Pre-M.O.P. is a regimen that resolves chronic constipation in babies, toddlers, and preschool-age children. Pre-M.O.P. is also appropriate for potty-training youngsters who are struggling to poop on the toilet.

Pre-M.O.P. involves laxatives and suppositories. The protocol is designed to prevent very young children with chronic constipation from later developing enuresis (wetting) and/or encopresis (poop accidents).

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.

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

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

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M.O.P. Anthology Black and White Version

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


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.

Get the Pre-MOP tracking chart!

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


Feel free to contact Dr. Hodges or Suzanne directly:

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