I have a four and half month old who is breastfed and has been on solids (cereals) of about 3 weeks. She hasn't pooped in 6 days, should I be concerned?

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Vashta - posted on 12/10/2008

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Isn't it funny... You'd never think in all your life you'd be so excited over a poopy diaper!!! lol.... I know the feeling!

Vashta - posted on 12/10/2008

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I would mix in some pear juice or prunes with the cereal.. or you can just give the prune or pear juice on the side in a bottle... maybe a jar of bananas or such or just squish up a banana and give that to her..... and plenty of water aside from the breast milk... if that doesn't work... then you can try to just massage the tummy in a downward position it helps move the bowls along.. If non of that works.. I would ask her doctor... Good luck!

Carolyn - posted on 12/10/2008

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I really wouldn't worry, she's adjusting to the new substance in her system. you don't have to poo every day, my best friend poo's once a week, has done all here life (I don't know why I know this!!) If she hasn't been soon though speak to you health visitor/ped/doc! good luck, I'm sure she'll be fine, you might just have a rather busy day ahead of you!!

Trudy - posted on 12/10/2008

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Also Shanda, I wish other people had read why you started your bub on solids before they critized you for it, or told you that your baby wasn't ready for it.

It is better for a 4 month old to eat if they are not gaining weight rather than starving them for another 2 months because someone has decided that the magic age is 6months. Most of us mums started eating solids as babies at 6 weeks of age and are still alive to tell the tale. Every baby is different so why should should they all start eating solids at the same time.

Trudy - posted on 12/10/2008

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My little boy also started solids at about 3 1/2 months (now 20mths). It was the weight gain issue too, he just didn't like milk (breast, formula, cow, soy we tried everything). He only ever use to poo once a week, but we gave him brown sugar in cooled boiled water everyday. It stimulates the bowel, while things like coloxyl soften the poo. My 7 month old daughter when she started on solids (5months) had coloxyl (dr. recomended) and it was no where near as effective as the brown sugar (she hadn't done a poo in over a week). I still give her brown sugar in her 1st bottle of the day (yes in her milk) if she hasn't done a poo the day before. I find it easier (on her) to keep on top of it that way after the first drama.

Good Luck!!

Laura - posted on 12/10/2008

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She's too young.... her metabolism is not yet ready for solids. Just give her time, you'll be feeding her for years to come, for now enjoy breastfeeding. And call your doctor IMMEDIATELY.

Donna - posted on 12/10/2008

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hey, if your daughter has still not pooped, try a teaspoon of maderia brown suger in 3ozs of boiled water, it works everytime for my little boy i found it 2 work alot quicker and better than prunes or orange, and it was my gp who advised me 2 do it. good luck.

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This happened with my daughter...freshly squeezed orange juice works a trick...it doesn't take much an results are almost instant...honestly just juice an orange an use a medicine syringe and your l;ittle girl will be poopin in no time :o)

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I had the same situation with my oldest when she was about that age. In addition to prunes, you may also try one infant glycerin suppository. I popped one in her little bottom and a few hours later.....yeah!

Heidi - posted on 12/10/2008

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this happened to all my boys too, i would call the pediatrician and see what they recommend, but what work like a dream for mine was couple of teaspoons of karo syrup mixed with water in 4oz of water. good luck.

Shanda - posted on 12/10/2008

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Thanks everyone for the advice. I have spoken to her doctor and he says not to be worried, up to 10 days is normal but to try prune/pear/apple juice if she doesn't poop by then.

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you do need to call the dr just b/c of how long its been...but prunes and apple jiuce always do the trick for mine.....

Renee - posted on 12/09/2008

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My son who is now 7mos old, used to get constipated all of the time when he first started eating cereal and solid foods. MY ped told me that there was a problem if he went for more than 5 days without a poop. She suggested Dark Karo Syrup in his bottle. About 1 tablespoon for every 4oz of formula. This worked well for me. Purnes, as everyone else is suggesting also works well. Just make sure you have spare clothes and extra wipes for when she finally does go. I suggest trying any of these in the morning to give them time to work before bedtime...

Tiffany - posted on 12/09/2008

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my daughter was the same way and i was also concerned but my ped. told me not to be concerned til it was a full week and my daughter always ended up going on the 7th day even if not the 7th she would def. go the next day. my ped. told me its normal for breastfed babies to go that long without a poop.

Stephanie - posted on 12/09/2008

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The EXACT same thing happened to my first 2 babies. There could be many reasons why she is constipated and yes, even if you haven't seen her poop yet she is clinically constipated and should recieve an immediate 'fix' to her problem. Get an infant glycerin suppository and after 3 tries (the tries need to be several HOURS apart... like 3 or 4 or more) if she still hasn't pooped, go see your doctor. Giving her prune juice and all that stuff at this stage will not help her evacuate the stool that's hardened down at her rectum. In all likelihood though, the suppository should work. I truly don't understand your doctor's advice of having her start on cereals because of slow weight gain... I would think the best and safest thing is simply to breastfeed her more often and or insist a little more when you do breastfeed. Secondly, cereals are very hard for babies to digest. I figured that one out myself. I actually had started giving the pablum at 5 and a half months and boom, she got REAL constipated. Everytime I would deal with the problem and retry the cereals, she would be constiapted again until finally I had to simply stop the pablum altogether for several weeks, give her only fruits and veggies until her gut matured and at about 7 months, I restarted and she was fine. So, often times, it truly is a sign that your baby's intestine is too immature for cereal even if you do add all the prune stuff! Last thing, if you still decide to feed her to increase her caloric intake, simply feed her fruits and veggies and add fresh olive or flax seed oil to the purees. (these oils are both very safe for infants) I would encourage you to stop the cereals until she's a couple of months older. BUt I agree with others whom say that all of this info is just advice and you need to follow your mama's heart.

Linda - posted on 12/09/2008

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okay heres the scoop from a mom of 2 (age 24 and 13) BOTH very premature,,,,,

there is nothing wrong with calling your Dr. but TRUST your instinct,,. prune juice or prunes are a natural way to go....suppositories are a good ONE TIME FIX.. but the best thing you can do,, is talk to your Dr.. a million moms can tell you what THEY would do.. but you have the child there at hand,, is she crying, tummy hard,, gassy? pains? you know your child,, never be afraid to ask,,, there are no manuals but please dont just decide to do what someone here thinks is best..and no baby needs anything before 6 months if healthy and breastfed... take care good luck and please let us know how things are going!! Im only 44 but I have been around alot of babies.. and moms who are nervous..call the DR and get their opinion and then YOU make the call.

Elizabeth - posted on 12/09/2008

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Don't be concerned. They do start to get firm poop when you add solids. The cereal does have a lot of Iron which can make them constipated. I would add a serving of prunes (babyfood jar) and see if that helps. If she doesn't go in the next few days I would call your doctor.

Kim - posted on 12/09/2008

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Hi Shanda

The same thing happened to me with my daughter when I started her on solids at 6 months old. She went 6 days without pooping. The nurse on this hotline told me not to worry too much and to just increase her water intake (but mine wouldn't drink from a bottle) and I gave her lots of prunes and pears, apricots and peas. All the babyfoods in the jars. Cut back on the cereal. Are you giving her rice cereal? That is very constipating.

It is difficult for breastfed babies to transition to real food because breast milk is so natural and easy on the tummy. I found that it took my daughter a good 3 months to get over constipation. Their systems need to adjust. Hang in there.

Chrys - posted on 12/09/2008

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We were told not to give cereal until 6-8 months for this very reason? Check with your ped. Six days is a very, very long time. Babies that age should be pooping twice or more a day.

Lydia - posted on 12/09/2008

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My son's got some lethal ones, too! =) It sounds like cereal affected our kids oppositely...if she seems fine, you can probably relax, too.

Shanda - posted on 12/09/2008

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She doesn't seem uncomfortable at all. Before the cereal she was a daily pooper, that is why I am little concerned. She also has really foul smelling gas but yet no poop.

Lydia - posted on 12/09/2008

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I also agree with the organic prune suggestion - your baby doesn't need juice or corn syrup. Sugar (even sugar in fruit) can ruin her palate for vegetables and meat.

Lydia - posted on 12/09/2008

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Does your daughter seem uncomfortable or irritable? What was her "poop schedule" before cereal? My breastfed son was a very happy once-a-weeker until we started him on cereal on ped's advice after 4 month checkup. Now he goes every morning, but seems a bit crankier. Every baby is different and we all know they change their habits as often as we change their diapers. =) Just keep observing; she'll tell you what she needs. But if you're still worried, just call the doctor. That's what they're there for, and you certainly wouldn't be the first mom concerned about her child's poop...when I asked our doc about the once-a-week, she said it was perfectly normal up to 10 days!! Good luck!

Shanda - posted on 12/09/2008

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I know that MOST infants don't need solids until 6 months, however our doctor has told us to start now because her weight gain has slowed down quite a bit.

Melissa - posted on 12/09/2008

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she does not need any added water if she is drinking plenty of breastmilk.
constipation is when the poop is hard and dry, not that she hasn't pooped in several days.

Melissa - posted on 12/09/2008

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lay off the cereal for a few days or even a week, she doesn't NEED it!!
breastmilk has everything a baby needs for the frst 6 months, after 6 months breastmilk still needs to be the main source of nutrition.

S - posted on 12/09/2008

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Kudos to you for breasfeeding your baby! The iron in formula and cereal can be constipating for some babies, and actually, most exclusively breastfed babies don't need solids until they're 6 mos old.. Sometimes simply giving her more water to drink solves this problem, but in this case I would at least inform her doctor. You can try some diluted juice-pear or apple usually works, but if it doesn't, you can move onto plum or prune juice. NEVER give a baby below 1 yr old corn syrup or honey-this is a risky practice, because they can contain botulism spores, which an infant may not be able to handle. Hope this helps...

Erica - posted on 12/09/2008

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you could try a tablespoon of corn syrup in a bottle, just pump like 3 ounces and add it to that or just use water. It worked for my little boy. Also diluted prune juice worked. But if she doesn't go soon i would take her in.

Amy - posted on 12/09/2008

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Just a little concern. Pear juice should do the trick. My oldest was without poop for 9 days once and the doctor said pear juice. Two days later - WATCH OUT! The poop was pourin - sorry for the picture....

Sue - posted on 12/09/2008

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yes you should be concerned he needs to see your gp constipation is unpleasent i see it all the time where i work and trust me you dont want to put a child of that age through the remedy its not nice

Anne - posted on 12/09/2008

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Also.. constipation isn't when poops are far apart, it is when poop is dry and hard.

Anne - posted on 12/09/2008

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My little girl had the same problem. She finally pooped, and it was fine. Breastfed babies can "space" diapers. As long as when the poop comes it is a large amount and not hard, then she is just fine and her intestines are working. 1 or 2 oz of prune juice in a sippy cup can help, too.

Jennifer - posted on 12/09/2008

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My daughter used to have that problem a lot around the same age. Whenever she used to get constipated, I would give her prune juice or apple juice diluted with water (i personally didn't like the sugar content).

Lara - posted on 12/09/2008

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Often it's the supplemental iron in the baby cereal that does it. I have always put pureed prunes in my little guys cereal and it works wonderfully...and tastes good :)

Marisa - posted on 12/09/2008

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I know that changes in diet can affect BM. When I introduced a small amt of formula to my BF baby he didn't have a BM for 9 days. My Dr. told me to give him either diluted pear or prune juice once a day. The amt of juice is dependent on age.
Definitely call the Dr.

Laurie - posted on 12/09/2008

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i agree with the prunes... and i would also mention it to your grandmother if you are still blessed with her presence.... constipation in babies, while rare, tends to run in families for some reason. also, i would suggest that you make sure that the cereal is really liquidy for a while until she seems regulated again, too. if you notice that you have problems on a regular basis (several of mine have had problems like this since birth), you might ask your pediatrician when you can start feeding them yogurt (with live cultures... that should also help their digestive process).

Katie - posted on 12/09/2008

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Six days is a long time...poor baby. Yes you should be concerned. The cereal may be constipating her. Speak with your doctor about starting a fruit or small juice (prunes work!) to ease her constipation. Also, maybe the doctor will ok you giving her an over the counter medicine to help. They sell many oils that will help, but make sure the doc says its ok.

Jovanne - posted on 12/09/2008

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Make sure the breastmilk is still the majority of her diet. I would call your doctor just to make sure. Cereal does thicken their poop and moves slower through their system. I would probably cut back on the cereal a little (no more than 1 - 2 times a day) to see if that helps. Good Luck!

Alethiea - posted on 12/09/2008

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Not yet... but when it happens have diapers, wipes, clean sheets, and a large garbage bag handy.May the force be with you.

Rebecca - posted on 12/09/2008

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My suggestion is to add Gerber organic prunes to the cereal. This made muy daughter poop in no time. If she hasn't had prunes yet, check with the ped.

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