cool retro scooter-style is built to cruise the neighborhood or open indoor space as they're learning.

$121

Wooden rocking pegasus

plan toys wooden rocking pegasus

Your little will be ready to take flight on this fun pegasus. It gently rocks back and forth, but doesn't skimp on safety—its winged saddle, footrests and backrest ensure kids won't fall off whether they're rocking inside or outside.

$100

Croquet set

Plan Toys croquet set

The cutest croquet set we've ever seen! With adorable animal face wooden balls and a canvas bag for easy clean up, it's also crafted to stick around awhile. Round after round, it's great for teaching kiddos math and problem-solving skills as well.

$45

Wooden digital camera

fathers factory wooden digital camera

Kids get the chance to assemble the camera on their own then can adventure anywhere to capture the best moments. With two detachable magnetic lenses, four built-in filters and video recorder, your little photographer can tap into their creativity from summertime to the holidays.

$179

Wooden bulldozer toy

plan toys wooden bulldozer toy

Whether they're digging up sand in the backyad or picking up toys inside, kids can get as creative as they want picking up and moving things around. Even better? Its wooden structure means it's not an eye sore to look at wherever your digger drops it.

$100

Pull-along hippo

janod toys pull along hippo toy

There's just something so fun about a classic pull-along toy and we love that they seamlessly transition between indoor and outdoor play. Crafted from solid cherry and beechwood, it's tough enough to endure outdoor spaces your toddler takes it on.

$33

Baby forest fox ride-on

janod toys baby fox ride on

Toddlers will love zooming around on this fox ride-on, and it's a great transition toy into traditional balance bikes. If you take it for a driveway adventure, simply use a damp cloth to wipe down the wheels before bringing back inside.

$88

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Chrissy Teigen/Instagram

When Chrissy Teigen announced her third pregnancy earlier this year we were so happy for her and now our hearts are with her as she is going through a pain that is unimaginable for many, but one that so many other mothers know.

Halfway through a high-risk pregnancy complicated by placenta issues, Teigen announced late Wednesday that she has suffered a pregnancy loss.

Our deepest condolences go out to Chrissy and her husband, John Legend (who has been by her side in the hospital for several days now).

In a social media post, Teigen explained she named this baby Jack.

FEATURED VIDEO

"We are shocked and in the kind of deep pain you only hear about, the kind of pain we've never felt before. We were never able to stop the bleeding and give our baby the fluids he needed, despite bags and bags of blood transfusions. It just wasn't enough," she wrote.

She continued: "We never decide on our babies' names until the last possible moment after they're born, just before we leave the hospital. But we, for some reason, had started to call this little guy in my belly Jack. So he will always be Jack to us. Jack worked so hard to be a part of our little family, and he will be, forever."

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