Pre-M.O.P. for Constipated Babies and Toddlers

Early Intervention is Everything


Does your child poop XXL logs or hard "rabbit" pellets? Does your child strain or cry when trying to poop? Hide when pooping or go one or more days without pooping?

These are among the many signs of chronic constipation, a condition that must be treated aggressively, even in babies and toddlers.

Many physicians dismiss constipation in young children as a minor, temporary condition that can be resolved with prune juice, fiber, and an occasional laxative. Nothing to worry about here! She’ll outgrow it!

But instead, many of these kids worsen, eventually developing enuresis (daytime or nighttime wetting after potty training) and/or encopresis (chronic poop accidents). The vast majority of Dr. Hodges' teenage patients' toileting troubles can be traced back to constipation before age 3 — constipation that went unrecognized or undertreated.

Pre-M.O.P. resolves chronic constipation in babies, toddlers, and preschool-age children. The protocol involves laxatives and suppositories. Read our FAQ below!

The premise behind Pre-M.O.P. is simple: Act early, and you can save your child from years of discomfort, distress, and damaged self-esteem, and save yourself from the financial and emotional costs of treating enuresis and encopresis in your child.

"I wish I hadn’t believed “He’ll grow out of it,” but when you have an otherwise healthy baby, you NEVER think that the infant whose constipation your pediatrician deems “normal” could  turn into a 4 1/2-year-old who never poops on his own and gets an enema every night. I wish I had been all over the constipation when he was a baby."     
a mom quoted in The Pre-M.O.P. Plan
The Pre-M.O.P. Plan Book Cover
Black & White
Paperback (on Amazon)
M.O.P. Anthology Black and White Version

The Pre-M.O.P. Plan: How to Resolve Constipation in Babies and Toddlers


Get the Pre-MOP tracking chart!
M.O.P. Tracking Chart Cover.png

Use this handy chart to track your child on Pre-M.O.P. Part 5 of The Pre-M.O.P. Plan explains why monitoring is helpful and includes tracking samples.


Frequently Asked Questions About Pre-M.O.P.

What does Pre-M.O.P. stand for?

Pre-M.O.P. is a regimen that comes before — "pre" — the Modified O'Regan Protocol and is a simpler, limited version of M.O.P. Implementing Pre-M.O.P. in full can prevent a chronically constipated baby or toddler from ever developing enuresis or encopresis and therefore needing M.O.P.

What exactly does Pre-M.O.P. involve?

Pre-M.O.P. has two key components:

  1. a daily osmotic laxative, such as lactulose, magnesium hydroxide, magnesium citrate or Miralax
  2. a suppository or enema given in the evening on any day during which the child has either not pooped at all or appears not to have completely emptied.

The various laxative and suppository options are discussed in detail in The Pre-M.O.P. Plan.

Are laxatives and suppositories really necessary for young children?

Yes! The usual remedies — such as prune or pear juice, more fruits and veggies and other forms of fiber — will not do the job. And an occasional dose of laxative will fall short, too. The rectum of a chronically constipated child must be fully cleaned out on a daily basis, and dietary measures are unlikely to achieve this.

Are laxatives and suppositories safe for babies?

Yes! In The Pre-M.O.P. Plan we discuss the safety issues and the appropriate doses for the recommended laxatives and suppositories.

What if my doctor is not on board with Pre-M.O.P.?

Nope, you can implement the regimen on your own, although it’s certainly helpful and recommended to have your doctor on board.

If your medical provider opposes the use of laxatives, suppositories, and/or enemas in young children, consider joining our private Facebook support group for Pre-M.O.P.

Another option is to have a 30-minute, one-on-one Facetime, Skype, or phone consultation with Dr. Hodges.

Can I do Pre-M.O.P. without Miralax?

Absolutely! I discuss this controversial laxative in The Pre-M.O.P. Plan. Bottom line: Anyone concerned about possible side-effects from Miralax need not use it. There are plenty of effective alternatives.

Should I do Pre-M.O.P. or M.O.P. for my potty training child?

If you are just starting to toilet train and your child is resisting pooping on the toilet, Pre-M.O.P. should suffice. However, if you've been working at potty training for a few months ad your child continues to have poop or pee accidents, we recommend the full M.O.P. program. Attempting to train a chronically constipated child is a frustrating and typically futile endeavlor. It is imperative to full resolve constipation before resuming toilet training. The Pre-M.O.P. Plan includes a chapter on toilet training a child who has a history of constipation