Managing Diarrhoea and loose pooh

Ongoing loose pooh really gets in the way of daily life, and is difficult to manage at any age. Carine considers the causes of loose stools in young children and teens with a careful history and dietary adjustment. Too much fructose or other sugars, food sensitivity or an increased transit time are common issues that are typically within a normal spectrum.

A close look at the nature of symptoms, what, when and how food is eaten can all help to provide pointers to manage symptoms. If loose stools are associated with growth faltering, poor appetite, persistent abdominal pain or IBS, a medical review may be suggested.

Nutriational Assessment

Treating Constipation

Carine offers a combination of toileting, food, fibre and fluid advice alongside selected probiotics and body awareness which help form and maintain new habits. Children generally respond well to praise and progress, and so positive feedback, effective praise and encouragement are necessary and valuable in managing constipation. Typically, I would address a range of constipation matters over several appointments, over the course of 1 year.

Assessing current intake, and meeting families and individual children where they are, working towards meeting needs for age group, using step by step targets.

From potty training, early-school age and in the teenage years, getting more comfortable with toileting, timing and positioning, when and where is there holding, patterns of experience.

Plant foods, wholegrains, fermented and prebiotic foods and probiotic supplements all have a role to play in supporting good elimination.

Responding to awareness of body signals, using breathwork, becoming aware of patterns of holding, tension, understanding the patterns of the bowel.
Take a Look at Diet Diversity

Holistic treatment approaches for Irritable Bowel Syndrome

IBS is a collection of symptoms rather than a condition, and with no diagnostic test available. A diagnosis is made if there is a 3 month or longer history of abdominal pain, with pain around toileting plus either constipation or loose stools. Dietary treatments for IBS are very effective for many people, and the FODMAP diet has been used successfully in adults. However, it is not evidenced for children or teenagers, and the diet itself is restrictive, difficult to follow, and may cause additional stress or indeed nutritional deficiencies for young people. Other mindful treatments, are equally successful as dietary treatment and include breath work, meditation, mindful eating, yoga and talking therapy AKA lifestyle advice. Carine’s approach to treating IBS in young people is a holistic one, including food, nutrition, diet diversity, lifestyle and supporting behaviour-change. Learning how to self-regulate and manage symptoms with awareness and diet. Dietary treatment may include single exclusions or modifications, and seeks to improve the quality of the diet, build and support the gut microbiota. A 12-week yoga programme, with breath work offers an evidence-based alternative to dietary treatment; I offer integration of the two.

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