Signs It’s Time To See a GI Specialist
Constipation is incredibly common, and many families can manage it with simple daily routines. But sometimes constipation becomes more than an occasional problem. When poops are consistently painful, infrequent, or stressful, it may be time to talk with a GI specialist.
Here are the most important signs that you or your child could benefit from professional support. These are the same criteria I use in my practice when helping families navigate constipation.
Constipation Lasts More Than Two Weeks
Occasional constipation is normal. Ongoing constipation is not.
If stool is hard, painful, or infrequent for more than two weeks, it is a sign the gut needs more help than home routines can provide.
A GI provider can assess patterns and create a plan that brings relief.
Poops Are Very Large, Hard, or Painful
Large or hard stools mean stool is sitting in the colon too long. This often leads to fear, withholding, and even bigger stools. Painful poops are a clear sign the stool needs to be softened and the routine needs adjusting.
No child or adult should dread going to the bathroom.
Your Child Is Withholding or Hiding To Avoid Pooping
Withholding is one of the biggest triggers for chronic constipation.
Signs include:
- Hiding behind furniture
- Stiffening the body
- Crossing legs
- Running away
- Crying or refusing the toilet
Withholding becomes a cycle, and breaking that cycle is much easier with support.
There Are Stool Accidents or Leakage
Stool leakage or accidents can happen when the colon becomes stretched from holding too much stool. This is called overflow and is a sign that constipation is more advanced.
Treatment is safe and effective, but it needs guidance from a provider.
There Is Blood When Wiping
Small streaks of blood can happen with hard stool or small tears called fissures.
While this is common, it is always worth checking in with a provider to rule out other causes and to create a plan to soften stool.
Your Child Avoids the Toilet or Is Afraid To Go
Avoidance often means pooping has been painful or stressful.
A GI provider can help make pooping more comfortable and rebuild confidence.
Constipation Causes Belly Pain or Loss of Appetite
Frequent belly pain, nausea, or decreased appetite can mean stool is backing up.
The colon may be full or moving slowly, and professional support can help clear things out safely.
There Is Weight Loss or Poor Growth
Any weight loss, poor weight gain, or slow growth should be evaluated. Constipation can sometimes affect appetite and nutrient absorption.
A GI specialist can help identify what is happening and support healthy growth.
Home Routines Are Not Helping
If you have tried:
- Hydration
- Fiber
- Daily toilet sits
- Better positioning
- Routine changes
- Diet adjustments
and constipation still continues, it is time for a deeper look.
This is extremely common and nothing to feel discouraged about.
If You Feel Something Isn’t Right, Trust That Feeling
Parents have excellent instincts. If something feels off, or if your child is struggling emotionally or physically with pooping, it is always appropriate to reach out for support.
You do not need to wait for a crisis.
A GI Specialist Can Help Your Family Feel Better
Constipation can be stressful, but you are not alone. A GI specialist can help identify what is causing the problem and create a plan that is safe, effective, and tailored to your child or your family.
You are doing a great job.
Renee, GI Nurse Practitioner
Better Bowel Co: Gut Help for Kids & Adults 
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