Constipation

Constipation is extremely common in people with cerebral palsy and is contributed to by dysmotility, lower levels of physical exercise, and limited fluid intake and dietary fibre. Chronic constipation causes megacolon and increased risk of volvulus, subsequent bowel obstruction and infarction. Constipation with overflow diarrhoea is a common cause of faecal incontinence.

People with cerebral palsy and their families may believe constipation is an inevitable part of cerebral palsy, but this is not the case. Establishing and maintaining a healthy bowel habit is essential for people with cerebral palsy. For advice on managing constipation, see Functional constipation. Management strategies usually need to be continued long term. Refer people with severe constipation to a continence clinic.

This fact sheet includes information about managing constipation in children with cerebral palsy.