Infant constipation is a very common problem and is
frequently seen by both pediatricians and family doctors. Constipation is
usually diagnosed when an infant or child has hard stools or has difficulty
pooping. Infants are noted to strain excessively and have difficulty passing
stools, even though their stools are of normal consistency. The difficulty in
passing stool is thought to represent a delay in maturation of intestinal
What Causes Infant Constipation?
Normally, as digested food travels down the intestines,
water and nutrients are absorbed and the waste material becomes stools. For a
soft stool to form, enough water must remain in the waste material, and the
lower intestinal and rectal muscles must contract and relax to move the stool
along and out. A malfunction of either
of these mechanisms, too little water or poor muscle movement, can cause
Being plugged up with a hard stool for three days can be
very uncomfortable, so of course your baby might become quite colicky.
Your child should be checked by a pediatrician if the bowels do not move daily.
The first poops that come out of a newborn are the thick,
sticky, tarry meconium stools. The newborn infant should have his or her first
stool within 24 hours after birth. Failure to pass stool by 48 hours of life
may signify a more serious condition such as Hirschsprung's disease, meconium
ileus due to cystic fibrosis, or hypothyroidism. Further evaluation of the
infant is needed if no bowel movement has occurred within the first 48 hours.
During the first week of your baby's life, these give way,
in breast-fed babies, to soft, yellow, breast-milk stools. By the time a baby
is one week old, an average of 8 to 10 of these pleasant (as
stools go) stools should occur each day.
For most breast-fed babies, the number drops to about 4
stools per day by 4 weeks old (although many kids have a different pattern). Formula-fed
babies usually poop less often at this age, and the stools do not change much
with time until solid foods are introduced (because unlike breast milk, formula
doesn't change over time). Formula-fed stools are often tan or yellow at this
stage, and a little firmer than breast-milk stools. For any baby, tan, yellow,
green, or brown stools can all be normal. By 8 weeks old, the average amount of
stool drops to 1-2 per day.
Unfortunately, many doctors erroneously tell parents that
many babies will go only every 3 to 8 days or less and that this
can be completely normal. One train of thought is that breast milk is an
amazing food that leaves very little in the way of waste.
Just like grown-ups, children need to move their bowels
daily. In Childhood Diseases, Dr. John R. Christopher
states that, "over ninety percent of all diseases and malfunctions of
children's bodies (as with adults) stem from the unclean intestinal tract,
constipation, with infrequent or difficult evacuation of the feces, retention
of the feces, and lack of coordination in the nerve and muscle functions of the
colon and bowel." I would agree that in order for your child to maintain
optimal health throughout life, as well as to avoid many common
childhood health related problems, your child needs to move the bowels daily.
A glycerin suppository could be useful at the outset to get that first stool moving, but
even doctors discourage its regular use. A small amount of water inserted into
the colon with an infant bulb syringe is just as effective and healthier.
Karo syrup: Sugar in any form is not healthy for babies
Mineral oil is a mixture of hydrocarbons dried from
petroleum products. It is not safe. It has no nutritional benefits. This oil
can interfere with vitamin absorption.
encourage parents to use fruit juice when an infant or toddler is constipated.
I believe that babies, as well as adults, should limit the amount of
juice that they drink as this can lead to all sorts of over consumption of
sugar problems. Too much juice can cause tummy aches, tooth decay, and perhaps
obesity. In addition, kids can fill up on juice and miss other important
sources of nutrition. Even the American Academy of Pediatrics
issued recommendations in May 2001
to limit the amount of fruit juice for children.
Solutions for Infant Constipation
The most important advice I can give to you is to not start
your baby on any kind of laxatives whatsoever. Regular laxative use can result
in many, many problems over your child's life.
If you want to do something when babies grunt, push, or
strain, try picking them up to get gravity to help them in their efforts, or
try holding the knees against the chest to help them "squat" — the
natural poop position.
Breast milk is
the easiest food for babies to digest. If at all possible, breast feed, for as
long as possible.
water. As a newborn, offer a small eye dropper full of water. When your baby is
ready, give a bottle of water to sip on throughout the day. You might add a bit
of cooled off Rooibos tea to the bottle. Aspalathus Linearis,
commonly known as Rooibosis, is a natural herb unique to South African Cedarberg Mountains. Rooibos is rich in nutrients and caffeine-free.
The best tool I
have found to use is magnesium. The formula I recommend is largely magnesium
citrate. Magnesium nutritionally
stimulates the peristaltic muscles to evacuate the lower bowel. It also
nourishes and strengthens the intestinal muscles to work better on their own.
It also brings water into the bowel. With the Reacted Magnesium
that I recommend, I have parents start with 1/16 of a tablespoon in some water
and work their way up until a daily bowel movement consistently occurs.
Baby massage is a fulfilling way to nurture
your child. It aids
digestion, relieves colic, eases tension, regulates breathing, and spurs growth.
To help your baby's bowels move, try the "I love you" technique. With I L U in
mind, start at bottom right of baby's abdomen and using small, gentle circular
movements, gently rub toward top right, forming the letter I. Stop when
you feel the rib cage. Repeat this action but then move across abdomen
immediately above belly button toward left side, forming the letter L. Repeat
this action and then go down toward bottom left to form the letter U. Repeat
5-10 times entire I love you massage.
To administer an enema to a baby, lubricate the tip of a bulb syringe with olive oil. Insert the tip of the bulb syringe into
your baby's rectum ½ inch. The bulb should contain approximately 1 to 3
tablespoons of lukewarm water. Gently squeeze the water into the colon. Assure
that only the water goes into the colon, not any air that might be in the bulb.
Wait a few minutes for your baby to pass a stool. Repeat this process if
Useful Items For Baby Enemas
Celtic Sea Salt
Adult Bulb Syringe
I know from personal and professional experience that
parenting an infant through constipation can be very trying. I know these
tips will help you and your baby.