12 Surprising Signs a Child is Constipated
- Jan 4, 2023
- 2 min read
By Steve Hodges, M.D.

In my clinic, we x-ray all patients with enuresis (bedwetting or daytime wetting), to rule out the rare cases that are not caused by chronic constipation and to see just how much poop is clogging the child's rectum. An x-ray can be extremely helpful in guiding bedwetting treatment as well as treatment for daytime accidents.
In some cases, I also order x-rays to demonstrate to parents that their child is indeed constipated. Most folks have no idea, as the signs of constipation in children can be subtle and are not well-known, even among some physicians.
For example, everyone knows a child who poops once a week is constipated. But a kid who poops twice a day might also be harboring a lump of poop the size of a softball. Few adults realize that giant poops and hard logs are far more telling than pooping frequency.
What's more, pee and poop accidents are, themselves, signs of constipation. Many parents tell me, “My child wets the bed but has no signs of constipation.” That’s like saying, “My child can run a mile in 5 minutes but shows no signs of athleticism.”
While x-rays are the most accurate way to diagnose constipation in a child, in most cases, x-rays aren't necessary to start treatment. And in many countries, I realize, x-rays for constipation are not even available. For most kids, that's OK. If you know what you're looking for, you can detect constipation in your own child based on their symptoms.
Our free infographic, 12 Signs Your Child is Constipated, will help parents, physicians, and schools detect constipation in kids. It's available in English and Spanish.
I discuss these and other signs in depth in The M.O.P. Anthology: The Proven Way to STOP Bedwetting, Daytime Enuresis, Encopresis, and Chronic Constipation in Toddlers Through Teens.
READ: What Frustrated Parents Should Know about Poop and Pee Accidents, Potty "Regression" and "Refusal"

Great article! The fact that frequent pooping does not rule out constipation is something every parent should know. The free infographic is a wonderful resource. By the way, I discovered foodnevercomes while looking for healthy meal ideas for my family. Keep spreading awareness about children health!
Very informative article! The 12 signs are really helpful for parents. The x-ray insights were particularly eye-opening. When creating educational materials about children health, using a bow copy and paste symbol can add a nice decorative touch. Thanks for the free download!
Thank you for this insightful article. As a parent, recognizing the signs of constipation in children is so important, and many of these symptoms are truly surprising. I recently tried the name 100 women challenge as a fun way to learn about remarkable women, including those in the medical field. Thanks for the free downloadable infographic!
Very helpful article! It is eye-opening to learn that a child can poop daily and still be severely constipated. The infographic is a fantastic tool for parents and educators. When sharing health tips on social media, using an instagram font generator can help make important posts stand out and reach more families. Thank you for raising awareness about this issue.
This is such an informative article. As a parent, I had no idea that things like bedwetting and daytime accidents could actually be signs of constipation. The free infographic is a great resource for families. When I need a quick break from reading health articles, I like using a random animal generator to discover fun animal facts. Thanks for sharing this valuable information!