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How to Transition Kids Off Stool Softeners Safely

Medically Reviewed by May Zhu, RDN | Published April 16, 2025

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If your kid has been on a stool softener for a while, you’re probably wondering, “When can we stop?” Stool softeners like polyethylene glycol (PEG 3350) can be helpful in the short term, but most parents don’t want their kids relying on them forever. The good news? With the right support, many kids can successfully transition off stool softeners and get their digestion back on track naturally.

Here’s what you need to know about making the switch safely and without setbacks.

Why Stool Softeners Are Usually Temporary

Pediatricians often recommend stool softeners to break the cycle of hard, painful poops and withholding. But these products don’t fix the root cause of constipation. They’re a tool to get things moving while you work on improving hydration, diet, and gut health.

Experts agree that once a kid’s poop becomes softer and more regular for a few weeks, you can consider tapering off stool softeners instead of stopping suddenly [1].

Step-by-Step Guide to Transitioning Off Stool Softeners

1. Talk to Your Pediatrician

Before you make any changes, check in with your pediatrician. They can help you decide if your kid is ready to reduce the dose and provide guidance based on how long your kid has been constipated and what’s worked so far.

2. Start Slow

Don’t stop cold turkey. Gradually lower the dose every few days or weeks depending on your doctor’s guidance. The goal is to see how your kid's body responds as you scale back.

3. Add in Gut-Supporting Habits

This is where long-term success happens. As you reduce stool softeners, it’s essential to support the gut in other ways:

  • Add daily prebiotic fiber. Prebiotics such as Begin Health's Growing. Up Prebiotics help feed good bacteria in the gut and can improve stool consistency. Look for ingredients like inulin, chicory root, or HMOs (Human Milk Oligosaccharides) in supplements or foods [2,3].

  • Boost hydration. Water helps keep things moving. Encourage sips throughout the day and send a water bottle to school.

  • Keep them moving. Physical activity stimulates digestion. A daily walk, dance break, or playground time can go a long way [4].

  • Create a daily potty routine. Encourage sitting on the toilet after meals when the body’s natural urge to go is strongest.

4. Watch for Signs of Regression

If you see signs like withholding, skipped days, or painful poops coming back, pause and adjust. You may need to stay on a lower dose a little longer while reinforcing healthy habits.

5. Celebrate Progress

Pooping without help is a big deal for a kid. Praise their efforts and build confidence around bathroom routines. A positive mindset helps reduce anxiety, which can also play a role in constipation [5].

The Bottom Line

Stool softeners can be helpful, but they’re not forever. The key to getting off them successfully is building a healthy gut foundation. With the right support and a little patience, most kids can poop comfortably on their own again.

View Citation

  1. Tabbers MM, Di Lorenzo C, Berger MY, et al. (2014). Evaluation and treatment of functional constipation in infants and children: Evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr, 58(2), 258–274. https://doi.org/10.1097/MPG.0000000000000266
  2. Slavin JL. (2013). Fiber and prebiotics: Mechanisms and health benefits. Nutrients, 5(4), 1417–1435. https://doi.org/10.3390/nu5041417
  3. Vandenplas Y, De Greef E, Veereman G. (2014). Prebiotics in infant formula. Gut Microbes, 5(6), 681–687. https://doi.org/10.4161/gmic.32191
  4. Anderson AS, Hetherington MM. (2006). Physical activity and constipation in children. BMJ, 333(7563), 335. https://doi.org/10.1136/bmj.333.7563.335
  5. van Dijk M, de Vries GJ, et al. (2019). Functional constipation and behavior in children: A systematic review. J Pediatr Gastroenterol Nutr, 68(5), 674–680. https://doi.org/10.1097/MPG.0000000000002299