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How do you know your baby is constipated


Symptoms, Treatment and When to Call a Doctor

Nationwide Children’s Hospital

Constipation (con-sta-PA-shun) in infants can worry parents. Most of the time, your baby is not really constipated. They may not have developed a routine for pooping yet. Some babies do not develop a bowel movement (BM) pattern for a while.

An infant’s BM pattern can change if their diet changes, like switching from breastmilk to formula, starting solid foods, or drinking less formula than usual. If your baby’s stool (poop) is not soft or easily passed, then they may be constipated.

In rare cases, constipation may be caused by a lack of nerves going to the intestines or by a problem with the way the intestine formed at birth. Your baby can be tested for these conditions if your health care provider feels it is needed.

Signs of Constipation

  • less stools than their usual pattern
  • straining more than normal to have a bowel movement
  • a change in how the stool looks from soft and mushy to:
    • small, hard pebbles, or like a large, round golf ball
    • loose and watery
  • abdomen (belly) bloated or swollen with gas
  • painful cramps

Treatment

  • If your baby is not eating baby food yet, you may give 1 to 2 ounces of 100% fruit juice (pear, prune, cherry, or apple) once a day. Stop the juice if their stools become too loose.
  • If they are old enough to eat baby foods, feed them pureed pears, peaches, or prunes instead of giving them juice.
  • If your baby eats cereal, it may help to give oatmeal, wheat, or barley cereal. Rice cereal can cause constipation in some children.
  • Sometimes giving your baby a warm bath to relax them or exercising their legs, like riding a bicycle, will help stimulate the bowels to move (Picture 1).
  • If it has been a few days since your baby has pooped and the juice or pureed food has not worked, then you can try a glycerin suppository. Place your baby on their back. Gently push the suppository into their anus (bottom). Suppositories are meant for occasional use.
  • Contact your baby’s health care provider before giving them laxatives, baby mineral oil, or enemas to treat constipation.

Medical Therapy

Your child’s health care provider may order the following treatments:

  • Give your child medication.
  • Check your child’s temperature using a digital, rectal thermometer. Put a small amount of petroleum jelly (Vaseline®) on its tip before inserting into the rectum. Taking a rectal temperature may stimulate the baby to pass stool.

When to Call the Health Care Provider

Call the health care provider if any of the following occurs:

  • Your baby is irritable and seems to be having stomach pain. Infants will pull their legs up to their stomach and cry when they are in pain.
  • Your baby has constipation and develops vomiting, and their belly looks like it is bloated or filled with gas.
  • You see blood in their stool.
  • Their constipation does not get better with treatment.

If you have any questions or concerns, call your baby’s health care provider.

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Constipation in babies - causes, signs and treatments

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What is constipation?

Constipation is when your baby’s poo is hard and dry, making it difficult for them to poo. Sometimes, doing a hard poo can be painful. It’s common for babies to have constipation when they are changing from formula or breast milk to solid foods.

What is normal?

All babies are unique, and this includes how often they poo. There is a very wide range of ‘normal’. Some babies poo after every feed. Others will only poo once every few days. When it comes to how often they poo, once in 7 days, or 7 times in one day are both fine, so long as your baby is happy and well. But while the number of poos is not critical, if your baby seems to have pain when trying to poo or has a very hard, dry poo, you can speak with their doctor or child health nurse for advice.

Why is my baby constipated?

One of the main causes of constipation in babies is a change in diet. A change in diet may include:

  • changing from being formula-fed
  • changing from being breastfed
  • exposure to new foods and flavours
  • not drinking enough liquids (breastmilk, formula or water)

It is more common for bottle (infant formula) fed babies to have constipation than breast-fed babies.

If your baby has started eating solid food, a lack of fibre in their diet may also potentially cause of constipation. Some babies simply have a natural tendency towards constipation, even when they have a good diet and drink enough fluids. This doesn’t mean they are unhealthy or unwell.

Baby poo guide

Learn more about your baby's poo.

In extreme cases, rare illnesses can cause constipation such as:

  • problems with nerve endings in the bowel
  • problems relating to the spinal cord
  • thyroid deficiency
  • other metabolic disorders

All babies are checked for these conditions, so this is usually not something you need to be concerned about. But if you are worried about your baby or are notice that pooing is painful for them, seek medical advice.

How to recognise the signs of constipation

The main signs of constipation are hard, dry poos. The following are other signs of constipation:

  • Your baby may show signs of straining when trying to pass a poo.
  • Your baby may be unsettled, may seem fussy or irritated.
  • Your baby may be eating less or feeding less well than usual.
  • A tear or crack might appear in the skin around the anus, which may at times bleed.

In some cases, if your child is constipated, they may look bloated or their stomach may appear larger than usual. It can be possible to feel their poo (hard, solid lumps) while pressing softly on their stomach.

How to treat constipation at home

Try these tips to help babies who have difficulty passing poos:

  • If your baby has infant formula, always measure the water first before adding the formula powder — this helps ensure that the ratio of water-to-formula is correct.
  • If your baby is old enough to drink water, offer extra drinks (boiled and cooled first).
  • Gently rub their stomach to help stimulate the bowel — your baby might also feel better with gentle massage to help manage the pain of constipation.
  • A warm bath can help calm and settle your baby and relieve discomfort.

If your baby is older than 6 months, add some extra fruit and vegetables to their diet to boost their fibre intake.

If your child is older than 9 months, adding stewed prunes or apricots to their meal may help. They can have up to 3 tablespoons, 3 times a week. Cereal that has bran may also help mild constipation. Older babies can try prune juice diluted with water (half prune juice and half water). Start slowly, with 10 millilitres. Increase as needed until they can do a soft poo.

Does my child need to see a doctor?

Constipation is common. Often it will pass without intervention, or with the help of the strategies listed above. If you are worried that your baby has constipation, is uncomfortable or is in pain, their doctor can assess them and recommend baby-safe strategies. There are medical treatments for constipation that your doctor may consider, based on your baby’s circumstances.

If your baby was previously treated for constipation but still struggles to poo, it is important to go back to your doctor for a review. There are several treatments they can try.

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

Sources:
The Royal Children’s Hospital Melbourne (Kids Health Information 2020 - Constipation), Queensland Health (Constipation in children), Perth Children’s Hospital (Constipation in children)

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: September 2021


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Related pages

  • Poos and wees
  • Your child's health
  • Baby poo guide

Need more information?

Constipation in babies and children | Raising Children Network

Children with constipation have hard poo that’s difficult to push out. A high-fibre diet and regular toileting usually helps. Some children need laxatives.