Oxalates and Kids' Digestion: How High-Oxalate Foods Contribute to Constipation and Gut Discomfort

Medically reviewed by Begin Nutrition Team | Published March 01, 2025

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Oxalates are naturally occurring compounds found in many plant-based foods, and while they aren’t harmful in moderation, too much oxalate in a kid’s diet can contribute to digestive issues, including constipation and gut discomfort.

Many parents focus on fiber and hydration when managing constipation, but oxalates can play a hidden role in making gut issues worse.

Here’s what you need to know about oxalates, digestion, and how to balance your kiddos’ diet for better gut health.

What Are Oxalates?

Oxalates (or oxalic acid) are naturally occurring plant compounds that bind to minerals like calcium and magnesium, affecting how they are absorbed in the body.

In some kids, excess oxalates can lead to digestive discomfort, constipation, and even contribute to kidney stone formation.

Key Facts About Oxalates:

  • Found in many healthy plant foods like spinach, almonds, and sweet potatoes.

  • Can block calcium absorption, which may contribute to poor digestion and constipation.

  • Processed in the gut—but imbalances in gut bacteria can cause oxalates to accumulate.

How Do High-Oxalate Foods Affect Digestion in Kids?

1. Oxalates Bind to Minerals (Calcium & Magnesium), Leading to Constipation

  • Calcium and magnesium are essential for gut motility and soft stools.

  • Oxalates bind to these minerals, making them less available for digestion.

  • Low calcium + low magnesium = harder stools and slower digestion.

Signs of Oxalate-Related Constipation:

Hard, difficult-to-pass stools despite fiber intake.
Bloating and tummy pain after eating high-oxalate foods.
Chronic constipation despite drinking enough water.

Begin Health Expert Tip: If your toddler or kid has constipation despite eating fiber-rich foods, oxalates might be reducing magnesium and calcium absorption, leading to gut sluggishness.

2. Gut Bacteria Play a Role in Oxalate Digestion

  • Certain gut bacteria (like Oxalobacter formigenes) help break down oxalates.

  • If a kid has gut imbalances (from antibiotics, processed foods, or low microbiome diversity), oxalates can accumulate and cause digestive discomfort.

Signs of Poor Oxalate Breakdown in Kids:

Frequent tummy aches or bloating after eating high-oxalate foods.
Loose stools or constipation without a clear cause.
Kidney stone history in the family (higher risk for oxalate buildup).

Begin Health Expert Tip: Supporting gut health with prebiotics and probiotics can help the body process oxalates more efficiently.

3. High-Oxalate Foods Can Cause Gut Inflammation

  • Some kids are sensitive to oxalates, and excessive intake can lead to gut inflammation and discomfort.

  • Oxalates may contribute to irritation of the gut lining, leading to symptoms similar to IBS (Irritable Bowel Syndrome).

Signs of Gut Irritation from Oxalates:

Frequent stomach aches after eating spinach, nuts, or chocolate.
Irritable behavior, restlessness, or sensory sensitivities (in some kids).
Skin rashes or eczema flare-ups linked to diet.

Begin Health Expert Tip: Some kids benefit from a lower-oxalate diet combined with gut-supportive prebiotics and calcium-rich foods.

High-Oxalate Foods That Can Worsen Constipation

Some of the highest oxalate foods include:

  • Spinach – One of the highest oxalate-containing foods.

  • Almonds & Cashews – Found in many dairy-free milks & snacks.

  • Sweet Potatoes – A common food for kids but high in oxalates.

  • Chocolate & Cocoa Powder – Dark chocolate is especially high in oxalates.

  • Raspberries – Although high in fiber, they also contain oxalates.

  • Wheat Bran & Whole Wheat Flour – Found in cereals and whole-grain snacks.

  • Beans (Navy, Soy, Black Beans) – High in oxalates, despite being a good fiber source.

Begin Health Expert Tip: If your kid struggles with constipation or gut discomfort, try reducing high-oxalate foods for a short time and replacing them with low-oxalate alternatives.

Best Low-Oxalate Foods for Kids with Constipation

Low-Oxalate, Gut-Friendly Foods:

  • Avocados – Great fiber + healthy fats without oxalates.

  • Bananas – Gentle on digestion and naturally low in oxalates.

  • Carrots & Zucchini – Easy to digest, good fiber content.

  • White Rice & Quinoa – Lower in oxalates than whole wheat.

  • Dairy (Yogurt, Cheese, Milk) – Good calcium sources to bind oxalates in the gut.

  • Lentils (Lower Oxalate Compared to Other Beans) – Good alternative to black beans.

Begin Health Expert Tip: Pairing high-oxalate foods with calcium-rich foods (like cheese or yogurt) can reduce oxalate absorption and help prevent constipation.

How to Reduce Oxalates Without Cutting Out Healthy Foods

If your kid eats a lot of high-oxalate foods, try these tips to reduce oxalate absorption while still maintaining a balanced diet:

  • Pair oxalate-rich foods with calcium – Calcium binds to oxalates and prevents them from causing gut issues.

  • Cook high-oxalate veggies – Boiling spinach reduces oxalate content by ~40%.

  • Support gut health with prebiotics & probiotics – Helps the body naturally process oxalates.

  • Balance fiber sources – Mix low-oxalate fiber foods (carrots, oats) with higher-oxalate ones.

  • Avoid overloading on almond-based products – Swap almond milk for coconut or dairy-based alternatives.

Summary

  • Oxalates bind to calcium & magnesium, making stools harder and slowing digestion.

  • Gut bacteria help break down oxalates, but imbalances can lead to bloating, discomfort, and irregular stools.

  • High-oxalate foods like spinach, almonds, and sweet potatoes can contribute to constipation and gut issues in sensitive kids.

  • Pairing high-oxalate foods with calcium, cooking certain veggies, and supporting gut health can help balance oxalate levels.

For kids struggling with constipation and tummy discomfort, lowering high-oxalate foods while supporting gut health with prebiotics and balanced fiber sources can make a big difference!

View Citation

  1. Holmes, R. P., & Assimos, D. G. (2004). "The Impact of Dietary Oxalate on Kidney Stone Formation." Urological Research, 32(5), 311-316.
  2. Hatch, M., & Freel, R. W. (2005). "A Metabolic Basis for the Enteric Oxalate Transport Defect in Hyperoxaluria and Kidney Stone Disease." Kidney International, 68(4), 1444-1451.
  3. Siener, R., Hesse, A., & Hoppe, B. (2016). "Dietary Treatment and Prevention of Hyperoxaluria and Urinary Stone Disease." World Journal of Urology, 34(9), 1463-1469.