There are few things that can make a new parent feel more helpless than seeing their baby uncomfortable. When your little one is straining, fussy, and struggling to poop, it’s natural to feel worried. Constipation in babies is a common concern, but it can be tricky to navigate because every baby’s “normal” is different.
This guide will help you understand what baby constipation really looks like, what causes it, and most importantly, how you can gently help your baby find relief.
First, What Does “Normal” Even Look Like?
Before we talk about constipation, it’s crucial to understand that baby bowel habits vary wildly.
· Breastfed babies can poop after every feed or might go once a week without any issues. Their poop is typically soft, seedy, and mustard-yellow.
· Formula-fed babies tend to poop more regularly, often once a day or every other day. Their stool is usually a bit firmer and tan or brown in colour.
Frequency is less important than consistency and comfort. A baby who goes three days without a poop but then passes a soft one happily is not constipated. A baby who strains and cries every day to pass hard, pebble-like pellets likely is.
How to Tell if Your Baby is Actually Constipated
Look for a combination of these signs, not just one:
· Firm, Dry, or Pebble-Like Stools: This is the biggest red flag. The poop looks like small, hard pellets and is difficult to pass.
· Straining and Crying: Some grunting is normal as babies learn to use their muscles. But genuine distress, crying, and obvious pain during bowel movements are signs of constipation.
· Fewer Bowel Movements Than Usual: If your baby’s personal pattern suddenly changes and the infrequency is accompanied by discomfort.
· A Hard Belly: Your baby’s tummy may feel firm and bloated to the touch.
· Blood in the Stool: Small streaks of blood can appear on the surface of hard stools caused by tiny anal fissures (tears).
· Refusing to Eat: Discomfort can lead to a loss of appetite.
Common Culprits: What Causes Constipation in Babies?
1. Introduction of Solids: This is a prime time for constipation to start. Low-fiber cereals (like rice cereal) and bananas are common triggers as babies’ digestive systems adjust to new foods.
2. Formula Changes: Switching formula brands or types can sometimes cause constipation. Always talk to your paediatrician before making a switch.
3. Dehydration: Not getting enough fluids is a major cause. This can happen if a baby isn’t feeding enough, is sick with a fever, or is in hot weather.
4. A Specific Food Sensitivity or Allergy: In rare cases, an intolerance to milk protein or another ingredient can cause constipation.
5. Underlying Medical Condition: While much less common, certain medical issues can affect bowel function. This is why it’s always best to consult your doctor for a diagnosis.
Soothing Solutions: How to Help Your Constipated Baby
Always consult your paediatrician before trying new remedies, especially for babies under 6 months.
For Babies Under 6 Months:
· Warm Bath: A relaxing bath can help soothe abdominal discomfort and relax the muscles needed to poop.
· Tummy Time: The gentle pressure on the abdomen and the movement can stimulate bowel movements.
· Bicycle Legs: Lay your baby on their back and gently move their legs in a bicycling motion. This can help move gas and stool through the intestines.
· Hydration Check: Ensure they are getting enough breast milk or formula. Your doctor might suggest adding a small amount of water or prune juice to their diet, but never do this without their guidance.
For Babies Over 6 Months (Started on Solids):
· P-Fruits: The “P” fruits are nature’s laxatives! Offer prune (pureed or as juice diluted with water), pear, peach, and plum purees.
· Other Fiber-Rich Foods: Try pureed peas, broccoli, apricots, and sweet potatoes. Swap refined cereals for whole grains like oatmeal or barley.
· Hydration: Offer water in a sippy cup throughout the day alongside their regular milk feeds.
· Limit Constipating Foods: Go easy on bananas, applesauce, rice cereal, and dairy products like cheese and yogurt until the constipation clears up.
When to Call the Doctor Immediately
While usually not serious, constipation can sometimes signal a bigger problem. Contact your paediatrician right away if:
· Your baby is under 4 months old and showing signs of constipation.
· There is vomiting or a distended (swollen) abdomen.
· You see significant blood in the stool.
· Your baby is lethargic or running a fever.
· The constipation is severe and doesn’t improve with dietary changes.
· Your baby is losing weight.
The Bottom Line
Constipation is a bump on the road of babyhood, but it’s usually a temporary one. By learning to read your baby’s cues and knowing a few simple tricks, you can help ease their discomfort and get those smiles back. Trust your instincts—you know your baby best. And when in doubt, your paediatrician is your best partner in ensuring your little one’s health and happiness.
