Constipation In Infants and Toddlers

by | Jul 15, 2024 | Emotional Pillar, Environmental Pillar, Nutritional Pillar, Structural Pillar

Constipation in infants and toddlers is not uncommon. It can be distressing for both the baby and the parents, as you may feel there is nothing you can do to help them. This blog aims to provide natural remedies, foods, and gentle exercises that can help alleviate this uncomfortable condition.
Signs of constipation in babies include:
  • Less frequent bowel movements than usual
  • Hard, dry stools that are difficult for the baby to pass
  • Discomfort, irritability, or crying during bowel movements
  • A hard belly
Most pediatricians recommend MiraLAX, but they don’t tell you that the FDA does not approve this drug for those under 17. MiraLAX, or Polyethylene Glycol, is derived from petroleum. It works by increasing the amount of water your intestine absorbs. (rarely discussed secret, so does a pinch of Redmond’s Real Salt in their water). This drug, released in 1999, is for adults only and is to be used for up to seven days only. MiraLAX is recommended off-label by pediatricians to treat chronic constipation in children, often for extended periods, even though the label advises use no more than seven days.
Common side effects of MiraLAX include:
  • nausea
  • abdominal cramping
  • bloating
  • upset stomach
  • gas
  • dizziness
  • increased sweating
And then this… The Children’s Hospital of Philadelphia looked specifically at polyethylene glycol 3350, or PEG 3350, the active ingredient in MiraLAX, and similar generic products for increases in psychiatric conditions such as behavioral changes, including depression, mania, anger, anxiety, and mood swings. Please do not use this drug without further investigation.
What did we use before this? Cascara Sagrada is an effective over-the-counter relief used safely for hundreds of years. Yet in 2002, just three years after MiraLAX was released, the FDA ruled that it was not a safe and effective treatment. Ironically, it is still an ingredient in some prescription laxatives.
Soothing Tea Recipe
Ingredients:
  • 1 tsp dried Cascara Sagrada bark
  • 1 tsp dried Chamomile flowers
  • 1 tsp dried Peppermint leaves
  • 2 cups of water
Instructions:
  1. Bring water to a rolling boil.
  2. Add Cascara Sagrada, Chamomile, and Peppermint.
  3. Let it steep for about 10 minutes.
  4. Strain, pour into your cup, let cool, and add four drops or 1/16th of a teaspoon to a bottle or food. You want to go slowly to the child’s tolerance as Cascara Sagrada can cause cramping, and there is little to do other than wait if this happens.
Want more natural suggestions for your infant or toddler? Here are some natural remedies and exercises that can help alleviate this uncomfortable condition:
  • Hydration: Extra water can help soften stools for infants not exclusively breastfed. Breastfeeding more often may increase hydration.
  • Redmond’s Real Salt: Just a pinch in their food or bottle
  • TummyGize is diluted and tubbed on the belly clockwise around the belly button.
  • Warm Baths with Epsom Salts can relax your baby’s abdominal muscles, helping them pass stools more easily. Please make sure you purchase non-fragrance high-grade Epsom salts for your child. Dissolve the salt thoroughly before letting your child in the bath. Use no more than 2 cups of Epsom salt per bath, no more than 2-3 times a week.
Foods that help constipation. Introducing solids is an exciting time, but can sometimes lead to constipation. Here are some foods that can help keep things moving. If there are teeth and food is already being eaten, these are great suggestions. If you are solely breastfeeding, mom, you personally add these in. If you are not sure when to start introducing foods, here is my blog on how and when!
  • Pears, Prunes, and Peaches: These fruits can help to soften the stool. Offer them pureed or mashed, depending on your baby’s stage with solids.
  • Vegetables: Pureed peas and carrots add necessary fiber and are easy for babies to digest.

Food that can add to constipation:

  • Never Give Bananas: This one may surprise you, but bananas are very constipating to the gut and contain over 1/2 the sugar a child needs daily. Replace with avocado.
  • Wheat and packaged foods: In some cases, wheat can cause the colon to shut down, creating hard balls that are difficult to pass. Packaged foods often contain additives that are too much for a growing infant.
Exercise can help stimulate bowel movements. For babies under one, you can try:
  • Leg Bicycling: Lay your baby on their back and gently move their legs in a bicycling motion. This exercise can help relieve gas and stimulate the intestines.
  • Tummy Time: While tummy time is primarily used to strengthen the baby’s neck and shoulder muscles, it also gently presses the baby’s stomach, which can help promote bowel movement.
  • Belly Massage: Gentle clockwise motions around the navel can stimulate bowel movements.

Chiropractic care improves overall health and benefits people of all ages, including infants. Regarding infants, chiropractic care is tailored to be extremely gentle and non-invasive. Here’s how chiropractic care can potentially help babies, especially in relieving certain discomforts and promoting wellness:

  • Colic Relief: One of the most common reasons parents seek chiropractic care for their infants is colic. Colic is characterized by prolonged periods of intense, unexplained fussing and crying in a healthy baby. Chiropractic adjustments may help reduce colic symptoms by improving gut function and calming the nervous system, which could help the baby relax.
  • Improved Sleeping Patterns: Misalignments or subluxations in the spine can cause discomfort and may disrupt the baby’s sleep. Gentle adjustments can help realign the baby’s spine, leading to more comfortable sleep patterns. Parents often report that their babies sleep better after a chiropractic session.
  • Support Digestive Health: Chiropractic adjustments might also help alleviate issues like constipation and reflux. The theory here is that correcting spinal alignment makes the nervous system function more effectively, which is crucial for the gastrointestinal system’s performance. Gentle adjustments to the spine and pelvis often allow the infant to eliminate quickly, usually right in the office following the adjustment, and reduce acid reflux.
  • Enhanced Development: Regular chiropractic care can support an infant’s overall mobility and health as they grow. Proper alignment can aid in achieving developmental milestones like rolling over, crawling, and walking. It’s also thought that maintaining good spinal health helps ensure the nerves can transmit messages clearly and without interference, potentially supporting optimal development.
  • Ease Breastfeeding Challenges: Some infants have difficulty latching due to tension or discomfort in the neck and spine. A chiropractor can gently relieve this tension and help improve neck mobility, making breastfeeding smoother for both the mother and baby.

Complications To Be Aware Of: Megacolon is characterized by an abnormally large, dilated, and sometimes less responsive colon. This enlargement of the colon can lead to severe constipation and other complications.

Two primary forms of this condition can affect young children:

  • Congenital Megacolon (Hirschsprung’s Disease): Hirschsprung’s disease is a congenital condition, meaning it is present at birth. Children who have this are often diagnosed quickly. It occurs when specific nerve cells, known as ganglion cells, are absent in a segment of the bowel. These cells are crucial because they help control the muscle contractions that move food through the intestines. Without these cells, colon sections cannot contract properly, leading to a buildup of stool and dilation of the colon.
  • Symptoms of Hirschsprung’s disease usually appear shortly after birth and can include:
    • Failure to pass meconium shortly after birth
    • Chronic constipation
    • Swollen belly
    • Vomiting
    • Poor feeding and slow growth
  • Acquired Megacolon: Most common in toddlers, acquired megacolon can occur due to chronic constipation, where prolonged stool retention creates enlargement and dysfunction of the colon. Over time, the muscles of the colon wall can become overstretched and weakened, making it challenging to push stool through the colon effectively. This condition might also be associated with an underlying illness or a side effect of certain medications. Using foods and the suggestions above is fantastic for relieving this. The trick is to keep the stool soft and easy to eliminate – if it hurts, especially newly potty-trained babies, they don’t want that, so they will hold it, creating the megacolon. Be prepared for more accidents, and that’s ok! We want their stool to be soft and easy to eliminate.

 

When to Consult a Doctor: While constipation is usually not severe, it’s essential to consult your health provider if:

  • Your baby seems excessively uncomfortable or in pain
  • There are changes in the baby’s eating habits or a decrease in appetite
  • The constipation lasts for more than a week or recurs frequently
  • There is blood in your baby’s stool

 

Dealing with constipation in infants and toddlers can be a trying experience, but thankfully, several natural remedies, specific foods, and exercises can help alleviate this condition. Always monitor your baby’s health and consult your health provider if you have concerns about their bowel movements. Remember, each baby is different, and sometimes, patience is key to finding the right solution.This information should provide practical and gentle options to help manage constipation in your baby. Remember these tips; hopefully, your little one will feel better soon.
Want to go deeper? Check out our Newborn & Infants Protocol

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