Infant constipation remedies

Constipation means stools are hard, dry or difficult and painful to pass; stool frequency alone does not decide whether a breastfed or formula-fed infant is constipated. Straining with a soft stool can be normal. A change in feeding, fluid intake or routine may affect bowel movements.

Persistent constipation can occur with dehydration or, less commonly, an underlying problem such as Hypothyroidism. Irritable Bowel Syndrome and Diverticular Disease are not typical explanations for constipation in a young infant, so do not assume an adult diagnosis.

Continue the baby's usual breast or formula feeds unless a clinician has advised otherwise. If the infant has started solids, discuss suitable fibre-rich foods and fluid changes with a health professional. Gentle bicycle-leg movements and a warm bath may relax the baby, but stop if they cause distress.

Never give laxatives, suppositories, enemas, fruit juice, water or herbal preparations to a young infant without specific medical advice. A clinician can decide whether a medicine is appropriate and how it should be used. Nutrition Counselling may help when feeding changes are part of the problem.

Seek urgent help if the abdomen is swollen and hard, the baby has green vomit, blood in the stool, severe pain, marked sleepiness or cannot keep feeds down. Arrange prompt assessment for poor feeding, fewer wet nappies, repeated painful stools, poor growth or constipation that began very early in life. A clinician should review constipation that keeps returning despite supportive care.

Ask whether the stools are truly constipated, whether feeding or hydration needs changing and which remedy is safe for your baby's age. Bring details about stool texture, pain, vomiting, feeds, wet nappies and any medicines already given.