In this week's episode of Sense by Meg Faure, we launch our brand new "Feeding Sense" segment! Paediatric dietician Kath Megaw takes over as guest host. She is joined by Nicole Comninellis, a paediatric physiotherapist. Nicole has a special interest in neurodevelopment and infant digestion. Together, they tackle one of parenting's most common challenges: constipation in babies and toddlers.

Understanding Constipation from a Physio's Perspective Kath Megaw introduces the topic, noting that dietary advice alone doesn't always solve constipation. Nicole Comninellis explains how constipation presents differently depending on age. Factors include whether it's a new or chronic issue, and if the child was full-term or preterm. Nicole highlights that repeated stress can create negative neurological pathways. This makes constipation more likely to recur.

The Mind-Body Connection in Constipation Nicole explains that stress triggers the "fight or flight" response which inhibits digestion. Helping infants feel safe and calm is key. This allows them to develop a positive internal sense (interoception) of their bodies. For toddlers, autonomy, sensory processing, and personality play a big role. New experiences like starting school or a new sibling can also cause withholding.

Practical Strategies for Preventing and Managing Constipation Kath and Nicole discuss actionable tips for parents.

• For Infants: Understanding normal poo variations is important. Varied holding positions and allowing free movement are crucial. Responding to baby's cues when they need to poo, perhaps by picking them up to let gravity assist, can make a difference.
• For Toddlers: Beyond a balanced diet and hydration, establishing routines around natural body reflexes (like the urge to poo after meals) is helpful. Encourage chewing as this stimulates the gut. Ample movement, play, and exercise are vital. Tummy massage can aid motility and provide comfort. Creating a safe, supportive, and calm bathroom environment is essential.
• Positioning: For toddlers using a potty or toilet, ensuring their feet are supported and knees are above their hips is very important. Teaching children to relax rather than just push can also be beneficial.

Why You Should Listen This "Feeding Sense" episode offers a holistic view of constipation. Kath Megaw and Nicole Comninellis provide expert insights. They explain that movement, posture, and emotional well-being are as vital as diet. The episode is packed with practical, compassionate strategies. These can help prevent constipation from becoming a chronic issue. It's about making pooing a positive, stress-free experience for your child.

Kath Megaw is a leading paediatric dietician with over 20 years of experience in infant and child nutrition. She is the co-author of the book Allergy Sense and specializes in guiding parents through complex feeding challenges. Follow her on Instagram at @nutripaeds or visit www.nutripaeds.co.za for more resources.

Episode References and Links:

📚 Allergy Sense – A comprehensive guide to managing infant and childhood allergies

📱 Parent Sense App – Your all-in-one baby care app for routines, nutrition, and expert advice. Download it here.