Dealing with Newborn Constipation: What You Should Know

3 May 2025

Bringing your baby home is a magical time filled with cuddles, coos, and a whole lot of diaper changes! But what happens when your little bundle of joy struggles with something as basic (and messy) as pooping? Yes, I’m talking about newborn constipation—an issue that can leave both babies and parents feeling pretty uncomfortable.

If you’re knee-deep in trying to understand why your baby hasn’t pooped yet or why they seem uncomfortable during bowel movements, don’t worry—you’re not alone! Constipation in newborns is more common than you might think. In this article, we’re going to break it all down so you understand what’s going on and what you can do to help.

What Exactly Is Newborn Constipation?

Let’s start with the basics. Newborn constipation doesn’t just mean your baby hasn’t pooped in a day or two. It’s really about the consistency of their stool and how difficult it is for them to pass it. So even if your baby is going less frequently, they might not actually be constipated if their poop is soft and easy to pass.

When babies are constipated, you’ll typically notice hard, pellet-like stools that may seem dry. Your little one might strain harder than usual, look uncomfortable, or even cry during bowel movements. And as a parent, watching your baby go through this struggle? Heartbreaking!

What Causes Newborn Constipation?

Before jumping to solutions, it’s important to understand what might be causing the issue. Babies’ digestive systems are still learning the ropes, which means things don’t always operate as smoothly as we’d like. Here are a few common culprits:

1. Formula Feeding

Breastfed babies are less likely to get constipated because breast milk is easy to digest and contains natural laxatives. However, formula-fed babies might encounter more trouble because formula can sometimes be harder on their tiny tummies.

2. Changing Formula

Have you recently switched brands or types of formula? That change could throw your baby’s digestion off balance and lead to constipation.

3. Dehydration

Although newborns don’t need water (since they get all their hydration from milk), a small dip in fluid intake can sometimes lead to harder stools making them more difficult to pass.

4. Introduction of Solids

If your baby is a bit older and starting solid foods, constipation might appear as their digestive system adjusts to handling something new. A lack of fiber in these new foods could also be the culprit.

5. Underlying Medical Issues

In rare cases, constipation could signal an underlying issue like a food allergy, intolerance, or a condition affecting their digestive system. If you’ve tried everything and nothing works, always consult your pediatrician.

Signs Your Newborn Might Be Constipated

Babies can’t exactly tell you, “Hey, Mom, Dad, I’m constipated!” So, how can you tell? Keep an eye out for these signs:

- Straining During Bowel Movements: A little grunting or effort is normal, but excessive straining might indicate constipation.
- Hard, Pellet-Like Poop: If their stool isn’t soft and looks more like little pebbles, it’s a red flag.
- Decreased Frequency: It’s normal for breastfed babies to go a few days without pooping, but formula-fed babies generally poop more often. If it’s been longer than a few days and they seem uncomfortable, constipation could be the issue.
- Crying or Discomfort: If your baby cries while trying to poop or seems extra fussy, they might be constipated.
- A Bloated Belly: A firm or bloated tummy can signal trapped poop or gas.

How to Relieve Newborn Constipation

No one wants to see their baby in discomfort, and the good news is, there are plenty of ways you can help. Here’s a step-by-step guide to relieving newborn constipation.

1. Tummy Time Massage

Sometimes all it takes is a little hands-on help! Lay your baby on a flat surface and gently rub their belly in circular motions. Think of it as giving their tiny tummy a little pep talk to get things moving. You can also try moving their legs in a bicycle motion to help relieve any trapped gas or stimulate their bowels.

2. Check the Formula

If your baby is formula-fed, talk to your pediatrician about switching formulas. Some brands have specific formulations designed to be gentler on sensitive stomachs.

3. Offer a Warm Bath

A warm bath can do wonders to relax your baby’s muscles, including their tummy muscles. And hey, who doesn’t feel better after a soak in the tub?

4. Hydration

For babies over 6 months who have started solids, offering a tiny bit of water (no more than 1-2 ounces) can sometimes help soften stools. Be sure to consult your pediatrician before giving water to a baby younger than 6 months.

5. Introduce High-Fiber Foods

If your baby is old enough for solids, adding more fiber to their diet can help. Think mashed prunes, pureed peas, or pears. These foods are nature’s answer to constipation!

6. Consult Your Pediatrician About Glycerin Suppositories

In more stubborn cases, your doctor might suggest a glycerin suppository. These are safe for occasional use and can be a lifesaver in easing constipation quickly.

Things to Avoid

When you’re desperate to help your baby, it’s tempting to try anything and everything. But there are a few precautions you should keep in mind:

- Don’t Use Laxatives or Enemas: Adult remedies aren’t appropriate for babies, so steer clear of over-the-counter medications unless your pediatrician recommends them.
- Avoid Feeding Extra Water to Young Infants: Water can displace nutrients that babies need, so always check with your pediatrician before introducing water into their diet.

How to Prevent Constipation in the Future

Once your baby’s tummy troubles are resolved, you’ll want to do your best to prevent constipation from coming back. Here are some tips:

- Stick to a consistent feeding routine
- If formula-fed, choose a formula that’s gentle on digestion
- Gradually incorporate fiber-rich foods when starting solids
- Pay attention to hydration, especially for older babies and toddlers
- Make tummy time and baby massages a regular part of your baby’s routine

Remember, every baby is different—what works for one might not work for another. Be patient and don’t be afraid to reach out to your pediatrician if you need guidance.

When to Call the Pediatrician

If your baby’s constipation doesn’t improve despite your best efforts, or if you notice any alarming symptoms like blood in their stool or a swollen, hard belly, it’s time to call the doctor. They can run tests or provide medical advice tailored to your baby’s situation.

Final Thoughts

Dealing with newborn constipation can be frustrating and, at times, a little scary. But the good news? It’s usually temporary and can be managed with some simple adjustments and a little TLC. Always trust your instincts and don’t hesitate to reach out to a healthcare professional if you’re worried.

Remember, parenting is a learning journey—you’re doing an amazing job just by caring so much about your baby’s health and comfort. Keep going, and soon enough, your little one will be back to their happy, regular self.