Evidence supporting the use of: Slippery elm bark
For the health condition: Constipation (children)

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Slippery elm bark (Ulmus rubra) has a long history of use in North American Indigenous and traditional herbal medicine, including for digestive complaints such as constipation. The inner bark contains mucilage, a gel-like substance that swells upon contact with water, forming a soothing, lubricating layer on the lining of the gut. Traditionally, slippery elm has been prepared as a gruel or tea and given to children and adults with gastrointestinal discomfort, including constipation, diarrhea, and irritated bowels. Its mildly bulk-forming and demulcent (soothing) effects are thought to ease the passage of stool and reduce irritation.

Despite its historical use, direct scientific evidence supporting slippery elm bark specifically for childhood constipation is limited. Most modern research has focused on its role in soothing throat irritation or managing symptoms of irritable bowel syndrome (IBS) in adults. Some small studies and anecdotal reports suggest that the mucilage can help soften stool and promote bowel movements, but robust clinical trials in children are lacking. Thus, the justification for its use in pediatric constipation is primarily traditional, with a moderate level of supporting historical evidence but minimal scientific validation.

Overall, while slippery elm bark is generally considered safe when used appropriately, more rigorous studies are needed to confirm its efficacy and safety for treating constipation in children. Parents should consult a healthcare provider before using herbal remedies for pediatric conditions.

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