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My baby is five months old and since the time he was seven weeks old, he only has a bowel movement once a week. If he goes longer than that, I give him a glycerin enema. He eats well and seems otherwise to be healthy. He is exclusively breastfed. Is this normal? Do other babies go this long between pooping? Will the weekly enema harm him? Anything I can do to help the frequency? Last week, stomach massage in a clockwise direction seemed to help.
It is normal for some babies to have infrequent bowel movements. If your baby is one of these babies, and is growing well, happy, healthy, and otherwise doing well, and if the bowel movement does not hurt your baby or cause any discomfort, then things are fine, and no interventions are needed. In any case, babies should not receive glycerin suppositories to promote bowel movements. Babies can become accustomed to this, and may lose their own capacity to have normal regular bowel movements. Some practitioners believe that humans should have multiple bowel movements every day, but this is not what I observe in my practice with infants. Some babies do have frequent bowel movements, but some, like your baby, are perfectly healthy, and have a bowel movement every seven days. Breastfeeding usually helps babies have soft bowel movements, whereas formula with iron can cause constipation, i.e. hard dry bowel movements. Glycerin enemas or suppositories can harm the baby, and therefore, should not be given. I recommend that you keep breastfeeding your baby often. When you start feeding your baby solid foods, at about the middle of the first year, you can begin to include fruits and vegetables in your baby's diet. Massage can help your baby if there is discomfort. But I don't think there is anything really wrong here that needs fixing.