What is the first-line treatment for managing constipation in children?

Increasing fiber intake is indeed recognized as the first-line treatment for managing constipation in children. Dietary fiber plays a crucial role in promoting regular bowel movements, as it adds bulk to the stool and helps it pass more easily through the intestines. In children, a diet rich in fruits, vegetables, whole grains, and adequate fluid intake can significantly improve bowel habits and reduce constipation.

This approach is particularly effective because it targets the underlying causes of constipation, such as inadequate dietary fiber, rather than solely addressing the symptoms. Additionally, making dietary changes is a non-invasive and practical strategy that can often lead to long-lasting improvements in bowel health.

While stool softeners may sometimes be used to ease the passage of stool, they are typically not the first recommendation since addressing dietary habits is more sustainable and effective in the long term. Surgery is reserved for severe cases that do not respond to conservative management and usually involves specific medical indications. Monitoring alone may not provide an adequate solution for a child experiencing ongoing constipation and does not actively facilitate improvement in bowel function. Therefore, increasing fiber intake stands out as the primary intervention in managing pediatric constipation.