Written by Rotimi Adesanya - Nigeria
www.doctoradesanya.blogspot.com
Dr. Rotimi Adesanya |
A mother made this comment and asked a question through the feedback platform, in response to an article I wrote two years ago on infant constipation.
Hello, My baby is having a serious problem which is constipation. She has a hard belly and sometimes has some foul smelling wind and poo.
I have tried a few solutions such as adding extra water in-between feeds, I give her plenty of water or diluted fruit juice and even give her some leg exercises. Yet, everything makes no difference. Does anyone have better idea to suggest to me?
I have seen several mothers of neonates and infants with the same complaint of their babies' inability to move bowel for up to 10 days. The babies are without any abnormality and they will start moving their bowels after examining their rectum.
This is partly due to the stimulation of the nerves innervating the rectum and they will not need any medication; while very few (about two per cent) may have an underlying medical condition and may need to be sent for further tests such as X-ray and ultrasound scan of the abdomen.
It is advisable for mothers of newborns with constipation to contact their doctors for advice and not assume that all is right.
During the first week of life, infants pass approximately four soft or liquid bowel movements per day (generally more in breast-fed, compared with bottle-fed, infants).
During the first three months of life, breast-fed infants have about three soft bowel movements per day. Some breast-fed infants have a bowel movement after each feeding, whereas others have only one or two bowel movements per week. Infants who breastfeed are rarely constipated.
Most formula-fed infants have two to three bowel movements per day, although this depends on which infant formula is given. Some soy and cow's milk-based formulas cause harder bowel movements; while other formulas that contain partially or completely hydrolysed milk proteins can cause loose bowel movements.
Constipation in infants less than one year of age is common, but it can be a source of concern for parents. Sometimes, the baby is not really constipated, but must be given time to set his own schedule for having a bowel movement.