My daughter has been chronically constipated since she started solids. Just when I think its getting better in always comes back. I have tried many things. She poops about twice a week, but has gone as long as a week. I suspect she holds it in, but I also suspect diet. I have tried to go dairy free which did not help, not that we eat much dairy anyway. She doesnt drink milk, and gets a little yogurt or cheese here and there.
Here is what I have tried.
Medications: Lactulose and Milk of Magnesia. Occasionally suppositories. I will not try miralax.
Diet: Tried dairy free for a few months. She gets ground flax, dried fruits, and lots of fruit, like apples, grapes, etc. She does get enough fluids, I think. I give her 1 tsp inulin in a big drink to hold more water in her stool each day.
I take her to the chiropractor about 4 times a year, for maintainance.
Sometimes a hot bath and a tummy massage helps, but its rare.
I also suspect the end of her colon is a little stretched out, because even when her BMs are soft, they are HUGE. Like adult size. I tried to fix this with the lactulose, but they were still huge even though they were softer.
So what can I do to get her to poop more regular? She has gone every other day in the past, for a month or so at a time.
I am going gluten free as soon as all my wheat products run out.
I have crohn's disease and her problem is making me paranoid.
It's common for stooling to change after starting solids. You've tried all the good things to do. Are her stools painful or very difficult for her to evacuate? If they are not, then this is just her new normal. I've also heard of soda-can-sized poops coming out of these little ones with no outward indications for concern. Some babies go for 10 or more days between bowel movements but this is most common in breastfed babies before solids, as there's less volume to BF stools overall. Still, several days between stools is not a concern, if your child is comfortable.
You are right to have concern because of your Crohn's. Your vigilance is good.
Linda F. Palmer, DC
"The Baby Bond"