When children are not having regular bowel movements—generally considered at least once per day—it can be helpful to start with a few simple adjustments. One foundational step is temporarily removing all dairy, including raw or A2 dairy products, as dairy can sometimes contribute to constipation in sensitive children. If the child is breastfeeding, breast milk is still excellent nutrition, but the mother may also consider removing dairy from her own diet to see if symptoms improve. Another supportive step is adding magnesium citrate, which can help support bowel regularity. A general guideline is about 35 mg twice per day for a child around 25 lbs and 70 mg twice per day for a child around 50 lbs. Some practitioners also recommend black walnut tincture, as parasites can occasionally contribute to constipation and this may help address a possible root cause.

Many conventional pediatric recommendations for constipation include products like Senokot, which contains senna and works by stimulating intestinal muscle contractions. Another commonly suggested product is MiraLAX, which works differently by pulling more water into the large intestine to soften stool, though some families prefer to explore natural approaches first. One simple natural option is celery juice, typically 1–2 small shots, which can be mixed with or followed by another drink to make the taste more appealing for kids.

Establishing a consistent bathroom routine can also support regular bowel movements. After meals is often the best time to try, since digestion naturally stimulates the bowels. At the end of a meal, offering a warm drink or soup—such as warm chamomile tea with a little honey for children over one year old—can help stimulate digestion. You can also warm the belly by gently rubbing around the belly button in a clockwise motion or covering the stomach with a warm blanket. Afterward, have the child squat, sit, or lean against a table for about 15–20 minutes while doing a calm activity. Then bring them to the toilet and encourage them to blow air as if blowing through a straw or inflating a balloon, which can help activate the muscles used for bowel movements. If nothing happens after a minute or two, gently rub or press the belly in a clockwise motion around the belly button, or apply light downward strokes below the belly button.

Another gentle way to support relaxation and bowel function is through Epsom salt baths. For children under one year old, use ½ cup of Epsom salt in a sink bath or 1 cup in a bathtub, no more than twice per week for about 15–20 minutes. For children over one year old, 1–2 cups in a bathtub can be used 3–4 times per week, also keeping bath time to 20 minutes or less. These baths may help promote relaxation while supporting magnesium absorption through the skin.