How Can A Belly Massage Help My Constipated Child? Learn the "I Love You" Technique.

Written by:
Dr. Ashlea Lytle
January 9, 2021

I’ve been a physical therapist for over a decade and for the past five years have specialized in pelvic health physical therapy. During my time treating pelvic health conditions, what has intrigued me the most has been the positive impact I’ve been able to make with my patients struggling with bowel dysfunction and constipation. Since the COVID-19 pandemic hit in March, I have had more time to practice and critique my I Love You (ILU) massage technique on my 16-month old son, who has been dealing with constipation since he started eating solid foods. I have found there are a few things you really need to do when doing the ILU massage. But before we dive deep into the mechanics, how does the ILU massage technique work?


Constipation usually happens when your colon absorbs too much water and dries out your stool. This causes your stool to be harder, which slows down your stool transit time. ILU massage helps stimulate abdominal muscle contractions, helping speed up your stool transit time and facilitating a bowel movement. The name ILU came from the direction of movement you perform.


1. Before you begin the massage, you want to first stimulate the small intestine (SI). Place your index, middle and ring fingers 2-3 inches away from the belly button. Massage in a clockwise, small circular motion for 1-2 minutes, circulating around your belly button. 

2. Make sure you are pressing using a moderate pressure (about ½ to 1 inch in depth), and that your clockwise, circular motions are slow (about 1-2 seconds per rotation).  

3. After the SI is stimulated, you want to start with your “I” strokes. Start on the left side up by your rib cage and work your way down to the left hip bone. This is your descending colon. Repeat this 10 times.

4. After your 10 passes you will start the “L” strokes. Start on the right side of your rib cage slowly working your way to the left side and back down to the left hip bone. You are stimulating the transverse colon and the descending colon. Repeat this 10 times. 

5. After your 10 passes you will then complete the massage with the “U” strokes. Start on the right side by your hip bone, then work your way up to the right side of your rib cage, then over to the left side of your rib cage, and finally all the way back down to your left hip bone. You are stimulating the ascending, transverse, and descending colons. Repeat this 10 times.

This can be performed on children of all ages, as well as adults. It also can be done during the second and third trimesters of pregnancy, but I would recommend getting clearance from your doctor or seeing a pelvic health therapist.

Disclaimer:  The views expressed in this article are based on the opinion of the author, unless otherwise noted, and should not be taken as personal medical advice. The information provided is intended to help readers make their own informed health and wellness decisions.

Need help? We're here for you. Contact us today to request an appointment. Also check out our telehealth offerings to get help from the comfort of your home.

Dr. Ashlea Lytle

Regional VP | Physical Therapist
Ashlea Lytle is a Doctor of Physical Therapy (DPT) who has been practicing for over a decade in the Denver area. She specializes in orthopedics and pelvic health for adults and kids. She primarily works at Activcore in Castle Rock, Colorado.
FULL PROFILE

BLOGS BY SAME AUTHOR

How Can Physical Therapy Help My Child with Bedwetting and Daytime Incontinence

Are your kids still having accidents at night? Are they peeing their pants at school? Do they feel embarrassed? Are they missing out on social activities? Urinary incontinence could be normal for their age but there does come a time when children should be dry during both the day and night.

Read MORE

How Can Physical Therapy Help With My Abdominal Pain?

There can be many reasons why someone has abdominal pain. Internal organs, such as your small intestine, colon, stomach, liver, gallbladder, pancreas, uterus or ovaries, could be causing your symptoms.

Read MORE

Mechanics For Vaginal Delivery: Is There A Right Way To Push?

I recently gave birth to my 1st child and was blown away that no one actually prepared me for the 2nd stage of labor, aka pushing phase, 10 cm dilation to birth. My husband and I went to several classes to prepare us for our newborn. During these classes they discussed the stages of labor, what tools they could use during labor, reasons for a c-section, joys and challenges of pregnancy, and how to breathe during the first stage of labor to make it through contractions. When I actually went through my 2nd stage of labor, I realized no one ever discussed how to push and breathe during this phase.

Read MORE

How Can A Belly Massage Help My Constipated Child? Learn the "I Love You" Technique.

Since the COVID-19 pandemic hit in March, I have had more time to practice and critique my I Love You (ILU) massage technique on my 16-month old son, who has been dealing with constipation since he started eating solid foods. I have found there are a few things you really need to do when doing the ILU massage. But before we dive deep into the mechanics, how does the ILU massage technique work?

Read MORE

How Does Squatting on the Toilet Help with Constipation?

Have you ever heard of the Squatty Potty? Advertised as the Original Bathroom Toilet Stool, the Squatty Potty was invented in 2010 by the Edwards family. After dealing with constipation themselves, they were told to try squatting to pass their bowels. This gave them the idea of the Squatty Potty. Now you are probably wondering: why would squatting help with passing stools? Let’s get an understanding of how digestion and bowel mechanics work.

Read MORE

Why Do I Have Troubles Holding in My Stool? I Had No Idea PT Can Help With This!

Do you leak stool with walking, running, or other physical activities? Do you have urgency of your stool and can’t make it to the toilet in time? Do you have to wear disposable underwear because you leak fecal matter?‍ As a pelvic health physical therapist, I see this quite a bit in my practice and everyone always asks the single question: “Why?!!!”

Read MORE

How Can Fiber Help With Constipation?

I’m sure there are a lot of people who can relate to the feeling of constipation. Tummy distended and full; pain in the stomach; a sensation you cannot completely empty your rectum; back pain –– all are symptoms of constipation. We probably have been told to increase our fiber intake and doing so will help loosen our stools. While this is true, there are several things you should know about what type of fiber and how much you should be consuming if you’re trying to improve constipation. 

Read MORE

Treating Constipation with Laxatives: Dependency & Safety in Adults & Children

Ever since I have been treating constipation and bowel dysfunction as a pelvic health physical therapist, I’ve had many clients ask if the laxative they are taking is safe and if they should continue using it, or if they can start their child on a laxative such as Miralax. Many of my clients are afraid they might become dependent and will always have to be on it for their bowels to function. Or they have been told to stop taking it because it is not safe. To have a better understanding of the risk of dependency on a laxative and its safety, let’s first discuss what it actually is, how it works, its side effects, precautions, why you would use it, and the current research on kids taking it.

Read MORE

Best Treatment Options for Diastasis Recti

Have you been told you have a diastasis recti? Have you tried some DIY treatments but haven't been able to improve it? As a pelvic health physical therapist, there are several professional treatment options that I recommend: physical therapy, laser therapy, functional neurology, gut health, hypnosis, and/or abdominoplasty surgery (if necessary).

Read MORE

From Groin Groans to Pelvic Pleasantries: How Pelvic Floor PT Steals the Show

Picture this: a clandestine world of pelvic pain, shrouded in secrecy and often deemed the domain of women. But wait, men also find themselves entangled in this web of discomfort. It's time to bust open the pelvic pain myth and bring pelvic floor physical therapy to the center stage! So grab your seat and get ready for a hilarious journey as we unravel the comic complexities of male pelvic pain and discover how pelvic floor PT can save the day.

Read MORE

A Comprehensive Approach to Managing TMJ Dysfunction

I wrote this blog after hosting a Zoom call with various practitioners in the Denver area. The topic of discussion was how to manage TMJ Dysfunction. By combining some of the strategies listed below, you can take significant steps towards alleviating TMJ/TMD symptoms and regaining comfort in your daily life.

Read MORE

Balloon Training for Fecal Incontinence: A Breath of Fresh Air

Fecal incontinence is often considered a taboo topic, even though it is a condition that affects millions of people worldwide. This topic can be a source of embarrassment, social isolation, and decreased quality of life. But fear not. For in this blog, we are going to explore the concept of balloon training for fecal incontinence and sprinkle in a little humor, because sometimes laughter really is the best medicine.

Read MORE