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Constipation in infants
New Parent

Constipation in infants

2 min read
Key takeaways
2 min
  • Recognize functional constipation when babies have at least two symptoms: stools less than twice weekly, delays over 3 days, hard painful stools, large sausage-like stools, or incomplete movements.
  • Consult your pediatrician if constipation symptoms persist, as 5% of cases indicate serious underlying conditions requiring early diagnosis.
  • Help constipated babies by gently bending their knees to their tummy to relax pelvic muscles and coordinate bowel movements.
  • Consider switching formulas if cow's or soy milk causes constipation in bottle-fed babies after consulting your doctor.
  • Introduce diluted apple or pear juice gradually for babies over 4 months old to provide natural constipation relief.

Infant constipation occurs when babies have stools less than twice weekly, delays over 3 days, hard painful stools, or incomplete movements. If two symptoms persist monthly, consult your pediatrician for proper evaluation and treatment guidance.

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Dealing with a baby's bowel issues can be confusing for parents. It’s hard to know when to worry, and doctors regularly update their advice [1].

 

What is considered constipation in a baby?

In 2016, the global community of gastroenterologists defined constipation in babies with these criteria [1]:

  • Stool less than twice a week

  • Delayed stool for more than 3 days

  • Stool that is so hard it hurts the baby to poop

  • Large, sausage-like stools

  • Incomplete bowel movements (baby poops several times a day, but only tiny amounts)

If at least two of these signs are observed in a month, the baby may have "functional constipation."

Should I see a doctor in such cases?

Yes, it's a good idea to take your baby to the pediatrician. In rare cases (about 5%), constipation can be a symptom of a serious illness. Early diagnosis helps rule out dangerous causes [2].

How can I help my baby with constipation?

It's normal to worry when your baby pushes and turns red while pooping. Usually, it's not constipation; babies just don't know how to coordinate their movements yet.

You can help by bending their legs at the knees and gently pulling them up to their tummy. This helps relax their pelvic muscles and get things moving [2].

Sometimes, formula made from cow's or soy milk can cause constipation in bottle-fed babies [2]. If you think this might be the case, talk to your doctor about switching formulas.

For babies under 4 months, these steps usually do the trick. For older babies, you can try gradually introducing apple or pear juice to help [2].

Photo: shutterstock


Frequently asked questions

Baby constipation includes stools less than twice weekly, delays over 3 days, hard painful stools, large sausage-like stools, or incomplete bowel movements. If two or more symptoms occur within a month, your baby may have functional constipation.

Contact your pediatrician if constipation symptoms persist or worsen. About 5% of infant constipation cases indicate serious underlying conditions that require medical evaluation and early diagnosis.

Gently bend your baby's knees up to their tummy to relax pelvic muscles. For babies over 4 months, try small amounts of diluted apple or pear juice after consulting your doctor.

Yes, formulas made from cow's milk or soy can cause constipation in some bottle-fed babies. Discuss switching formulas with your pediatrician if you suspect this connection.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated September 1, 2024

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