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Signs of Constipation in Autism
Because many children with autism struggle with communication and interoception (the ability to feel and understand what's going on in our bodies), your child may not be able to verbally communicate to you that they are having trouble pooping or that their abdomen hurts. Consequently, parents often have to rely on behaviors and external clues to know if their child is suffering from constipation.
Below, you will find a list of common signs and symptoms that may indicate your child is constipated.
Troubled Sleep
A constipated child often wakes in the middle of the night because of discomfort and has difficulty getting back to sleep.
Aggression and Self-Injurious Behavior
Constipation is extremely painful. And, if your child can't tell you that they're in pain, their only option is to use their behavior as a form of communication. This misery is often expressed through self-injurious and aggressive behaviors. Tragically, many of our kids have been suffering from this pain for a very long time; therefore, they don't know what it's like to live without extreme gastrointestinal pain.
Loose Bowel Movements
Interestingly, loose stool can be a red flag for constipation. If large masses of stool harden and collect in the colon or rectum, they can form a blockage. When this occurs, soft or liquid stool squeezes around that blockage, resulting in frequent or involuntary loose bowel movements, which can be mistaken for diarrhea.
The Appearance of the Stool
Look at the Bristol Stool Chart below. Types one and two are obvious indicators of constipation. However, types six and seven may indicate diarrhea or a blockage caused by constipation, as mentioned above.
Toe-Walking
Toe-walking may occur because constipation is so painful. Or, it may be a child's way to withhold stool. This paper on constipation states, "standing on toes, extending legs or rocking back and forth preventing anal relaxation are typical features [of constipation]."
Child is Not Growing
A lack of growth may be due to malabsorption problems or a lack of appetite due to constipation. This study demonstrates how constipation has a direct effect on growth in children.
Stinky Poop
Contrary to popular opinion, poop should not smell horrible. If stool smells exceedingly awful, it may be because of an overgrowth of pathogenic bacteria, or because poop has been sitting and fermenting in the colon for far too long. Stool that moves through the intestines at the right pace should not smell unusually awful.
Posturing
Posturing is when a child leans over something to put pressure on their abdomen. Counter-pressure from posturing can relieve abdominal pain.
Bloated Belly
Sometimes our kids have huge, distended bellies. This may be because there is a build-up of old stool or another problem such as small intestine bacterial overgrowth (SIBO).
more:
https://peasemandre58.blogspot.com/2021/11/how-to-get-stuck-poop-out-of-child.html