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 Ask Dr. Jana
Infant Constipated since Birth | | | QUESTION | | | Dear Dr. Jana,
My baby is 1-1/2 months old and he has been constipated ever since he was born. He dirties his pamper every two days and it seems to be very hard stools cause he screams with pain. I try to stimulate him and make it is easier for him, but how long can I do this for? Does my baby have a serious problem or is he OK? My doctor told me if it keeps going on for a long time to bring him in, but I am afraid to learn that he is sick.— A Very Worried New Mom | | | ANSWER |
May 23, 2001 | | | Dear A Very Worried New Mom,
I am glad you asked this question. The first thing I'd like to say is that any time you are concerned your baby might have a serious problem, you should not hesitate to ask his pediatrician or another child health professional--even if you have to ask more than once. While I understand your fear of being told he is sick, you and your son will be much happier if you work with his pediatrician--either to identify the problem and treat it or to simply give you peace of mind that he is okay.
From what you describe, I am unable to tell you with any certainty whether or not your son has mild constipation, is truly "sick," or is acting like a normal 1-1/2-month-old. I can, however, tell you that any time I hear about a baby who is described as having constipation from birth, I insist on seeing the baby, doing a physical exam, and getting a more detailed description from the parents. Many parents mistakenly consider their infants to be constipated when their bowel movements are within the limits of what we normally see. Other infants simply need a change in diet and the constipation resolves. On occasion, however, infants are born with a condition that affects the function of the bowel and prevents them from having normal bowel movements. This particular condition, known as Hirschprung's, is present from birth and does not go away without treatment.
For your own peace of mind and as a way of helping your son, I strongly recommend that you take him to be checked out again.— by Laura Jana, M.D., F.A.A.P. |
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