19 answers

Constipation in 6 Month Old

My 6 month old is breastfed exclusively. She will not take a bottle and she is constipated. Her signs of constipation are going once a day to maybe every other day, straining to poop, and once she does poop she begins straining again. Her poops are very thick, like she were on solids...which she is not. It has been going on for a few weeks now. I went to a new ped, since my last one just kept telling me she basically would work it out. She has also been spitting up a lot more, and some of her spitting up bothers her (but not all the time). She is fussy at the breast when eating, and pauses constantly as if trying to poop with no luck. At the new ped appt. she had a bowel movement and they saw it and said it was not normal for a breastfed baby to have this kind of poop. It was dark dark brown and very thick. My ped is leaning in between acid reflux (which she was tested for with a barium swallow and came out clean at 3 months) and a possible food allergy. he gave her a prescrip. of prevacid (1/2 tablet each morning) and some thick syrup called constualnce for her constipation to be given 1 tsp. 3x a day. He also advised prune juice diluted, yet it is hard to give her because she won't take a bottle. She seemed to get regular the first day she was on the Costulance syrup (back to watery seedy yellow poops), and then I took her off the Constulance syrup the next day and her constipation seemed to return by night. I now reverted back to giving her the constulance 3x a day today since yesterday she didn't stay regular. Has anyone had gut issues with their little one and what worked for you? I see my new ped. on Tuesday, but I wonder what your thoughts were.

What can I do next?

So What Happened?™

Well we've been on our reflux meds and once a day constulose syrup and our dd is a much happier baby these days. No more fussies at the breast, she can poop without too much straining, and she seems to be sleeping better now too. I am looking forward to taking her off the reflux meds at our next appointment to see if it was the constipation that aggravated her reflux problem. She poops at least once a day, and from my perspective of watching her strain for so many months she has cut back her straining discomfort 10 folds. Her bowel movements are still sketchy if I do not give her the constipation meds....they usually turn out very dark and green...but if I give her the meds she stays more brown/yellow and less thick than peanut butter consistency and passes more comfy. I have completely eliminated dairy...but I had started the elimination weeks before her constipation started. She is still breastfed and I am glad I have stuck with it, and it is nice now to see her face look up at me with smiles after a feeding instead of tears of pain.
07/30/08 update: Our dd is now 7 months is still battling with constipation. We found it was actually the cause of her frequent night wakeups. She is also started spitting up a lot more when we took her off her reflux med (prevacid) for two weeks. So we restarted her on prevacid again like before and she gets her consptipation med (stool softener) 3x a day. WHAT A DIFFERENCE...NO MORE ARCHING AT FEEDINGS AND SLEEP HAS IMPROVED! I'm only feeding her oatmeal, prunes, green beans, peas, pears, and peaches. I'm not really sure how the carrots and sweet potatoes did on her system so I will introduce them at 8 months, as well as for the bananas and applesauce. She also hasn't tried squash yet...I may wait till 8 months on that too. Of all the "P" fruits...prunes works the best for us for irregularity. She is also FINALLY getting the handle of putting herself to sleep now...and even for naps! So to all those mothers out there who feel no they get no sleep...it does get better!! So MUCH BETTER in time! Thank you all for your advice to a sleep deprived first time mommy!

Featured Answers

My son had similar issues. I started feeding him prunes and they were a life saver. I didnt start him on solids til 6 months but it might be time to do it. I brestfed too. Also try him on cereal but make it with formula. That helped my son make a BM as well.

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My son, 8 1/2 months is also very constipated (I think). The doctors have said that it's normal to strain and if he's going every day to every other day that he's not constipated. There are many times that that poor child has worked very hard to get a raisin sized bowel movement out. Up until last week he was breastfed almost exclusively with a bottle of soy formula at night (he has dairy and egg allergies they think). He too has been crying at the breast, pulling back and straining so I've now started weaning, I don't want him to be upset while feeding. He's on solids, the pooping became worse when he went to solids. AMOF, I cut down the cereal from two feedings a day to one b/c he wasn't going for two to three days then. My middle daughter had tons of issues with constipation and the doctor had me put benefiber in her juice and just add as much fiber as possible to her diet. It really worked. I give my son pureed prunes when the problem seems to get bad. I find that the prune juice has a TON of sugar in it, so I try to stay away from that. Apricots also have a lot of fiber as do green beens, peas and corn. Good luck.

You could try a sippy cup. Maybe one of the disposible kind that doesn't have a valve, so it won't cause a problem with her trying to suck on it.

It doesn't sound like she has reflux. I would stop the Prevacid. She's probably spitting up because she's straining to hard to go poo. Instead of giving her oral laxatives you could use 1/2 of an infant glycerine suppository. She could become dependant on both the suppository and the oral meds, so it should be just a temporary fix until you can figure out what else in going on in her little tummy. I'd bet on an allergy to something you are eating, as others suggested.

Hi M.,you could try changing your diet and eliminating gluten based products. Also, the easiest start would be for you to take a probiotic-Garden of Life makes a great probiotic and see if that helps the baby through the breast milk. If not, you should still continue to take it but also remove gluten and dairy from the diet. You should see an improvement within the first week. I am a certified Holistic Health Counselor who focus on women and children's health.

This sounds like a food sensitivity (possible allergy). The medicine and prune juice will only deal with the symptoms (constipation) they won't solve the problem and aren't meant to be used as a long term remedy.

First off are you taking any vitamin/mineral supplements. Iron supplements & iron fortified foods often cause constipation in infants (and adults). (Beware baby foods are highly fortified, so take care when introducing them OR avoid baby food altogether and start with table food :D) Take a break from your supplements/fortified foods and see if you see an improvement. If your supplements are the culprit, I've heard that "Floradix" has and iron supplement that does not cause constipation and is much more readily used by your body.

If there's no improvement within a week try eliminating any food categories that you consume on a daily basis (dairy, wheat, gluten, eggs, soy, corn are the biggest offenders in the standard American diet and they're hidden EVERYWHERE, but if you eat bananas or rice every day then those are just as suspect). Once the constipation subsides, try introducing the foods categories one at a time at least 3 days apart if there's no reaction. If there is a reaction remove the food again and wait until you return to a non-reactive state.

Start a food diary. Record everything you consume (include brand names where applicable and don't forget to note things like your vitamins and medications). Note any changes in your daughter's eliminations and mood as well as any other significant changes (sleep patterns, skin conditions, fussiness, etc). This will help you pinpoint your daughter's sensitivities much faster.

A RAST allergy test might be worth doing, but it will probably not tell you what is causing your daughter's constipation, because they only test for IgE reactions which are immune system reactions, not gut reactions, so even though it's tough the elimination addition testing method will give you the quickest and clearest results.

Hope you find something helpful in that novel :D

try the prune juice in a little cup, or even those medicine spoons in infant care kits. maybe look at what you are eating, see an allergists. just dont let anyone tell you to stop breastfeeding over this. keep experimenting. if its been a few weeks something in your foods or inside her haschanged. i know she isnt on solids yet, but it should be interesting to see what happens then. i know they said it didnt look normal, but as long as its not hard balls, its not full blown constipation. also dont rule out seeing a specialist just tomake sure everything is working properly inside. good luck

I gave my son prune juice and it always worked great. Unsweetened and organic if you can find it; i prefer natural remedies myself. If your baby won't take it from a bottle, give it in a syringe or even from a cup she can try learning to sip from. i would dilute it 1/2 juice 1/2 water or 1/3 juice 2/3 water, depending on how she responds. Good luck!

Hi M.,

Well done on breastfeeding :) I also breastfed both of my children, my youngest daughter had constipation around that same age.

I gave my daughter apple or prune juice diluted with water, it really seemed to help. (some ppl would probably say you shouldn't give juice but I always did my own thing and my children are extremely healthy with no alergies, no ear infections and very few colds... you know the saying, Mommy knows best) I also gave Natalie warm baths when she was constipated and I did watch my own food intake since I was breastfeeding.

I remember how upset Natalie would get because her little belly would hurt, it's heart breaking... I hope you find something that works for your little one. Good luck!

Try gripe water. Also, a pacifier, also, keep baby sitting up during and for 1/2 hour after feeding. My child had the symptoms you are describing, except the always hard poop part, and the gripe water and these other things worked wonders. I realized at this point that sometimes one thing helps but several different things tackle the issue in multiple ways and help more combined. My daughter's symptoms eventually went away after a few months.

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