Coarse stools in children are not necessarily megacolon, but are usually the cause of constipation. Coarse stools in children may be caused by constipation. Some children drink less water, resulting in less intestinal water, stool in the intestinal tract to stay longer, which leads to coarse stool. Usually give your child more water, eat more crude fiber vegetables and fruits, more exercise, clockwise gentle abdomen, develop the habit of regular bowel movements. If necessary, take probiotics such as Bifidobacterium bifidum and Bacillus cereus to regulate the stomach and intestines under doctor’s instruction, and in serious cases, lactulose can be taken orally as prescribed by the doctor. In a small number of children, very severe coarse stools may be caused by megacolon, which can be clarified by rectal fingerprinting and GI imaging. If your child always has coarse stools, you can go to a gastroenterologist to determine if your child has megacolon.