How to deal with a 19-month-old baby who has a bowel movement only every few days?

Patient's question:

The baby is 19 months old. Since starting complementary foods at six months, they have been having one or two bowel movements every morning. However, in the past half month, they have started having one bowel movement every other day, then two bowel movements every other day, and now one every three days. But it feels like each time they don’t want to have a bowel movement anymore. They have started holding it in, even when they feel the urge.

Doctor's answer:

According to your description, considering the constipation caused by gastrointestinal dysfunction in infants, probiotics can be taken orally to regulate the intestines. Due to dry stools, the baby may refuse to squat for a bowel movement. Suppositories can be used to soften the stool before encouraging the baby to squat, gradually helping them develop the habit of having a bowel movement daily. It is recommended to give the baby more water and appropriate outdoor exercise. When introducing complementary foods, start with small amounts and gradually increase them, providing vegetables and fruits appropriately to help establish a regular bowel movement schedule. Gentle clockwise abdominal massage or applying sesame oil to the anus can also be helpful. If necessary, consult a pediatrician for follow-up and follow the doctor's guidance for treatment.

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