Newborn has hard poop
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.
Constipation: Infant (PDF), Spanish (PDF), Somali (PDF), Arabic (PDF), Nepali (PDF)
HH-I-14 ©Copyright 1984, Revised 2022, Nationwide Children’s Hospital
You Might Also Be Interested In
Blog
Pelvic Floor Physical Therapy: How It Can Help
Podcast
PediaCast 503 Your Childs Stomach Part 1
Blog
Senna-Based Laxatives for Kids’ Constipation: Are They Safe?
Constipation in babies - causes, signs and treatments
Constipation in babies - causes, signs and treatments | Pregnancy Birth and Baby beginning of content5-minute read
Listen
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
Back To Top
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.
Read more on raisingchildren.net.au website
Colic in infants - MyDr.com.au
Colic is a pattern of unexplained, excessive crying in an otherwise healthy and well-fed baby and happens to 1 in 5 Australian babies.
Read more on myDr website
All about baby poo
Babies poo! Some poo after every feed, while others can go for days without a dirty nappy. But what you do find in the nappy can say something your baby's health - learn more here.
Read more on Pregnancy, Birth & Baby website
Common myths about babies
Find out about some of the common myths you may hear or read about young babies.
Read more on Pregnancy, Birth & Baby website
Constipation and children - Better Health Channel
A healthy diet, plenty of fluids, exercise and regular toilet habits can help relieve constipation in children
Read more on Better Health Channel website
When can babies drink water?
You may wonder when it is safe to start giving your baby water. Whether you are breastfeeding or formula feeding, learn how and at what age to get started.
Read more on Pregnancy, Birth & Baby website
Poos and wees
Babies have very delicate skin and need changing soon after they wet themselves or passed a stool (poo) to prevent nappy rash and stop them from smelling.
Read more on Pregnancy, Birth & Baby website
Breast feeding your baby - MyDr.com.au
Breast milk has long been known as the ideal food for babies and infants. Major health organisations recommend that women breast feed their babies exclusively until they are 6 months old, and continue breast feeding, along with solids, until they are 12 months old or more. Breast milk has many benefits.
Read more on myDr website
What's in the nappy? - video
It may not sound like fun, but checking your baby's poos and wees will help monitor their health and wellbeing.
Read more on Pregnancy, Birth & Baby website
Breastfeeding... Is it for me? | Sydney Children's Hospitals Network
Before your baby is born, you should decide whether you wish to breastfeed your baby or not
Read more on Sydney Children's Hospitals Network website
Disclaimer
Pregnancy, Birth and Baby is not responsible for the content and advertising on the external website you are now entering.
OKNeed further advice or guidance from our maternal child health nurses?
1800 882 436
Video call
- Contact us
- About us
- A-Z topics
- Symptom Checker
- Service Finder
- Linking to us
- Information partners
- Terms of use
- Privacy
Pregnancy, Birth and Baby is funded by the Australian Government and operated by Healthdirect Australia.
Pregnancy, Birth and Baby is provided on behalf of the Department of Health
Pregnancy, Birth and Baby’s information and advice are developed and managed within a rigorous clinical governance framework. This website is certified by the Health On The Net (HON) foundation, the standard for trustworthy health information.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.
The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.
Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.
Support this browser is being discontinued for Pregnancy, Birth and Baby
Support for this browser is being discontinued for this site
- Internet Explorer 11 and lower
We currently support Microsoft Edge, Chrome, Firefox and Safari. For more information, please visit the links below:
- Chrome by Google
- Firefox by Mozilla
- Microsoft Edge
- Safari by Apple
You are welcome to continue browsing this site with this browser. Some features, tools or interaction may not work correctly.
Normal stool of newborns and children up to the first six months of life
The contents of a diaper excite every young mother. Any change or change in the frequency of bowel movements causes her to panic and forces her to look for diseases in the child. We understand how the gastrointestinal tract works in infants and what the baby's stool should be like.
Peculiarities of digestion in an infant
Despite the long intrauterine development, many systems and organs of a newborn child cannot fully perform their functions. The gastrointestinal tract is no exception. Babies don't have teeth to chew solid food, and their liver and pancreas don't produce enough enzymes.
In addition, the baby is born with a sterile intestine. Its settlement with beneficial microflora occurs in the first weeks of life, and full development can last up to a year. Children of the first half of the year eat only breast milk or a milk mixture adapted for their intestines. Feeding whole milk or fermented milk products is dangerous to his health.
The baby's stool is also different. In the first days of life, a newborn baby passes meconium - the original feces are usually dark green or black. Then it gradually changes color, smell and texture. What exactly it will be depends on the type of feeding and the characteristics of the child himself.
Stool norm in newborns and children up to a year
Normal stool indicators depend on how the mother feeds the child, whether he has congenital gastrointestinal diseases, allergies or intolerances. The frequency of stool in a newborn and children in the first half of life also depends on this.
Type of | Description |
Chair in newborns while breastfeeding | In the first six months, the stool is mushy, soft, blotches and inclusions may occur. The first months does not smell strongly, then the smell changes. May be completely absent for several days. |
Chair in infants with artificial feeding | The chair is regular from one to 6 times a day. Often associated with feeding (a bowel movement occurs before or during it). Thicker, pasty, smells stronger than breastfed babies |
With mixed feeding, the frequency and appearance of the stool depends on the proportion in which the child receives breast milk and an adapted formula.
At first, the baby can defecate after each feed. Over time, stool frequency decreases and volume increases. This can be scary for new parents. Our doctors remotely and at any time of the day will answer all questions about the health of the child and help determine when stool changes indicate pathology.
Newborn stool color
The second parameter, after the frequency, to which mothers pay the closest attention, is the color of the child's stool. Normally it is yellow or orange. It can be plain or with white patches. This color is typical for fresh stools when the baby has just gone to the toilet.
When exposed to air, the feces oxidize and become greenish in color. This is not a pathology. This color of the stool does not require treatment or medical attention. However, a sharp change in color, consistency or frequency of bowel movements, the appearance of foam, blood and streaks in the feces can indicate digestive problems - lactase deficiency, constipation, allergies, dysbacteriosis.
What problems does stool disorder indicate?
It is believed that the feces of a newborn should depart daily and not cause him any inconvenience. However, in children who are fully breastfed, stools may be completely absent up to 6 days. If after that the baby defecates without problems, and the feces themselves remain soft, this is considered a variant of the norm.
However, in some cases, a violation or change in bowel movements can indicate problems with digestion. The main ones are:
- constipation;
- diarrhea;
- allergy;
- intolerance to certain products;
- lactase deficiency;
- bleeding in the gastrointestinal tract;
- cracks.
The main symptoms to look out for include the following:
- the child becomes restless and capricious;
- he draws his legs to his stomach;
- the chair becomes rare and dense;
- the stool becomes too liquid and frequent;
- mucus, blood streaks, black blotches appear in the feces;
- stool immediately green;
- he smells bad;
- foam is visible in the feces.
These symptoms should be reported to the health visitor or pediatrician during the preventive visit. If blood is found in the diaper, you should immediately call an ambulance and hospitalize the child.
Changes in stool may indicate problems with the gastrointestinal tract in a child. It can be difficult for young parents to distinguish the norm from the pathology, so if you have any concerns, you should consult a pediatrician. Our doctors will answer all your questions about your baby's health, help you find the problem and tell you what to do in case of illness.
How to help your baby with stool problems
To help the baby, you need to understand why there are problems with the stool. To do this, the pediatrician will offer to undergo diagnostics - take blood tests, check feces, sign up for an ultrasound scan, colonoscopy or gastroscopy. The latter in young children are performed under general anesthesia and require temporary hospitalization.
After making a diagnosis, the doctor will suggest treatment and related activities:
- If an allergy is suspected, a nursing mother will be offered to follow a hypoallergenic diet. If the baby is bottle-fed, they will offer to change the mixture.
- Also, the doctor will give recommendations on the diet of the child. Breastfeed your baby freely, but less than once every two hours. Formula-fed babies can tolerate long intervals.
- In case of allergies, the child may be recommended to take antihistamines and sorbents.
- With confirmed lactase deficiency, the child is either transferred to a lactose-free mixture, or it is recommended to give special enzymes before feeding.
- If constipation, diarrhea and dysbacteriosis are suspected, the child may be prescribed drugs to improve the stool or special mixtures with lacto- and bifidobacteria.
- If an infection is suspected, against which diarrhea began, the baby may be prescribed antibiotics and antiviral agents.
If congenital pathologies of the development of the gastrointestinal tract are detected during the examination, the doctor takes appropriate therapeutic and preventive measures. Which ones and for how long depends on the type of disease and its degree.
Important! Abdominal problems are often associated with increased gas or colic. In this case, it is recommended to massage the abdomen, put a warm heating pad on it, or put the bare tummy against the mother's stomach.
FAQ
How many times a day should a newborn have a stool?
+
In the first days of life, the child passes meconium. After that, the chair can be after each feeding. In a month-old baby, the frequency of stools is removed and varies from 1 to 6 times a day. In children who are fully breastfed, it can recede up to 6 days.
What does feces look like in newborns?
+
Newborn babies have black or dark green stools. Over time, it brightens, becomes yellow-orange. It may contain white blotches and heterogeneities.
What are the problems with the chair?
+
The problems are indicated by the absence of stool against the background of the child’s anxiety and a change in the consistency of feces, too frequent stools, bad smell, foam, green color of feces immediately after a bowel movement, the appearance of streaks and inclusions of red and black or mucus in it.
What to do if the child does not poop?
+
If the child behaves normally (does not cry, does not act up and does not tighten his legs), and after the stool is pasty and easily leaves, then nothing needs to be done. If the child is worried and cannot poop, you need to see a doctor. He will conduct examinations and prescribe treatment.
Expert opinion
A change in the stool of a newborn, its complete absence or too frequent bowel movements can indicate digestive problems, allergies, and congenital diseases of the gastrointestinal tract. To distinguish the norm from pathology, you need to know what happens and how often a normal stool happens, what signs indicate pathology and when you need to see a doctor.
We publish only verified information
Article author
Pruzhinin Mark Yulievich pediatrician
Experience 30 years
Consultations 1572
articles 104
An experienced pediatrician with extensive experience and clinical experience in various medical organizations, resuscitation and intensive care and neuroinfection. Works with leading experts, attends international and Russian conferences.
Normal stools of newborns and children up to the first six months of life
The contents of a diaper excite every young mother. Any change or change in the frequency of bowel movements causes her to panic and forces her to look for diseases in the child. We understand how the gastrointestinal tract works in infants and what the baby's stool should be like.
Peculiarities of digestion in an infant
Despite the long intrauterine development, many systems and organs of a newborn child cannot fully perform their functions. The gastrointestinal tract is no exception. Babies don't have teeth to chew solid food, and their liver and pancreas don't produce enough enzymes.
In addition, the baby is born with a sterile intestine. Its settlement with beneficial microflora occurs in the first weeks of life, and full development can last up to a year. Children of the first half of the year eat only breast milk or a milk mixture adapted for their intestines. Feeding whole milk or fermented milk products is dangerous to his health.
The baby's stool is also different. In the first days of life, a newborn baby passes meconium - the original feces are usually dark green or black. Then it gradually changes color, smell and texture. What exactly it will be depends on the type of feeding and the characteristics of the child himself.
Stool norm in newborns and children up to a year
Normal stool indicators depend on how the mother feeds the child, whether he has congenital gastrointestinal diseases, allergies or intolerances. The frequency of stool in a newborn and children in the first half of life also depends on this.
Type of | Description |
Chair in newborns while breastfeeding | In the first six months, the stool is mushy, soft, blotches and inclusions may occur. The first months does not smell strongly, then the smell changes. May be completely absent for several days. |
Chair in infants with artificial feeding | The chair is regular from one to 6 times a day. Often associated with feeding (a bowel movement occurs before or during it). Thicker, pasty, smells stronger than breastfed babies |
With mixed feeding, the frequency and appearance of the stool depends on the proportion in which the child receives breast milk and an adapted mixture.
At first, the baby can defecate after each feed. Over time, stool frequency decreases and volume increases. This can be scary for new parents. Our doctors remotely and at any time of the day will answer all questions about the health of the child and help determine when stool changes indicate pathology.
Newborn stool color
The second parameter, after the frequency, to which mothers pay the closest attention, is the color of the child's stool. Normally it is yellow or orange. It can be plain or with white patches. This color is typical for fresh stools when the baby has just gone to the toilet.
When exposed to air, the feces oxidize and become greenish in color. This is not a pathology. This color of the stool does not require treatment or medical attention. However, a sharp change in color, consistency or frequency of bowel movements, the appearance of foam, blood and streaks in the feces can indicate digestive problems - lactase deficiency, constipation, allergies, dysbacteriosis.
What problems does stool disorder indicate?
It is believed that the feces of a newborn should depart daily and not cause him any inconvenience. However, in children who are fully breastfed, stools may be completely absent up to 6 days. If after that the baby defecates without problems, and the feces themselves remain soft, this is considered a variant of the norm.
However, in some cases, a violation or change in bowel movements can indicate problems with digestion. The main ones are:
- constipation;
- diarrhea;
- allergy;
- intolerance to certain products;
- lactase deficiency;
- bleeding in the gastrointestinal tract;
- cracks.
The main symptoms to look out for include the following:
- the child becomes restless and capricious;
- he draws his legs to his stomach;
- the chair becomes rare and dense;
- the stool becomes too liquid and frequent;
- mucus, blood streaks, black blotches appear in the feces;
- stool immediately green;
- he smells bad;
- foam is visible in the feces.
These symptoms should be reported to the health visitor or pediatrician during the preventive visit. If blood is found in the diaper, you should immediately call an ambulance and hospitalize the child.
Changes in stool may indicate problems with the gastrointestinal tract in a child. It can be difficult for young parents to distinguish the norm from the pathology, so if you have any concerns, you should consult a pediatrician. Our doctors will answer all your questions about your baby's health, help you find the problem and tell you what to do in case of illness.
How to help your baby with stool problems
To help the baby, you need to understand why there are problems with the stool. To do this, the pediatrician will offer to undergo diagnostics - take blood tests, check feces, sign up for an ultrasound scan, colonoscopy or gastroscopy. The latter in young children are performed under general anesthesia and require temporary hospitalization.
After making a diagnosis, the doctor will suggest treatment and related activities:
- If an allergy is suspected, a nursing mother will be offered to follow a hypoallergenic diet. If the baby is bottle-fed, they will offer to change the mixture.
- Also, the doctor will give recommendations on the diet of the child. Breastfeed your baby freely, but less than once every two hours. Formula-fed babies can tolerate long intervals.
- In case of allergies, the child may be recommended to take antihistamines and sorbents.
- With confirmed lactase deficiency, the child is either transferred to a lactose-free mixture, or it is recommended to give special enzymes before feeding.
- If constipation, diarrhea and dysbacteriosis are suspected, the child may be prescribed drugs to improve the stool or special mixtures with lacto- and bifidobacteria.
- If an infection is suspected, against which diarrhea began, the baby may be prescribed antibiotics and antiviral agents.
If congenital pathologies of the development of the gastrointestinal tract are detected during the examination, the doctor takes appropriate therapeutic and preventive measures. Which ones and for how long depends on the type of disease and its degree.
Important! Abdominal problems are often associated with increased gas or colic. In this case, it is recommended to massage the abdomen, put a warm heating pad on it, or put the bare tummy against the mother's stomach.
FAQ
How many times a day should a newborn have a stool?
+
In the first days of life, the child passes meconium. After that, the chair can be after each feeding. In a month-old baby, the frequency of stools is removed and varies from 1 to 6 times a day. In children who are fully breastfed, it can recede up to 6 days.
What does feces look like in newborns?
+
Newborn babies have black or dark green stools. Over time, it brightens, becomes yellow-orange. It may contain white blotches and heterogeneities.
What are the problems with the chair?
+
The problems are indicated by the absence of stool against the background of the child’s anxiety and a change in the consistency of feces, too frequent stools, bad smell, foam, green color of feces immediately after a bowel movement, the appearance of streaks and inclusions of red and black or mucus in it.