Soft Stools in Children: Causes and Concerns

Loose stools in children?

Hello Doctor: My child was born in October 2004, male.
He has daily bowel movements, sometimes once and sometimes twice.
He often complains of stomach pain before having a bowel movement.
For the past few days, his stools have been loose.
He is 142 cm tall and weighs 41 kg.
Is this due to the consumption of oligosaccharides (probiotics), or could it be irritable bowel syndrome?

Peng, 40~49 year old female. Ask Date: 2013/05/24

Dr. Xiao Kaiwen reply Pediatrics

An increase in the frequency of bowel movements and an increase in the water content of stools is defined as diarrhea.
Acute diarrhea refers to diarrhea symptoms lasting less than two weeks, while chronic diarrhea is defined as diarrhea lasting more than two weeks.
The vast majority of diarrhea cases in children are classified as acute diarrhea, primarily caused by viral or bacterial infections.
Chronic diarrhea is less common and can be due to conditions such as lactose intolerance, short bowel syndrome, medications (including certain antibiotics and other drugs that affect gastrointestinal motility), food allergies, and more.
Abdominal cramping may sometimes precede diarrhea.
Consuming probiotics approved by the health department should not cause diarrhea, unless they are discontinued and then reintroduced, which could raise suspicion.
Irritable bowel syndrome is very rarely seen in children.

Reply Date: 2013/05/24

More Info

Understanding soft stools in children can be a complex issue, as it may stem from various causes, including dietary habits, gastrointestinal conditions, or even stress. In your case, it seems that your child has been experiencing daily bowel movements, sometimes with complaints of abdominal pain, and recently, the stools have become softer or more liquid in consistency.

One of the first things to consider is the child's diet. If your child has recently increased their intake of certain foods, particularly those high in fiber or sugar, this could lead to softer stools. For instance, the consumption of oligosaccharides, which are found in foods like beans, lentils, and certain fruits, can lead to gas and changes in stool consistency. Additionally, if your child is consuming a lot of dairy or sugary foods, this could also contribute to softer stools.

Another potential cause could be a gastrointestinal condition known as "functional diarrhea," which is common in children. This condition is characterized by frequent, loose stools without any underlying disease. It often occurs in children who may have a sensitivity to certain foods or who experience changes in their diet or routine. Stress or anxiety can also play a role in gastrointestinal symptoms, leading to abdominal pain and changes in bowel habits.

It's also important to rule out any infections or more serious gastrointestinal disorders. Viral gastroenteritis, for example, can cause diarrhea and abdominal pain, but it usually resolves within a few days. If your child has other symptoms such as fever, vomiting, or blood in the stool, it would be advisable to consult a pediatrician for further evaluation.

In terms of management, if the soft stools are not accompanied by other concerning symptoms, you might consider monitoring your child's diet and ensuring they are drinking enough fluids. Sometimes, simply adjusting the diet to include more binding foods, such as bananas, rice, applesauce, and toast (the BRAT diet), can help firm up stools. However, if the issue persists or worsens, or if your child continues to experience abdominal pain, it would be prudent to seek medical advice.

In summary, while soft stools in children can be concerning, they are often related to dietary factors or temporary gastrointestinal disturbances. Keeping a close eye on your child's diet, hydration, and overall health will be key in managing this issue. If there are any signs of dehydration, persistent abdominal pain, or other worrying symptoms, do not hesitate to consult a healthcare professional for a thorough assessment and appropriate management.

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