Introduction

Constipation in babies is a common concern for many parents, especially in the first year of life. Whether you’re a new mom or a seasoned parent, it’s natural to worry when your baby isn’t pooping regularly. Understanding what’s normal, what’s not, and how to help can put your mind at ease and your baby at ease. In this blog, we’ll cover the causes of constipation in babies, symptoms, prevention of constipation in babies, and safe treatment of constipation in babies, including when to see your pediatrician.

What is constipation in babies?

Constipation whether in babies or adults make life troublesome. Constipation in babies refers to infrequent, hard, or painful bowel movements. While every baby is different, most have several soft stools a day in the early months especially if they’re breastfed. Constipation is more likely to occur when a baby’s diet changes or there’s a medical problem.

Common causes of constipation in babies

Formula feeding

Formula-fed babies are more likely to get constipated than breastfed babies. Formula is harder to digest and can cause firm stools.

Introducing solid foods

Once babies start eating solid foods (usually around 6 months), their digestive systems take time to adjust. Some foods, such as rice cereal, bananas, or milk, can cause constipation.

 Dehydration

Insufficient water intake, especially during hot weather or illness, can lead to hard stools.

Lack of physical activity

Children who are less active, especially those who spend a lot of time lying down or in car seats, may have slower digestion, which can lead to constipation.

Changes in routine

Travel, illness, or changes in daily schedule can disrupt a child’s bowel habits, sometimes causing temporary constipation.

Certain food sensitivities

Some children may become constipated as a reaction to certain foods introduced into their diet, such as dairy products or starchy foods.

Delayed bowel movements

Some children naturally have slower bowel movements or irregular bowel habits, which can make stools less frequent but are not necessarily a problem unless they are uncomfortable.

Use of certain medications

If a child is prescribed medications such as iron supplements or some antacids, these can often cause constipation as a side effect.

Signs and symptoms of constipation in babies

• Hard, pellet like stools
• Straining or crying during bowel movements
• Fewer than 3 bowel movements per week
• A firm or bloated belly
• Poor feeding or irritability
  If you experience these symptoms regularly, consult your doctor for a diagnosis.

Constipation in newborns: What you should know.

Constipation in newborns is rare (especially those under 1 month old) and should always be evaluated by a pediatrician. Newborns often have bowel movements several times a day, especially if breastfed. Lack of bowel movements in the first 48 hours of life may indicate a serious condition such as Hirschsprung’s disease or intestinal obstruction.

Seek immediate medical attention if your newborn:

• Has not passed meconium within 48 hours of birth.
• Has a swollen belly.
• Vomiting green fluid
• Seems sluggish or won’t feed.

How to relieve constipation in babies at home.

Massage and movement

Gently massaging your baby’s belly or moving their legs in a “bicycle” motion can help stimulate bowel movements.

Warm bath

A warm bath can relax your baby’s stomach muscles and encourage bowel movements.

Adjust feeding.

If formula feeding, talk to your pediatrician about trying a different formula. Breastfeeding mothers can indirectly help their baby by increasing their fiber intake.

Prune or pear juice (for infants over 6 months of age)

A small amount (1–2 ounces) of 100% prune or pear juice can be offered once daily to soften stools in infants over 6 months of age.

Over-the-counter medications for constipation in children

For most children, constipation improves with simple measures such as feeding, hydration, and adjusting the diet. However, in some cases, a pediatrician may prescribe over-the-counter (OTC) medications to provide relief. It is important to note that parents should never give any medication to a child without medical advice, as the wrong product or dosage can cause harm.

Commonly considered OTC options under a doctor’s guidance include:

• Glycerin suppositories – These can help soften stools and stimulate a gentle bowel movement. They are generally safe for occasional use in children but should not be used regularly.

• Lactulose (suppository syrup) – Although often considered prescription-only, it is available OTC in some areas. It works by drawing water into the intestines to soften stool.
• Kid friendly stool softeners – Only specific formulations are safe for children. Your pediatrician can guide you on the brand and dosage.

Important Note: Adult laxatives (such as stimulant laxatives or high-dose fiber supplements) should never be given to children. Always get your pediatrician’s approval before starting any medication.

When to see a doctor.

Call your pediatrician if:

• Your baby hasn’t had a bowel movement in more than 3 days.
• Bowel movements are painful or bloody.
• Your baby is very fussy or has a bloated belly.
• You suspect a medical cause (for example, poor weight gain, vomiting)

 Prevention of constipation in babies.

• Breastfeed whenever possible – breast milk is easy to digest and promotes regular bowel movements.
• Hydration – Give babies over 6 months of age small sips of water, especially in hot weather.
• Fiber-rich foods – For babies on solid foods, include pureed vegetables such as peas, prunes, pears, and peaches.Read in detail About: Fiber rich foods
• Establish a routine – Consistent meal and bedtime times can help regulate digestion.

What conditions can cause persistent constipation in children?

Although most cases of constipation in children are functional and resolve with dietary changes or simple treatments, persistent constipation that does not improve with standard treatment may be a sign of an underlying medical condition. These may include Hirschsprung’s disease (a congenital condition in which nerve cells in parts of the large intestine are missing), hypothyroidism (low levels of thyroid hormone), spinal cord abnormalities, and cow’s milk protein allergy. If your child continues to have constipation despite adequate hydration, dietary changes, and treatment, it is important to consult a pediatrician for further evaluation and possible diagnostic testing.

Conclusion

Constipation in children is usually temporary and manageable with gentle home remedies and proper care. However, persistent or serious cases should never be ignored. If in doubt, consult your pediatrician for guidance. Your child’s comfort and well-being are worth every bit of attention.

Found this helpful?
Share with fellow parents and subscribe to our newsletter for more baby care tips and health updates from a licensed doctor!

FAQS

🧑‍⚕️ About the Author

Dr. Asif, MBBS, MHPE

Dr. Asif is a licensed medical doctor and qualified medical educationist with a Master’s in Health Professions Education (MHPE). He specializes in gut health and mental wellness. Through his blogs, Dr. Asif shares evidence-based insights to empower readers with practical, trustworthy health information for a better, healthier life.

⚠️ Medical Disclaimer

This blog is intended for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard or delay medical advice based on content you read here.