Constipation

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.

TREATMENT

3-6 months
Give 2-4 oz/day of full strength baby apple or prune juice

6-12 months
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 …

  1. The infant is < 3 months.
  2. The above regimen does not work after 7 days.
  3. Blood in bowel movement.
  4. Vomiting.
  5. Stool in underwear of a full potty trained child.
  6. Significant pain with bowel movement.