15 Tips for Fixing Constipation (Without Miralax!)

Occasional mild constipation can happen to anyone - often it is due to a stressful event, interruptions to your routine, or diet (maybe you were traveling, or you just went a little crazy with the cheese plate). But generally, as long as you get back to you normal routine or diet, or the stress subsides - the constipation will resolve and you will be feeling normal in a day or so. If you have ever had occasional constipation, you know the feeling - discomfort, bloating, feeling full, gassy and sluggish. Now imagine what it would be like to feel that way most of the time. Chronic constipation is the #1 cause of kids' belly pain, and a common reason to miss school and activities. In addition - being constipated can impede the body's ability to detoxify. When constipation is ongoing or chronic, it generally is a signal that something is amiss somewhere in the diet, or perhaps with the digestion and elimination process - with the organs, the nerves, and anywhere along the gastrointestinal tract. In some cases, constipation can become a medical emergency. If chronic constipation goes on for a long time, it could leads to a blockage, also known as fecal impaction. According to an article by Dr. Mercola - Constipation Emergencies are on the Rise, "there was a 42 percent increase in ER visits for constipation in the US between 2006 and 2011." So it is important to not ignore constipation.

What is constipation? Look before you flush! Not everyone agrees on the definition of constipation - some experts say as long as you "go" 3 times a week, you are fine. But most natural & holistic health practitioners say anything less than 1 daily movement is constipation. You should look before you flush, because another way to identify constipation is by the quality of the stool - even if you are passing stool - if they are hard, little pebbles - it is considered constipation. (see below Bristol stool chart). Another consideration is when you are not completely emptying the bowel - incomplete evacuations are another sign of constipation. Also - if someone has to strain every time they go in order to pass the stool - this is another sign of constipation. The ideal situation is to have at least one complete evacuation of the bowel daily with a type 3 or 4 bowel movement on the Bristol Stool chart - which is a smooth and easy to pass stool. Some people may pass more than 1 daily.

Bristol Stool Chart

Underlying Causes of Constipation: Chronic constipation can be caused by a long list of issues including:

  • picky eating

  • highly processed diets

  • undiagnosed food sensitivities (dairy tends to be a common culprit)

  • being sedentary, lack of exercise

  • low fiber consumption (or oddly enough, in some cases too much fiber consumption)

  • insufficient fluid intake, chronic dehydration

  • behavioral issues (like "withholding" or ignoring the urge to go)

  • changes in routine or diet (like travel, or overindulging in a constipating food like cheese)

  • developmental issues

  • nerve damage or nerve disorders

  • gut dysbiosis (overgrowth of yeast or bacteria in the GI tract)

  • viral, bacterial, or parasitic infection in the gut

  • congestion in the liver, kidneys, or intestines

  • certain supplements can be constipating like calcium and iron.

  • medications (some medications like opiods and antacids can cause constipation)

  • medical conditions (like thyroid disease, cystic fibrosis, diabetes, Hirschsprung's disease, neurological disorders, untreated B12 deficiency, brain injury)

  • poorly managed stress

  • disease - if constipation is not resolved with diet and supplement changes, you should see a health practitioner to rule out more serious causes like colon cancer.

  • mineral and nutrient deficiencies, as well as heavy metal overload

Miralax Concerns: For constipation sufferers - the tasteless and odorless over the counter medication Miralax seemed to offer an easy solution to the problem - just stir it into a glass of water or juice, and drink it down - problem solved, right? Not so fast...although doctors have been recommending it as a safe solution for constipation in kids for years, prescribing Miralax is not FDA approved for use in children, so giving it to kids is an "off-label" use. And giving it to anyone of any age for longer than a week is also off-label. Miralax's label - says that it is for use in people age 17 and over, and not for more than 7 days (without a doctor's orders).

The research on the long-term safety of propylene glycol (PEG) use in kids is limited at best. And there have been concerns regarding the safety of Miralax's use in children for several years. According to the NY Times, "the Empire State Consumer Project, a New York consumer group, sent a citizen petition to the F.D.A. on behalf of parents concerned about the increase in so-called adverse events related to PEG that health professionals and consumers have reported to the F.D.A. over the past decade." According to this NY Times article, tests conducted by the F.D.A. in 2008 on eight batches of Miralax, found tiny amounts of ethylene glycol (EG) and diethylene glycol (DEG) in all of the samples - which are ingredients in antifreeze. Despite being conducted in 2008, the results of the tests were not disclosed to the public. The article also said that taking Miralax for long periods of time could lead to developing "acidic blood."

Since the start of 2017, a growing number of parents have come forward complaining of a myriad of psychological, behavorial, and neurological symptoms that they have been linked to the active ingredient propylene glycol (PEG) found in Miralax and some other laxatives - these side effect include tics, stuttering, anger/aggression, depression, anxiety, memory issues, obsessive-compulsive behavior, and more. There is a Facebook group called Parents Against Miralax that has grown from about 2,000 to over 18,000 members in just a few weeks time.

Many doctors are still recommending it as a safe option, while others are questioning the safety. “Every pediatric GI physician, I would guarantee you, has told a family this is a safe product,” said Dr. Kent C. Williams, a gastroenterologist at Nationwide Children’s Hospital in Columbus, Ohio. Now, he worries, “it may not be true.” According to the NY Times, "Scrutiny for Laxatives as a Childhood Remedy." Many kids and families have been using Miralax without being told of the potential risks, and having never been offered any natural alternatives to try first. Now with the possible side effect concerns - a lot of parents are scrambling to find a safe & natural alternative to Miralax - that works.

The good news is there are lots of natural alternatives that are safe, effective, and offer lots of positive health benefits.

15 Tips for Fixing Constipation Naturally: Note: Do not expect constipation to resolve overnight - take your time and implement changes very slowly and gradually to allow the body to adjust. Any major changes made to the diet or with supplements are best done on the weekend when the child is not rushing out of the house, and can be near a toilet in case they happen to get loose stools, and home relaxing in case there is any discomfort, gas, or bloating. Kids under the age of 4, or with a medical conditions (such as kidney disease), or currently taking medications - should speak to their pediatrician or specialist before implementing any of the below suggestion.

The content of this article is not to be construed as medical advice. - all information provided in this article is general and not specific to individuals. Contact your doctor or specialist with any questions about how this information pertains to you, your child.

1. Boost Hydration Studies show that most kids are not replenishing enough fluids each day, making them chronically dehydrated. Without proper hydration, the stools can become hard and difficult to pass (Type 1 and 2 on the Bristol chart). Overtime this situation can become chronic constipation. Just correcting hydration alone can potentially solve the constipation problem for certain kids!

  • Make sure kids are bringing water bottles to school, and that they are not coming back home full!

  • They should drink plenty of water and fluids spread out throughout the day. Try to not drink too much water with meals, it can dilute the digestive enzymes and work against digestion.

  • Avoiding sugary beverages is smart, as they can quickly lead to weight gain, cavities, and candida overgrowth (which can contribute to constipation). If you do choose juice - drink only unsweetened juice and dilute it with half water. Good juices for constipation are prune, pear, and freshly squeezed lemon.