A definitive guide to the causes of baby constipation and natural approaches for resolving it whether your child is breastfed, formula-fed, or already eating solids.
Baby constipation should always be cause for parental concern. Some doctors prefer to chalk up baby bowel movements as within normal parameters even if they are as infrequent as once a week. However, a more holistically minded practitioner understands the critical importance of gut balance and bowel regularity. Such a doctor would likely come to a far different assessment of the situation. It pays to get a second opinion!
While there is certainly room for individual variation in the bowel habits of babies, once every two days should be considered a minimum by those parents who seek to ensure that their child’s digestive tract is functioning optimally.
What if your baby is obviously constipated and you do not wish to utilize any medications? These would include an infant suppository, which should only be used as a last resort anyway. What natural approaches could prove helpful to relieving the situation?
Baby Constipation Usually Linked to Commercial Formula
Most of the time, baby constipation can be traced to one of the many brands of commercial formula. This would include organic formula. It’s no surprise that babies fed commercial formula can tend toward constipation due to the worrisome, indigestible ingredients.
Commercial milk-based baby formulas are, simply put, dangerous concoctions of denatured milk proteins and rancid, cheap, usually GMO vegetable oils. They do a number on a baby’s digestive system. Even the organic formulas are not a wise choice as violent processing is similar even if the ingredients are not as toxic.
Hypoallergenic formulas are even worse as they contain an endocrine-disrupting quantity of soy isoflavones. These phytoestrogens have the very real potential to damage your child’s delicate and developing hormonal system.
The good news is that it is possible to make a nourishing formula for your baby yourself at home with quality ingredients that you source yourself.
If you’ve never considered this option before, this article plus video shows you exactly how to make homemade formula and explains why you should consider doing it.
In a good share of cases, the simple act of switching baby off commercial formulas and onto a nourishing and much more digestible homemade formula will resolve the constipation issue.
Difficulty Passing Stools if Using Homemade Formula
What if baby is still struggling to have bowel movements at least once every two days even while on the homemade formula?
Consider the following ten options that a parent can implement at his/her discretion in that situation:
- Baby constipation is more frequent with the homemade goat milk formula than the cows milk formula. This is possibly because goat milk is low in B12. If you are using goat milk to make the homemade formula, switch to cow milk or camel milk and see if the situation improves.
- Substitute homemade kefir, yogurt, or buttermilk made with raw milk instead of the plain whole milk portion of the recipe. Â
- Add a few additional tablespoons of cream to each 36-ounce batch.
- Reduce the amount of water in each batch of formula by 1/4 cup.
- Increase the amount of liquid whey in each batch to 1/2 cup.
- Increase the bifidobacterium infantis, the recommended probiotic in the homemade formula, from 1/4 tsp to 1/2 tsp per batch.
- Coconut oil helps loosen things in some cases so increasing from 2 tsp to 1 Tbl per batch of homemade formula may prove helpful. Â
- Add 1 tsp of dark molasses to each batch of homemade formula. Do not substitute dark karo syrup.
- Give baby a little prune juice in a bottle.
- Give the baby Digestive Tea in a bottle. Â To make Digestive Tea, a folk remedy for treating constipation/gas in babies, take 2 cups fresh anise leaves and 2 cups fresh mint leaves. Bring 2 quarts of water to a boil and pour over the herbs. Let steep until the water cools. Strain. Give tepid tea in a bottle to the baby, 4 ounces at a time (recipe from Nourishing Traditions, Chapter on Feeding Babies).
Watch the Finger Foods
One final suggestion is to avoid feeding baby any grain-based foods in the first year of life. Amylase, the enzyme necessary to digest carbohydrates, is produced in only small amounts by a baby’s digestive system before age one. Following a conventional doctor’s advice to put rice cereal in a baby bottle (to encourage the child to sleep through the night) or feeding the child rice cereal as a first food is incredibly misguided.
Moreover, it is a potential disaster for a baby’s developing gut environment. Even Health Canada recommends meat as a baby first food over grains! This is in line with the practice of healthy ancestral cultures.
Also, if the baby is eating any refined grains such as Cheerios, teething biscuits, etc (many Moms start these foods as soon as the child is sitting unassisted around 6 months) these should be stopped immediately. Refined foods contribute to gut imbalance and perhaps constipation. No bread rolls or salad crackers for baby to chew on while in a high chair at a restaurant either!
If you are looking for an ideal early food, gelatin from homemade bone broths is incredibly soothing to a baby’s digestive tract. It is very nourishing too as opposed to those indigestible grain-based foods. Frequent gelatin in the diet goes a long way toward helping to resolve constipation issues. It can be mashed with cooked veggies for easy eating. This article plus video illustrates another ideal first food for baby that encourages proper development and balance of the gut.
Can Breastfeeding Babies Get Constipated?
As little as ten to fifteen years ago, it was almost unheard of for a breastfed baby to be constipated.  In fact, the baby books at that time almost universally stated that breastfed babies don’t get constipated!
Nowadays, this situation is becoming more commonplace. The continuing decline in the quality of the diet of nursing mothers is a likely reason.
While it is an unpopular position within the breastfeeding community, the diet of the mother clearly impacts the quality of her breastmilk. Fats, vitamins and minerals in breastmilk vary considerably based on the mother’s diet although protein and immunoglobulins do not. Studies such as the Chinese Breastmilk Study confirm this.
Suggesting that a lactating mother can eat whatever she wants and still produce quality breastmilk is also irresponsible. It defies all common sense and historical study of healthy traditional cultures. These ancestral societies wisely put great emphasis on the quality of nursing mothers’ diet.
Generally speaking, baby constipation in a child that is breastfed is directly related to a mother’s gut dysbiosis issues. This means that she suffers from an imbalanced gut and likely exhibits symptoms like constipation, gas, reflux, bloating, heartburn, IBS, or ulcerative colitis. Chronic skin issues like eczema or psoriasis may also be present. Usually, such a mother took the contraceptive Pill, which is highly destructive to the gut environment.
While the best way to remedy gut dysbiosis is, hands down, the GAPS Diet, this protocol is not recommended during either pregnancy or lactation. This is due to the pathogen die-off that occurs from resolving gut imbalance issues. The toxins from this healing process could end up in the breastmilk.
Fixing a Breastfeeding Mom’s Diet
How to remedy a nursing mother’s gut issues without the GAPS Diet and help her constipated baby?  There isn’t an easy answer to this question. No doubt, getting off all processed foods and eating a minimal amount of grain-based carbohydrates that are traditionally prepared would likely help tremendously. Going completely off grains per GAPS is not a good idea, however. Grains, particularly soaked cereal gruels, are known historically to encourage ample milk supply. As a result, continuing to eat them in moderation is wise during lactation.
Elimination of pasteurized dairy and processed wheat is a good first step if you are a breastfeeding mother with a constipated baby. When I nursed my youngest child, she would spit up for an entire day and sometimes two if I ate any processed wheat. Even a single bite from a roll at a restaurant sent her over the edge. The wheat I carefully prepared at home with fresh flour that was either soaked or sprouted did not give her any issues at all, however. Similarly, my firstborn had terrible infant gas and digestive problems when I consumed organic ultrapasteurized milk. This is a very allergenic food due to the denatured proteins from the obscenely high heat processing.
The bottom line is that if you are breastfeeding and have a constipated baby, look to improve your diet first. You will likely find your baby will have easier digestion and greater ease passing stools right away. And, once you wean, consider the GAPS Diet as a way to heal your gut once and for all. Then, your next baby won’t have the same digestive issues when breastfeeding.
More Information
Squatty Potty For America’s Toilet Issues?
Chiropractic for Constipation
Five Strategies to Combat Constipation
I have successfully used castor oil packs on babies to relieve constipation. Simply soak a flannel pad with warmed castor oil and apply to baby’s abdomen over the area of the liver (right side, just below rib cage), cover with a towel or blanket, and have baby rest quietly for 20-30 minutes while the castor oil pack works its’ magic!
I’m not familiar with fresh anise leaves (to make Digestive Tea) any suggestions on where to find them?
Hi just wanted to say my baby who was constipated since introducing solids. Only fruits veggies and small amounts of yogurt is now greatly relieved by just adding extra cream to her bottle. If only I’d have figured that out months ago. I never would have given her prune juice or apple juice or molasses. We could gave missed those dr appointments a tears trying to push out giant poos. Well I know for next baby thanks again
Dear Sarah,
I am 26 weeks pregnant and I started the full GAPS-diet about two weeks ago. Was this a bad choice? I suffer from candida and constipation and I just wanted to get rid of these problems as well as nurturing my baby. Is this a mistake?
Should I perhaps add some fermented oat porridge for carbohydrates?
I think you have to listen to your own body when it comes to these things. Having a yeast overgrowth with a baby can be really difficult, and affect breastfeeding (thrush in the mouth) and cause a really bad diaper rash. I also made it a top priority during pregnancy to balance out any yeast problems I had, and my little one is much better off for it. I think the reason they recommend against the full GAPS diet during pregnancy and breastfeeding is simply because it can be difficult to get enough calories/carbs in. But if you are eating plenty of fat and vegetables then it shouldn’t be a problem. I have successfully breastfed being essentially GAPS/Paleo, though I did include oats after a while. Try tracking your caloric intake with something like cronometer.com and see how you are doing. At this stage in your pregnancy you are not needing many more calories than normal, in fact even in the last trimester you only need 300 extra calories compared to the 600 or so of breastfeeding, so now is a good time to get a handle on your diet. The other thing to do of course is to find a GAPS friendly doctor to help guide you through this challenge.
Thank you Rachel!
You’re very welcome 🙂 Best of luck to you
What horrible products are they putting in baby formula? Source?
Lots of people use formula and they are good parents and their babies turn out fine. They excel even.
Babies respond extremely well and quickly to stimulating the large intestine meridian (think Traditional Chinese Medicine).
We had great success relieving baby constipation by simply gently rubbing UP from the index finger along the arm up toward the shoulder a number of times, then repeating on both arms. The LI meridian flows from finger to head. So, it’s important to stimulate the flow by rubbing from finger UP (otherwise, you could slow the bowel)
Here’s a link to the LI meridian…
http://www.yinyanghouse.com/acupuncturepoints/largeintestine_meridian_graphic
My baby had a bit of a rocky start and had to be formula fed for a little while as he was premature and has a cow’s milk protein allergy and I had to remove cow’s milk from my diet for at least 14 days before I could breastfeed him and have had subsequent milk supply issues. He is almost exclusively breastfed now except for a bit of formula at night (not every night). He has terrible gas/foul smelling and poops every 6-7 days. I am sure this is not right, everyone tells me it is normal. I have been putting baby probiotics in the formula that he does get, but it is one of those hypoallergenic formula’s which was prescribed by his doctor due to his allergy.
My diet is not the best (struggling to find my way to eat well and care for a high maintenance/fussy baby) and this may be to much information, but the smell of our gas is the same! I am also taking domperidone and herbs to build my milk supply.
I would love some advice on how to relieve his constipation and improve his gas. I am a bit nervous about trying the non-milk homemade formula on the Weston Price website and my husband is not so approving.
Thanks.
My baby girl was constipated for a while shortly after starting her solid foods. She just wasn’t getting enough liquid in her diet even though she was breastfeeding regularly. She wouldn’t take a bottle at all and it took a couple weeks for her to get used to a sippy cup. After she could finally get some water out of a cup she was never constipated again.
Sometimes there is a physical, non-diet reason. My first baby would sometimes go up to 9 days between movements, and seemed uncomfortable, but was healthy and her development was normal. When I weaned at 15 months, the constipation affected her development and she became quite ill. Around that same time, a nephew was born with Hershprung’s Disease, and was never able to have a bowl movement until major surgery. It was found that she had a more mild, managable case of the same disease. My nursing had made it possible for her to do as well as she had. I can’t imagine how bad her health would have been if she had not had nourishing, easily digestible breast milk.