Synopsis

Source of validity: Scientific
Rating (out of 5): 4

Prunes (dried plums) are widely used to support or treat constipation in children, and their use is supported by both traditional practice and scientific evidence. Prunes contain significant amounts of dietary fiber (both soluble and insoluble), as well as sorbitol, a natural sugar alcohol with osmotic laxative properties. Multiple clinical studies in adults have shown that prunes can increase stool frequency and improve stool consistency. While research specifically targeting children is more limited, a randomized controlled trial published in Pediatrics (2014) found that prune juice was as effective as lactulose, a commonly prescribed osmotic laxative, in treating functional constipation in children. The study reported that children receiving prune juice experienced similar improvements in stool frequency and consistency, with acceptable tolerability.

Prunes have also been recommended by pediatric guidelines as a first-line dietary intervention for mild constipation in children, due to their safety profile and palatability. The American Academy of Pediatrics notes that prune juice may be offered to infants and children with mild constipation, and traditional medicine systems have long used prunes for this purpose. Overall, while more pediatric-specific trials would be beneficial, the available evidence supports the use of prunes as an effective and safe remedy for constipation in children, earning it a relatively high evidence rating.

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