Infant Constipation: Tips for New Parents - Pediatrics

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Infant constipation


Hello, doctor...
I have been a dad for 17 days now...
During these 17 days, there have been joys as well as exhaustion...
It seems that my baby's impatient temperament has been inherited from me...
He lacks patience when breastfeeding, so he has been on formula since a few days after birth...
Recently, the frequency of my baby's bowel movements has decreased...
Initially, he would have 2 to 4 bowel movements a day, but now it's once every 1 to 2 days...
My partner is very anxious and keeps thinking that the baby is constipated...
She has been giving the baby a lot of water or glucose water, but the situation hasn't improved (the formula mixing ratio remains 1 teaspoon to 30 cc)...
Doctor, what should we, as new parents, do?!

scott, 30~39 year old female. Ask Date: 2001/08/22

Dr. Hong Shaohui reply Pediatrics


In general, the frequency of bowel movements in infants decreases after the first two weeks of life.
Constipation is defined by observing the consistency of the stool; if the stool is not hard and the frequency has decreased, it is considered a normal phenomenon.
If water or glucose is introduced at this time, the intake of breast milk or formula may decrease.
It is recommended that parents observe their baby's stool shape, amount, and consistency to make a determination.
If they are still unable to assess the situation, it is advisable to consult a pediatrician to clarify any concerns.

Reply Date: 2001/08/22

More Info


Congratulations on becoming a new father! The early days of parenthood can indeed be a mix of joy and exhaustion, especially when it comes to managing your baby’s needs. It’s common for new parents to feel anxious about their infant's bowel movements, especially when there are changes in frequency or consistency.

Infant constipation is a concern for many new parents, and understanding what is normal for your baby is crucial. In the first few weeks of life, breastfed infants typically have more frequent bowel movements than formula-fed infants. However, as your baby grows, the frequency can vary significantly. It’s important to note that what constitutes "normal" can differ from one baby to another.


Understanding Infant Constipation
1. Normal Bowel Movement Patterns: For infants, especially those who are exclusively breastfed, bowel movements can range from several times a day to once every few days. Formula-fed babies may have less frequent bowel movements, often around once every 1-3 days. If your baby is passing soft stools, even if infrequently, they may not be constipated.

2. Signs of Constipation: Constipation in infants is typically characterized by hard, dry stools that may be difficult for them to pass. If your baby is straining excessively, crying during bowel movements, or if the stools are hard and pebble-like, these may be signs of constipation.

3. Hydration: While it’s important to keep your baby hydrated, especially if they are on formula, giving water or glucose water to very young infants (under six months) is generally not recommended unless advised by a pediatrician. Breast milk or formula provides all the necessary hydration and nutrition for your baby.

4. Dietary Adjustments: Since your baby is primarily on formula, ensure that you are mixing it according to the manufacturer’s instructions. If you suspect that the formula may be contributing to constipation, consult your pediatrician about possibly trying a different formula designed for sensitive stomachs or one that is easier to digest.

5. Tummy Time and Movement: Encourage tummy time and gentle movements. This can help stimulate your baby’s digestive system. You can also gently move their legs in a bicycle motion to help relieve any discomfort.

6. Consulting a Pediatrician: If your baby continues to have infrequent bowel movements or shows signs of discomfort, it’s essential to consult your pediatrician. They can provide guidance tailored to your baby’s specific needs and may suggest safe interventions if necessary.


Tips for New Parents
- Stay Calm: It’s natural for parents to feel anxious, but try to stay calm. Babies can pick up on their parents' stress, which can make them more fussy.


- Monitor Symptoms: Keep a diary of your baby’s feeding and bowel movement patterns. This information can be helpful for your pediatrician.

- Educate Yourself: Read up on infant care and development. Understanding what is typical can help alleviate some of your worries.

- Support Each Other: Parenting can be overwhelming, so support each other as partners. Share responsibilities and communicate openly about your concerns.

- Seek Help When Needed: Don’t hesitate to reach out to healthcare professionals if you have concerns about your baby’s health. It’s always better to ask than to worry unnecessarily.

In conclusion, while changes in bowel movements can be concerning, they are often a normal part of an infant's development. By monitoring your baby's symptoms and consulting with your pediatrician, you can ensure that your little one remains healthy and happy. Remember, parenting is a learning process, and seeking help when needed is a sign of strength. Enjoy these precious early days with your baby!

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