How to make baby poop daily
Constipation in babies - causes, signs and treatments
Constipation in babies - causes, signs and treatments | Pregnancy Birth and Baby beginning of content5-minute read
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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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- Poos and wees
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Baby constipation: Top 7 home remedies
Babies often go a long time between bowel movements. Most of the time, it is normal for a baby to go days or even more than a week without a bowel movement. However, a baby may sometimes be constipated and need a little help.
If a baby is constipated, a pediatrician may recommend using home remedies as a first-line treatment for baby constipation.
Home remedies for constipation in a baby include:
1. Exercise
Moving a baby’s legs can help relieve constipation.
As with adults, exercise and movement tend to stimulate a baby’s bowels.
However, as babies may not be walking or even crawling yet, a parent or caregiver may want to help them exercise to relieve constipation.
The parent or caregiver can gently move the baby’s legs while they are lying on their back to mimic the motion of riding a bicycle. Doing this may help the bowels function and relieve constipation.
2. A warm bath
Giving a baby a warm bath can relax their abdominal muscles and help them stop straining. It can also relieve some of the discomfort relating to constipation.
3. Dietary changes
Certain dietary changes may help constipation, but these will vary depending on the baby’s age and diet.
While breastfeeding a baby, a woman could eliminate certain foods, such as dairy, from her diet. It may take some trial and error to identify the dietary changes that help, and it is quite possible that changes in the diet will have no effect on the baby’s constipation.
For formula-fed babies, a parent or caregiver may want to try a different kind of formula. It is best not to switch to a gentle or dairy-free formula without consulting a pediatrician first. If one change does not make a difference, continuing to try different formulas is unlikely to help.
If an infant is eating solid foods, parents or caregivers should look to introduce foods that are good sources of fiber.
Many fruits and vegetables can help stimulate the bowels because of their higher fiber content. Good food choices for babies with constipation include:
- skinless apples
- broccoli
- whole grains, such as oatmeal or whole-grain bread or pasta
- peaches
- pears
- plums
4. Hydration
Young infants do not typically need supplemental liquids as they get their hydration from breast milk or formula.
However, babies that are constipated may benefit from a small amount of extra liquid.
Pediatricians sometimes recommend adding a small amount of water or, occasionally, fruit juice, to the baby’s diet when they are over 2–4 months old and are constipated.
5. Massage
There are several ways to massage a baby’s stomach to relieve constipation. These include:
- Using the fingertip to make circular motions on the stomach in a clockwise pattern.
- Walking the fingers around the naval in a clockwise pattern.
- Holding the baby’s knees and feet together and gently pushing the feet toward the belly.
- Stroking from the rib cage down past the belly button with the edge of a finger.
6. Fruit juice
A small amount of pure apple juice can help soften stool.
After a baby reaches 2–4 months of age, they can have a small amount of fruit juice, such as 100-percent prune or apple juice. This juice may help treat constipation.
Experts may recommend starting with about 2–4 ounces of fruit juice. The sugar in the juice is hard to digest. As a result, more liquid enters the intestines, which helps soften and break up the stool.
However, a parent or caregiver should not give fruit juice to a baby for the first time without consulting their pediatrician.
7. Taking a rectal temperature
When a baby is constipated, taking the baby’s rectal temperature with a clean, lubricated thermometer may help them pass stool.
It is important not to use this method very often, as it can make constipation worse. The baby may start not wanting to pass a bowel movement without help, or they may begin to associate having a bowel movement with discomfort, leading them to fuss or cry more during the process.
Anyone who feels as though they often need to use this method to help the baby have a bowel movement should talk to the baby’s doctor.
As infants may go for extended periods without a bowel movement, it can be hard to tell if they are constipated. Signs that indicate constipation in a baby include:
- infrequent stools that are not soft in consistency
- clay-like stool consistency
- hard pellets of stool
- long periods of straining or crying while trying to have a bowel movement
- streaks of red blood in the stool
- lack of appetite
- a hard belly
Signs of constipation in babies vary depending on their age and diet. A normal bowel movement before a baby begins eating solid food should be very soft, almost like the consistency of peanut butter or even looser.
Hard baby stool prior to solid food is the most obvious indication of constipation in babies.
At first, breastfed babies may pass stool often since breast milk is easy to digest. However, once a baby is between 3 and 6 weeks old, they may only pass a large, soft stool once a week and sometimes even less.
Formula-fed babies tend to pass stool more frequently than breastfed babies. Most formula-fed babies will have a bowel movement at least once a day or every other day. However, some formula-fed babies may go longer between bowel movements without being constipated.
Once a parent introduces solid food to a baby’s diet, a baby may be more likely to experience constipation. A baby may also be more likely to become constipated if a parent or caregiver introduces cow’s milk (other than formula) to their diet.
Share on PinterestA doctor should assess a baby with ongoing constipation.
It is advisable to call a pediatrician if a baby has not passed a stool after a day or two and there are other signs present, such as:
- blood in the stool
- the baby seems to be irritable
- the baby appears to have abdominal pain
- there is no improvement in the baby’s constipation after taking steps to treat it
Treatment typically starts with home remedies. If home remedies do not work, a doctor may examine the baby and, in rare cases, prescribe medications, such as:
- laxatives
- enemas
- suppositories
People should never give these medications to a baby unless a doctor prescribes them.
Constipation can lead to discomfort and irritability in a baby. People can try several at-home methods to help alleviate constipation.
If symptoms do not improve, it is best to speak to the infant’s pediatrician for additional strategies.
Read the article in Spanish.
child is afraid to poop (psychological constipation)
Psychological constipation in a child is a much more common problem than you might think.
Most common at an early age. Such a phenomenon as physiological constipation occurs in almost all people at least once in a lifetime.
And as a result of “ordinary” constipation, psychological constipation may appear, i.e. the child is afraid to poop.
I would like to draw your attention to the fact that when a child does not poop in a pot, but poops calmly in a diaper, these are different things. There is a separate article about this “The child is afraid of the pot”
Why does psychological constipation appear in children?
I talked about the reasons in detail on the video here: WATCH THE VIDEO
As a result of problems with digestion and constipation, it becomes painful for the child to go to the toilet.
As a result, there is a fear of defecation. The kid is afraid that the next time it will also hurt, it pinches, endures to the last, maybe even crap one's pants.
As a result, this provokes constipation in the child again, and again pain. Vicious circle.
In some children, this fear is not expressed and disappears by itself gradually. For other children (and their families) becomes a real problem for a long time.
Children under the age of 4 are especially susceptible to psychological constipation.
After all, it is much more difficult for a child of 2 or 3 years to explain how the process of digestion occurs, and why exactly it hurts with constipation.
A child is afraid to poop just because he does not understand why it hurts - this is the main cause of psychological constipation in children.
What can a parent do if a child is afraid to poop?
- Normalize the child's nutrition.
The baby should have enough liquid, for prevention, eat kiwi, beets, prunes, etc.
The main task is to normalize the physiology, this is the first step. - Very often well-intentioned parents exacerbate the problem with their excessive concern.
The "potty" question becomes more relevant for them than anything and everything.
How it looks from the outside: Mom comes home from work: “Hi, how are you? Did you poop?
Fixation on a problem always makes it worse!
In addition to the fear of pooping, the child develops the fear of upsetting the mother. ..
Conclusion: do not ask the child if he wants to go to the toilet all the time, but better not ask at all. Even if the child wants to poop, he will still say “no”, because he is afraid to do it. - There is a good way to get rid of this fear: play potty theme in a role-playing game .
Let your child's favorite toy be afraid to poop, and you and your baby will help her.
In the game, children learn everything much better. In general, most likely, the child will really like to play “constipated” with toys, because this topic worries him very much.
He can play the same story ten times - this is normal.
After all, we adults do exactly the same thing, only in our heads. We replay situations that worry us over and over again, trying to find a way out of it.
The child simply cannot do the same without visual reinforcement. - Important calmly respond to the child's mistakes .
Do not scold, do not lament, just change the linen, and that's it.
This is necessary so that the child, in addition to the fear of pain, does not have the fear of being punished, of upsetting the parents. - Explain the physiology of digestion to your child in a language he understands.
It can be a book about body structure for children, it can be a fairy tale or a game. - You can think up and tell a fairy tale on this topic. In the future, remind the child: "Do you remember, like in a fairy tale." Those. do not lecture him, do not itch in the ear, but give an example of a successful solution to the problem. You can find an example of a fairy tale here
Remember that there is nothing terrible and shameful in this problem!
As a practicing child psychologist, I can say that people come to me with a similar problem very often. And most of the time it's resolved fairly quickly.
If you do not have the opportunity to quickly turn to a good child psychologist, then you can use my master classes for parents and professionals.
Click on the picture and go to its description
The main thing is not to hang your nose, follow the recommendations described above, and the child's psychological constipation will be defeated!
The child is afraid to poop | What to do if a child is afraid to poop
All articles
Children05/01/2019
I even got the hang of walking with a candle in the anus.”
“Dasha walks mostly only in shorts. I think I've tried everything: explanations, games, books. It all started when she was 3 years old, and I began to catch her and put her on the potty. A cry rises, as if they are cutting her - they are killing her: “The pot is terrible!” After such attempts, the daughter does not poop for three days. I let go of the situation for a month, I try again and I understand that I will soon turn gray from her scream. Is there a way out of this impasse?”
There are many such situations. Children who are constipated may develop a fear of defecation, further exacerbating the problem. In addition, the situation is often accompanied by increased anxiety. How to break this vicious circle? An analysis of the causes and working recommendations are further down the course.
. Someone refuses to defecate in the right place, because he is afraid of what happens to him and what can be seen later. It is in our nature to fear the incomprehensible, the new. And a child at 2 years old is just beginning to realize himself, to recognize his body along with its functions.
Some people are afraid of the toilet articles, they think that there is a danger in them, how can you make friends with “those”?!
Some people are afraid of the process of defecation, often for physiological reasons: it hurts, it hurts, it presses... And when the baby still piles into his pants, then instead of a victorious “Hurrah! Everything worked out!” he receives a portion of adult discontent.
A lot of negative things happen with regular suppression of bowel movements:
-
thickening of the feces (megacolon), which will subsequently cause severe discomfort during inevitable evacuation from the intestines
-
stretching of the walls of the rectum. It entails the absence of emptying signals. Treated surgically.
-
absorption of toxins from the rectum into the blood, which is essentially self-poisoning.
-
loss of bowel sensation, which over time can lead to incontinence.
With constipation that has become a habit, parents and doctors note a decrease in immunity (frequent SARS), nausea or vomiting, headaches, a rash in the buttocks or on the forehead and temples. For preschoolers - at 5 years old, at 6 years old - and even schoolchildren, this can lead to rapid fatigue, inattention, and learning problems.
Many mothers notice that their son (daughter) perfectly uses toilet articles for their intended purpose at home, and is afraid to poop in kindergarten. Moreover, this fear can spread to all public places, at a party and at school. This is natural in an unusual environment and is due to the natural shyness of a small person. After all, it is not always and everywhere possible to retire, completely relax.
Quite often a child who is accustomed to the potty, having matured, cannot part with it because he is afraid to poop into the toilet. And he prefers to “disgrace himself” in his pants than to go to the persuasion of his parents and use the toilet. Adults do not understand that he is afraid to fail and be washed away by water. This is due precisely to the psychological fear of the toilet room, although perhaps he is simply not ready to grow up.
The most important thing is that a healthy child should have daily and normally formed stools (sausage). All deviations from this rule on a regular basis are symptoms of problems in the gastrointestinal tract or in the psycho-emotional area. Unpleasant sensations that appear at least once during a bowel movement can pretty scare the baby and complicate the task of potty training for a long time. But worst of all are conflicts with adults on this basis.
Excessive attention of parents to the topic of toilet can do harm. Of course, mom wants to quickly survive the period of dirty panties. But in this case, neither haste nor aggression will lead to good. If the little one is strongly scolded for soiled panties or taught to go to the toilet “like everyone else” too persistently and aggressively, then this can become a real psychological problem that accompanies fear and protest.
For more information about the psychological causes of fears and rejections in this situation, see the article “Why a child is afraid of the pot.”
WHAT TO DO IF THE CHILD IS AFRAID TO POOP
If a small person holds a stool, cries from the desire and inability to poop, or vigorously resists a painful bowel movement, consult a pediatrician, gastroenterologist, to rule out a medical cause. After all, this happens with intestinal diseases, and with rickets, and with hypothyroidism. It is necessary to seek professional help, and not self-medicate.
The sooner constipation is diagnosed, the easier and more effective the treatment. Usually, a diet combined with laxatives perfectly eliminates the problem of bowel function. Keep in mind that the appearance of constipation is favored by a lack of foods with vegetable fiber in the diet. And an excess of animal proteins and fats in food exacerbates the situation, contributing to a greater hardening of feces.
So, the first step to overcome constipation, fears of emptying is to normalize nutrition:
-
diet by age
-
complete nutrition for proteins, fats and carbohydrates, vitamins and minerals
-
compliance with the diet (at least 4-5 times a day at certain hours)
-
enough liquid (at least 2-3 glasses of clean water per day!)
For the prevention of constipation and the successful fight against them, you need fruits and vegetables in sufficient quantities, raw or boiled (baked). Kiwi, apricots, oranges, plums, apples, beets and carrots, zucchini have proven themselves best. Whole-grain cereals (wheat, barley, buckwheat, oatmeal, brown rice, quinoa) and wholemeal bread are useful.
Fresh one-day kefir (it would be nice to have your own production) or yogurt based on bacterial sourdough, which improves intestinal microflora - this is what you need if there are no problems with milk digestion! Use vegetable oil, avoid giving your little one black tea, cocoa, jelly, rice and semolina, pasta, fast food and other unnecessary snacks.
Some more current physiology recommendations:
-
A good habit is to have a daily bowel movement in the morning. Adjust your chair naturally. With such a ritual, life is simplified and accustoming is accelerated.
-
Abdominal massage (circular movements with a cam in a clockwise direction).
-
Vacuum (retracting the tummy on exhalation), performed strictly on an empty stomach.
-
Enough physical activity. Squats, bends, abdominal exercises, belly dancing and more.
One of the most common mistakes parents make is to potty train their child too early. After all, only by 1.5 - 2 years he will be able to control the processes of his body. It is useless and dangerous to insist on one's own, to scold and get angry at the little one - it is so easy to harm his psyche. The usual childhood fear can develop into a problem of psychological constipation, which will have to be treated.
Pediatricians and psychologists believe that one should not focus on the toilet issue and make friends with a plastic friend. “You won’t be forced to be nice,” says folk wisdom. Everything we want to teach a kid should be presented in a playful way . We stock up on a good mood, calmly and cheerfully introduce our son (daughter) to the process of emptying through books, drawings, toys.
According to one mother, she and her husband came up with the idea to draw on the tummy of their son with a marker the image of the small and large intestines (as in an anatomy textbook). The little one liked it so much that he learned to poop where necessary almost immediately. True, dad and mom had to paint their tummies at the insistence of their son. Nevertheless, the goal was achieved with the least losses!
A good way to remove fear is to play a role-playing game with the child on the topic “bunny is afraid to poop”. This will allow him to scroll through - to experience the topic that excites him several times and learn the necessary information. After all, together you help the bunny overcome his fear, find a way out in a difficult situation, draw the right conclusions.
Learn to calmly respond to your child's unsuccessful attempts to urinate on the potty. Shouting, let alone shaming is unacceptable! The fact is that one fear may be joined by another - upset parents or be punished.