How to Treat Constipation in Newborns

Constipation can have severe consequences for newborns. If not treated effectively, it may lead to intestinal blockages, sometimes requiring surgery. Moreover, constipation in infants could be a symptom of a more serious underlying condition. Therefore, it is crucial to identify and address constipation in newborns as soon as possible. Thankfully, there are several methods to help alleviate constipation in newborns today.

Observe if your newborn experiences pain during bowel movements. If the baby seems to be in discomfort while passing stool, it could indicate constipation. Watch for signs such as grimacing, arching the back, or crying while trying to pass stool.

• However, keep in mind that newborns often strain when having bowel movements due to underdeveloped abdominal muscles. If the baby strains for a few minutes and then passes stool normally, it’s likely nothing to worry about.

Monitor your newborn's bowel movement frequency. A sign that your baby may be constipated is when they go a long time without a bowel movement. If you're concerned that your baby could be constipated, try to recall when the last bowel movement occurred.

• Make a note of the days your baby has a bowel movement if you’re worried about constipation.
• It’s not unusual for a baby to go several days without a bowel movement. However, if your baby hasn’t had one after five days, it could indicate something unusual, and you should consult a doctor immediately.
• If your newborn is under two weeks old, contact a doctor if more than two to three days have passed without a bowel movement.

Closely observe your newborn's stool. There are cases where a newborn has bowel movements but still suffers from constipation. A baby may be at risk for constipation if their stool has the following characteristics:

• Small, round, pellet-like stools.
• Dark black or gray stool.
• Dry stool, with little to no moisture.

Look for blood in the stool or diaper. Even a small streak of blood in the diaper is an indicator that the baby is straining and experiencing difficulty with bowel movements.

Increase your baby's fluid intake. One common cause of constipation is dehydration in the digestive system. Offer your baby more fluids, such as breast milk or formula, every couple of hours to help relieve constipation.

Use glycerin suppositories. If adjusting your child's diet doesn't help, you can try using glycerin suppositories. These are gently inserted into the anus, which may help your child pass stool more easily. However, don't use this method frequently. Additionally, avoid using the suppository without first consulting your child's doctor.

Try massaging your infant's tummy. You can gently massage your baby's belly near the navel in a circular motion. This action may help your baby feel more comfortable and facilitate easier bowel movements.

• You can also try holding your baby's legs and making 'bicycle movements' to see if it helps.

Give your infant a warm bath. This method can help your baby relax and may make it easier for them to pass stool. Another option is to place a warm washcloth on your baby's belly button.

Visit a doctor. If none of the previous methods work, it’s important to take your baby to the doctor immediately, as constipation can lead to severe complications like intestinal obstruction. Constipation in infants can also be a symptom of other serious illnesses. At the hospital, the doctor will perform a full examination and may prescribe medication to help relieve the constipation.

Seek emergency care for serious situations. Constipation can become a critical issue when accompanied by other symptoms. Rectal bleeding and/or vomiting are signs of a possible intestinal obstruction, which can be life-threatening. If your baby has constipation along with any of these symptoms, seek emergency medical help right away. Other warning signs to watch for include:

• Excessive drowsiness or irritability
• Abdominal bloating or swelling
• Poor appetite
• Reduced urination

• Avoid treating your child's constipation with laxatives or enemas without consulting your pediatrician first.