What should I do if a newborn can't pass stool?

Patient's question:

My little baby is 30 days old. Every day, he strains to have a bowel movement but can only pass a little bit, and it's hard. He strains during sleep and feeding each time. What could be going on? What should I do?

Doctor's answer:

Children with poor bowel movements and constipation need to identify the cause. One possibility may be related to diet, while another could be related to the child's development. You can express milk for your child, take some probiotics, and if necessary, check to rule out congenital megacolon. You can go to the hospital to get some laxatives that infants can take. Parents can gently massage the infant's abdomen (centered around the abdomen, in a certain direction) from home, take a piece of soap, cut off a piece, preferably conical, and insert it into the anus. Buy a bottle of petroleum jelly from the pharmacy, wear rubber gloves, apply petroleum jelly, and then insert it into the anus.

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