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When Your Child Has Irritable Bowel Syndrome

Outline of child's body showing large intesting (colon), stomach, and small intestine.

Irritable bowel syndrome (IBS) is a relatively common condition in children. It affects your child’s digestive tract, where food is broken down to give your child energy and help him or her grow. No one knows exactly what causes IBS, although it may be a result of the two intestines being super sensitive. IBS may come and go, but there are things you can do to help your child feel better.

What Causes IBS?

The exact cause of IBS is not known. But it may involve the muscle movement that passes food and liquids through the digestive tract. If food passes too quickly, the colon can’t absorb enough water. This can cause painful cramping and watery stools (diarrhea). If food passes too slowly, too much water is absorbed. This can make the stool dry and hard (constipation).

What are IBS Symptoms?

Symptoms of IBS can vary from child to child. Common symptoms include:

  • Painful cramps

  • Gas

  • Bloating

  • Diarrhea

  • Constipation

How is IBS Diagnosed?

To diagnose IBS, the health care provider will start by asking about your child’s medical history. A physical exam will be performed. The health care provider may also order some tests to rule out other digestive problems.

How is IBS Treated?

There is no cure for IBS. But your child’s symptoms can be managed. The doctor might prescribe medication for symptoms such as diarrhea and constipation. There are also things you and your child can do at home to manage IBS:

  • Help your child avoid foods or drinks that seem to make symptoms worse.  Certain substances may irritate your child’s digestive tract. These substances can be different for each child. Write down what your child is eating and drinking and what symptoms occur. Use this list as a guideline to help your child avoid irritating foods.

  • Make sure your child drinks plenty of water. Ask the health care provider how much water your child should drink each day. If your child is having IBS symptoms, limit drinks with caffeine and carbonation.

    Child and father playing soccor together.
    Your child can be active and lead a normal life with IBS.

  • Increase your child’s fiber intake, if told to by the health care provider. Fiber is found in many plant foods. It helps stool keep enough water, so it passes easily through the colon. Your child can get more fiber through food or prescribed fiber supplements.

  • Have your child eat small meals. If eating triggers your child's symptoms, frequent small meals may be beneficial.

  • Help your child reduce stress and anxiety. While stress itself may not cause IBS, it can make symptoms feel worse. Help your child identify sources of stress. Talk with your child about ways to handle stressful situations. A counselor or therapist can teach your child ways to manage stress, such as meditation or other relaxation methods.

  • Encourage physical activity. Physical activity is a great way to relieve stress. It may even help ease constipation and other IBS symptoms. So encourage your child to play and be active every day.

When to Call the Health Care Provider

Even if your child’s symptoms are under control, contact the health care provider if you notice:

  • Weight loss

  • Blood in your child’s stool

  • Fever over 100.4°F (38.0°C)

  • Fear of using the toilet, at home or at school

  • Withdrawal from friends and family or prolonged sadness (which could be signs of depression)

Online Medical Reviewer: Freeborn, Donna, PhD, CNM, FNP
Online Medical Reviewer: MMI board-certified, academically-affiliated clinician
Last Review Date: 3/11/2014
© 2000-2014 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.