Certified Pediatric Nurse (CPN)

Which dietary recommendation is appropriate for a child with chronic constipation?

1. Increase liquids and fat while decreasing protein

2. Increase liquids and protein while decreasing fat

3. Increase liquids and fiber while decreasing protein

4. Increase liquids, fiber and protein while decreasing fat

The correct answer is: Increase liquids and fiber while decreasing protein

The suitable dietary recommendation for a child with chronic constipation centers on increasing the intake of liquids and fiber. This approach is effective because fiber helps to bulk up stools, making them softer and easier to pass. Adequate hydration is essential for digestive health, as it helps to maintain stool consistency and prevent dehydration, which can contribute to constipation. In the context of chronic constipation, focusing on fiber-rich foods—such as fruits, vegetables, and whole grains—can significantly improve bowel regularity. Liquid intake is also critical, as it aids in both the digestion of fiber and the overall movement of the digestive tract. Decreasing protein does not directly address the issue of constipation; instead, adequate nutrition across all food groups, including protein, remains important for a child’s overall growth and health. Other options do not align closely with the best practices for managing constipation. Increasing liquids and fat while decreasing protein may not sufficiently target the need for fiber and hydration. Increasing liquids and protein while decreasing fat lacks the necessary emphasis on fiber, which is crucial in managing constipation effectively. The final option mentions increasing liquids, fiber, and protein while decreasing fat; while increasing liquids and fiber is beneficial, decreasing fat is not always necessary and may depend on the specific dietary needs of the