Hard Poops: Helping Newborns With Constipation

Newborns can sometimes struggle with constipation, which can be painful and stressful for both babies and parents. While it is more common for bottle-fed babies to experience constipation than breastfed babies, it can happen to any newborn. If your newborn is struggling with hard poops, there are several remedies you can try at home, such as dietary changes, exercise, and massage. If these home remedies do not help, it is important to seek medical advice from your doctor, who may recommend further treatment options.

Dietary changes to relieve constipation

Constipation in newborns can be distressing for parents and caregivers, but it is a common issue that can be resolved through various methods. One effective approach is to make dietary changes, which can vary depending on the baby's age, feeding method, and diet. Here are some dietary modifications that can help relieve constipation:

For formula-fed babies

If your baby is formula-fed, consider trying a different brand of formula. It is advisable to consult a qualified healthcare professional before making this change. This is because the switch in formula brands may address any potential issues with the previous formula, such as its effect on the baby's digestive system, and help alleviate constipation.

For babies eating solid foods

If your baby has started eating solid foods, increasing their fibre intake can be beneficial. Introduce foods that are good sources of fibre, such as pureed fruits and vegetables. For example, pureed prunes, peaches, pears, peas,section, or carrots can provide relief from constipation. Additionally, include whole grains in their diet, such as oatmeal, wheat, or barley cereal. These dietary adjustments can help soften the stool and make it easier for your baby to pass.

For babies not yet eating solid foods

If your baby has not yet started solid foods, you can introduce 1–2 ounces of 100% fruit juice, such as prune, pear, cherry, or apple juice. The sugar in the juice is difficult for the baby's body to digest, so more liquid enters the intestines. This increases the frequency and water content of stools, making them softer and easier to pass. However, it is important to consult a pediatrician before giving fruit juice to your baby, as it may not be suitable for infants under a certain age.

General dietary considerations

It is important to ensure that your baby stays adequately hydrated. Babies over six months who are consuming solid foods may benefit from drinking extra water between feeds. Additionally, if your baby is eating cereal, it is advisable to choose oatmeal, wheat, or barley varieties as rice cereal can sometimes cause constipation.

Exercise and movement to stimulate bowel movement

Constipation is a common issue for newborns, especially when they are transitioning from formula or breast milk to solid foods. It is characterised by hard, dry stools that are difficult for the baby to pass. While constipation will often pass without intervention, there are some exercises and movements that can help stimulate a baby's bowel movement.

Bicycling Legs

One way to help relieve constipation in newborns is to gently move their legs in a bicycling motion while they are lying on their back. This movement mimics riding a bicycle and can help stimulate the bowels and relieve constipation.

Squat Posture

Placing the baby in a squat posture, with their knees bent towards their chest, can also make it easier for them to pass stool. This position is more conducive to bowel movements than lying flat.

Warm Bath

A warm bath can help relax a baby's abdominal muscles and relieve constipation. The warm water can help the baby stop straining and reduce discomfort associated with constipation.

Massage

Gently massaging the baby's stomach in a clockwise circular motion can help stimulate the bowel and provide relief from constipation. This can be done with the fingertip or by walking the fingers around the baby's navel.

Yoga Poses

Although more research is needed, some yoga poses may help relieve constipation in adults by manipulating the digestive tract. Gentle yoga poses suitable for infants may help relieve constipation, but always consult a healthcare professional before attempting any new exercises with your baby.

Massage to relieve constipation

Gentle massage can help to soothe your baby's tummy troubles, including constipation. Here is a step-by-step guide on how to perform a digestion massage for your baby:

• Set the right environment: Ensure you are in a warm, quiet, and calming space. You will need some good-quality baby massage cream or oil that is suitable for your baby's delicate skin.
• Prepare yourself: Take off any jewellery that might irritate your baby's skin. Warm the cream or oil in your hands before touching your baby.
• Position your baby: Place your baby on a soft, warm towel, either on the bed or the floor. Ensure their feet are together, with the soles touching.
• Tummy spirals: Place your forefinger near your baby's belly button and start to move it in a clockwise motion, spiralling outwards to the edge of their belly. Gradually progress from using one finger to gently circling with your whole palm, gently pressing as you go. Finish by holding their tummy. This movement follows your baby's line of digestion and helps create internal movement.
• Rock their feet: Keeping their feet together, gently rock their feet towards their nose and then back to the starting position. Repeat this motion. This technique is excellent for shifting stubborn wind.
• Rock their hips: Straighten your baby's legs or bend their knees, and slowly rock their hips from side to side. Keep their upper body flat on the floor. This movement squeezes the digestive system, providing particular relief for constipation.
• Rhythmic jump: Hold your baby's feet and gently push their knees up towards their belly button, then straighten their legs out again, as if they were doing a little jump. Repeat this action in a rhythmic manner. This can be an effective way to release wind.
• Hands and feet: Massage the palms of your baby's hands and the soles of their feet. Move your thumbs in a circular motion. You can also do this during feeding to soothe their digestive system and encourage them to swallow less air.

Remember to watch your baby's reaction throughout the massage and stop if they seem uncomfortable or unhappy.

Warm baths to relax abdominal muscles

Warm baths are a great way to help relax your newborn's abdominal muscles and make it easier for them to pass a bowel movement. The warm water has a soothing effect, helping to calm and settle your baby while also providing relief from any discomfort they may be experiencing due to constipation. This is a recommended method to help your newborn with hard stools, and it can be especially effective when combined with a gentle tummy massage.

A warm bath can be a relaxing and enjoyable experience for your baby, and it also has the added benefit of potentially stimulating their bowels. The warm water can help to relax their abdominal muscles, making it easier for them to pass stool. This is a common recommendation for parents dealing with newborn constipation, and it is often suggested alongside other methods such as gentle massages or exercise movements.

To make the most of this method, you can try combining it with other techniques. For example, after a warm bath, you could gently rub your newborn's stomach in a clockwise motion to help stimulate the bowel. You could also try moving their legs in a bicycle motion, either while they are lying on their back or after the bath. This simulates exercise and can help get things moving.

It is important to remember that newborns have different bowel habits, and what is considered normal can vary. However, if your baby seems to be in pain or you notice other concerning symptoms, such as a swollen belly, a tear or crack around the anus, or a refusal to eat, it is always best to consult your doctor for advice. They may recommend other treatments or dietary changes to help with your newborn's constipation.

Rectal temperature to stimulate bowel movement

What to Give Newborns with Hard Poops

Constipation is when a baby's stool is hard and dry, making it difficult for them to pass a bowel movement. It is common for babies to experience constipation when transitioning from formula or breast milk to solid foods. It is also more common for bottle-fed babies to have constipation than breastfed babies.

If your newborn is struggling with hard poops, there are several things you can try:

• Increase their fluid intake: If your baby is older than 4 months, offer them extra water (no more than 1-2 ounces per day). For younger babies, ensure you are following the correct formula-to-water ratio when preparing their bottles.
• Dietary changes: If your baby is eating solid foods, introduce high-fibre foods such as pureed prunes or peas, or cereal with barley or whole wheat. If your baby is older than 6 months, you can also add extra fruits and vegetables to their diet.
• Warm bath: A warm bath can help your baby relax and soothe any discomfort they may be feeling due to constipation.
• Belly massage: Gently massage your baby's belly to help stimulate the bowel and manage any pain they may be experiencing.
• Exercise: Try gently exercising your baby's legs in a bicycle motion. This can help stimulate their bowels and make it easier for them to pass stool.
• Squat posture: Hold your baby in a squat posture, with their knees bent towards their chest. This position makes it easier to pass poop than lying flat.

If these home remedies do not help, there are some over-the-counter medications and medical treatments available. However, always consult your doctor before trying any new treatments.

Taking a rectal temperature can be an effective way to stimulate a bowel movement in newborns and infants. A rectal thermometer is inserted into the anus, which may help to trigger a bowel movement. Here is a step-by-step guide on how to take a rectal temperature:

Preparation:

• Use a digital thermometer specifically designed for rectal use. Do not use a mercury thermometer.
• Remove the cover from the thermometer.
• Wash the thermometer with warm, soapy water, then rinse with clear water.
• Dry the thermometer with a towel or allow it to air dry.
• Apply a small amount of petroleum jelly or a water-based lubricant to the tip of the thermometer.

Positioning:

• Place your child on their back on a firm surface. Hold their ankles and lift both legs, similar to changing a diaper.
• Alternatively, you can place your child face down across your lap.
• Use one hand to gently part the child's buttocks.

Taking the Temperature:

• Gently insert the tip of the thermometer into the rectum, no more than 1/2 inch to 1 inch.
• Hold the thermometer in place until it beeps or for at least one minute.
• Remove the thermometer and read the temperature. Normal rectal temperature is typically between 97.6°F (36.4°C) to 100.2°F (37.9°C).
• Clean the thermometer with soap and warm water before storing it away.

It is important to note that taking a rectal temperature should only be done when directed by your child's healthcare provider. Additionally, always follow the specific instructions provided by the thermometer manufacturer.

Frequently asked questions