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Fiber intake should be slowly increased over several weeks to decrease adverse effects. The next step in the treatment of constipation is the use of an osmotic laxative, such as polyethylene glycol, followed by a stool softener, such as docusate sodium, and then stimulant laxatives.
Initial management of chronic constipation should include lifestyle maneuvers, and increased fiber and fluids. Polyethylene glycol, sodium picosulfate, bisacodyl, prucalopride, lubiprostone, and linaclotide were all more effective than placebo for treating chronic idiopathic constipation.
While the strategies for gut health may look different from kid to kid, as a Registered Dietitian I always like to recommend a food first approach to supporting a kids gut health. An easy way to remember which fruits help with constipation relief is to remember the 4 Ps - prunes, pears, peaches, and plums.
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