Kids - Constipation

Constipation is the passage of hard stools, that is painful to pass and associated with infrequent bowel movements. Occasionlly, bright red blood may be passed with hard stools. This blood comes from a slight tear in the rectal area from the hard stool.

TIPS 

  • Breast-fed babies rarely get constipated. They do commonly develop an infrequent stool pattern after 2 or 3 months of age. These older breast-fed babies may have one stool every 4 or 5 days, but they are soft and mushy and the babies do not seem uncomfortable.
  • Newborns should pass their first meconium stool by 48 hours of age, if they do not, notify your doctor. Once newborns who are a few days old are feeding well, they should be having 3 to 4 or more stools per day.  If they are not, this may be a sign that they are not getting enough milk.
  • Constipation is very common in infants starting on solids.
  • Some toddlers who are toilet training may become constipated.They may then start to hold onto their stools and refuse to go to the bathroom and this will create further constipation problems.

CALL DOCTOR IMMEDIATELY 

  • Severe, constant pain for more than 2 hours
  • The child is acting sick
  • You suspect your newborn is dehydrated and not getting enough milk

CALL DURING NORMAL HOURS 

  • Your newborn under one or two months who is breastfeeding is not stooling at least 3 or 4 times a day and you suspect they are not getting enough milk or gaining weight
  • You need direction in treatment because what you have tried is not working
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