Boston Children's Health Physicians Gut Health

Gut health is important for your child's overall health and development starting from infancy, and even prenatally. Digestion plays an important role in the gastrointestinal system, the immune system, and overall well-being. Pediatric Gastroenterologist Dr. Howard Bostwick, addresses commonly asked questions about gut health.

When should parents start paying attention to their child's gut health? 

• Parents should start paying attention to their child's gut health from the start. Breastfeeding supports a healthy gut microbiome in babies, and as they get older, introducing a variety of fruits, vegetables, and whole grains can promote gut health.

What are the signs of a healthy gut in my child?

• Signs of a healthy gut in your child include regular bowel movements that are soft and easy to pass, a good appetite, and consistent energy levels. Additionally, a child with a healthy gut often has a stronger immune system.

What are the symptoms of a disturbance in gut health?

• Symptoms can vary, but common signs include frequent stomach pain or cramping, diarrhea or constipation, bloating, and gas. You might also notice your older child experiencing nausea, unexplained fatigue, or changes in appetite. If your child experiences these symptoms, consult your pediatrician or a pediatric gastroenterologist. 

How do antibiotics affect my child's gut health?

• Antibiotics are helpful in fighting infections and keeping your child healthy, but they can sometimes disrupt the balance of good and bad bacteria in the digestive system. You can support your child's gut health by using probiotics with the antibiotics to help restore healthy gut flora.

Is my child's gut health related to their behavior or mood?

• Yes, there is a strong connection between gut health and behavior or mood. The gut and brain are linked through a communication network called the gut-brain axis. If there is an imbalance in gut bacteria, it can affect your child's mood and behavior. Keeping the gut healthy can help improve emotional well-being and brain function.

Can gut health affect my child's immune system?

• Yes. A healthy gut helps maintain a robust immune system, protecting your child from illnesses and infections. Keeping the gut healthy supports the development and function of immune cells, enhancing your child's overall health.

What foods are good  for my child's gut health?

• Foods that are good for your child's gut health include high-fiber options like fruits, vegetables, whole grains, and legumes. Fermented foods such as yogurt, kefir, and sauerkraut can also promote a healthy gut. Also, it’s best to limit processed foods, sugary snacks, and drinks, as well as foods high in unhealthy fats, as they can negatively affect gut health. Encouraging a balanced, varied diet is key to supporting a healthy gut.

The gut is very important for overall health and is often called the "second brain." Simple lifestyle choices like eating a healthy diet and exercising regularly can have a big impact on your gut health. This, in turn, leads to better overall health and happiness for your child.

If you have any concerns or questions about your child’s diet and overall gut health, be sure to reach out to your child’s pediatrician or see a pediatric gastroenterologist.