Constipation is the passing of hard stool. Hard stool looks like marbles or rocks. After the first week, soft but infrequent stools up to 1-2 times a week is normal especially if formula feeding. A common misconception is that formula containing iron causes constipation. However large quantities of whole milk (greater than 24 oz/day) in a young child over age one year may cause constipation and should not be given.
Give 2-4 oz/day of full strength baby apple or prune juice
Give 4-6 oz/day of full strength baby apple or prune juice and increase the fruits and vegetables in the diet.
12 months-2 years
Increase the fruits and vegetables in the diet. May add 6 oz. of juice/day. If not helping then add Miralax ½ cap mixed in water each day and wean slowly when stools are soft.
2 years– adolescence
Increase the fruits and vegetables in the diet. If not helping add Miralax 1 cap mixed in water each day and wean when stools are soft.
Call office if …
- The infant is < 3 months.
- The above regimen does not work after 7 days.
- Blood in bowel movement.
- Stool in underwear of a full potty trained child.
- Significant pain with bowel movement.