The Children’s Mercy BRICK ( Bowel Retraining in Constipated Kids) Clinic was created to provide comprehensive treatment for children with severe, chronic constipation.īRICK Clinic takes a combined approach to care that addresses the physical, mental, emotional and social aspects of functional constipation.Īs part of the Division of Gastroenterology at Children’s Mercy, the BRICK Clinic treats patients who are: Tried home treatment? Worked with your family doc? Still stuck? Your patience and consistency will work in the end! Hang in there! Disruptive behavior will often get worse before it gets better, especially if you are changing the way you react (like waiting quietly while they have a tantrum instead of engaging).Wait quietly during tantrums to avoid reinforcing the behavior. Remove distractions, like toys or TV, until they are done with their sit. Wait for them to stop, then tell them it’s time to sit again. It’s normal for kids to actively (and sometimes loudly!) resist sitting. Kids get so engrossed they can forget what they are there to do! Blowing bubbles or blowing up a balloon can also help kids relax and even engages the muscles needed to poop. They don’t have to have a BM to earn the reward they just have to sit! Help your child choose a prize for finishing a sit. Get excited and praise them for completing a sit. Your attitude sets the tone for your child’s sit. Instead, tell them it’s time to sit on the toilet, or offer a small option in timing (“Would you like to sit on the toilet now or in 1 minute?”). If you ask your child if they need to use the restroom, they will probably say “no,” right? Constipation makes it hard for them to know. That’s OK! Start with brief sits and increase the length over time. At first, your child might only be able to manage 10 seconds at a time. Your ultimate goal? Building up to 3 to 7 minutes of sitting on the toilet, 30 minutes after each meal. Consistency will help your child adjust to the new routine, and help their body get on a schedule. Here’s how to develop an Unstuck Routine: Establishing a “sitting” routine will help get your child’s GI system back in shape-and help potty breaks become no big deal. Kids who have avoided pooping because of painful constipation need encouragement to get back in a regular toilet rhythm.
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