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Constipated 2 month old

I've been giving my 2 month old Barley cereal in his bottles for his spitting up, but it's now causing constipation. What can I do to help him have easier bowel movements?

Parents often think infrequent stools equal constipation. If his stools are soft and painless than do not worry. If his stools are hard and painful than he is constipated and his stools need to be remedied.

When possilbe, constipation should first be addressed with dietary modification.  If he was 4 months or older I would recommend apple juice and increased fruit consumption.

Unfortunately at 2 months you are left with few choices.

1.). Try rice cereal -  When thickening bottles, I normally recommend Rice cereal.  While rice cereal can also cause constipation, your son may do better on rice over barley.

2.). Use less barley -  You may be able to find a lesser amount of barley that does not cause constipation.  Does he need thickened feeds?  I do not recommend thicken feeds for all patients who spit up.  If your son is not growing well or is fussy secondary to reflux than he definitely needs thickened feeds.

3.). Switch to an elemental (predigested) formula.  Formula's like Similac Alimentum or Enfamil Nutramingen are intended for children with formula intolerances.  These formulas smell bad and are more expensive than “regular” formulas.  Elemental formulas usually cause diarrhea as a side effect.  Changing your son to one of these formulas should help resolve his constipation.  Many of my families find success with only one or two bottles of these a day. I’ve had other families find success with a individualized blend of regular and predigested formulas.

If you have tried these options and he remains constipated or if stools are bloody take him to see his doctor.

see all constipation questions - constipation in children

 

Written June 2011 by
Dr. Gordon, Orlando Pediatrician

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Written September 2010 by
Dr. Gordon, Orlando Pediatrician

 

 

 

 

 

 

gregorygordonmd.com is intended to help parents understand the needs and behaviors of children. The information presented in the site is the opinion of Gregory Gordon, M.D.and does not reflect the opinion of his partners. This website is owned exclusively by Doctors insights LLC. The advice in this site does not apply to all children. Always consult your healthcare provider for your individual needs.

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