Constipation in Babies: Feeding and Comfort

Introduction

Constipation means stools become hard and are passed with straining. It can happen especially when solid foods are introduced. Most of the time it can be eased with changes in feeding.

Signs

Hard, dry or pellet-like stools
Straining and discomfort while passing stool
Fewer bowel movements together with hard or painful stools; infrequent bowel movements alone are not constipation
A tense belly and fussiness

Feeding and Comfort

For babies who have started solids, offer more vegetables and fruits that contain fiber
After six months, you can offer small, age-appropriate amounts of water along with solid foods; do not replace breast milk or formula with water
Gently massage the belly in a clockwise direction; move the legs softly
Do not use suppositories, enemas, laxatives or rectal stimulation unless your doctor recommends it; do not dilute formula

When Should You See a Doctor?

Blood in the stool
Severe belly pain, bloating or vomiting
Not gaining weight, or obvious weakness
Constipation that lasts a long time or keeps coming back
Any clear problem with bowel movements in the newborn period

If there is vomiting or green vomit together with severe swelling of the belly, get emergency care. For other signs, talk to your doctor. A full-term newborn who has not passed their first stool within 48 hours should also be evaluated.

Summary

Constipation in babies usually improves with changes in feeding. If there is blood, severe pain, vomiting or a problem that drags on, be sure to contact a healthcare provider.

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