Is it normal to always have difficulty defecating?

Patient's question:

My child has been having difficulty with bowel movements since birth, and it has been two months. Is this normal? The frequency and color of the stool are generally normal, with occasional curdles. At the city hospital, taking probiotics initially showed some effectiveness, but now it's not working anymore. Should we wait for further observation or go to the hospital for an ultrasound examination? How long will it take for recovery with dietary adjustments? At the city hospital, taking probiotics initially showed some effectiveness, but now it's not working anymore. I would appreciate it if the experts could take a good look at my post. It's heartbreaking to see my child struggle with bowel movements twice a day.

Doctor's answer:

Some babies may experience a condition where they only have a bowel movement every three to five days, known as "holding back stool." As long as the baby does not show any abnormal symptoms such as fever, vomiting, abdominal pain, lethargy, or poor feeding, there is no need for concern. If other abnormal symptoms reappear, it is advisable to visit the hospital to check for contagious diseases and undergo a detailed examination of the digestive tract with a color Doppler ultrasound to identify any potential issues. Be cautious not to touch cold patients or expose the baby to cold drafts. Breastfeeding mothers should avoid greasy, spicy, or irritating foods.
If the baby seems to have a bowel movement but cannot pass it, using a glycerin suppository can help. If necessary, a color Doppler ultrasound of the digestive tract should be conducted to check for any other problems.
The above advice is for the question "My child has been constipated since birth, and now at two months old, bowel movements are still difficult." I hope it helps you. Wishing you good health!

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