Constipation Symptoms Stools (sometimes called faeces or motions) become hard, and difficult or painful to pass. Some people do not need to pass stools every day. This is normal for them and is not constipation. Sometimes crampy pains occur in the lower abdomen (tummy). Abdominal bloating and nausea (feeling sick) may occur if constipation is severe. Constipation in children is common, and usually lasts just for a few days. A healthy diet and plenty to drink is often all that is needed. Diarrhoea Diarrhoea is the passing of loose or liquid stools frequently. It is often accompanied by a colicky (cramp like) pain in the tummy. You may also feel sick or vomit. Diarrhoea is unpleasant but rarely dangerous. What causes diarrhoea? Sudden change of diet Eating infected food Over-eating What causes constipation and how you can help? Over-drinking Some medications like strong painkillers may cause constipation Poor hand-washing Lack of fruit, vegetables and cereals can result in harder stools Travel to a foreign country Lack of fluid, so you need to drink at least 1.5-2litres of fluid (8 tall glasses) a day. Encourage your child to drink water while at school Infants (babies under 1 year old) and the elderly are particularly at risk of becoming dehydrated (low in body fluid) when suffering from diarrhoea. Stress or any change in routine How you can help Lack of exercise. If you don’t exercise enough your bowel will not work properly Drink plenty of fluid (water & clear soups) Try to walk at least 20 minutes a day and use the stairs instead of the lift Rehydration solutions are useful in replacing lost fluid & salt Ignoring the urge to have a bowel movement, so always make plenty of time for this .Always read labels carefully and Contact the Doctor if: Is your child comfortable using the toilet at school? There is any blood or mucus (slime) with the diarrhoea Irritable bowel syndrome (IBS) sufferers may have abdominal (tummy) cramps A baby, or child with diarrhoea is drowsy or refuses to drink for a few hours and constipation alternating with diarrhoea You have a fever with the diarrhoea The diarrhoea lasts more than 3 days More than two days in a child or the elderly More than 1 day in babies under one year old You pass little or no urine over 12 hours (six hours in babies) You think you have picked up a stomach bug from overseas How to treat constipation Before taking a medicine try to increase the amount of fruit, vegetables and cereals in your diet and drink plenty of fluids. I this doesn’t help ask your pharmacist for advice, they will be able to recommend a suitable laxative if necessary. Contact the Doctor if: You have tried the above and you are still constipated after 5 days You have abdominal pain, vomiting or bloating You have blood in your stools Leaflet adapted from East Lancashire PCT