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Although it's uncommon, constipation can be caused by an underlying medical condition such as hypothyroidism, botulism, and certain food allergies and metabolic disorders. Rarely, constipation is caused by Hirschsprung's disease, a condition caused by a birth defect that prevents a baby's gut from functioning properly.
Internal hemorrhoids are very painful and can cause a child to strain and bleed while passing a stool. Antibiotics can upset the normal flora of the colon and lead to constipation. Medication. Some cough mixtures and pain medication have constipation as a side-effect. Chronic stress can cause constipation.