Constipation – Ages 0-11
What it is
Constipation is when it is hard to have a bowel movement (poop) or when bowel movements happen less often than usual. Stools (poop) may be hard. There may be stomach pain or a feeling of still needing to go, even after a bowel movement. Constipation is not a cause for concern, but it is important to find a way to get relief.
Related sheet available: Constipation – Ages 12 and over
What you can do at home
What to do
For babies under 6 months
- Do not give water or any liquids other than breast milk or infant formula.
- Make sure the baby drinks enough milk for their age.
If the baby is formula-fed:
- Follow the preparation instructions on the formula package.
- Choose a formula best suited to the baby’s age.
- For babies over 6 months who eat solid foods
- Offer water every day, in addition to milk.
- Offer high-fiber foods, such as:
- vegetables;
- fruit (prunes, pears, and apples);
- whole-grain breads and cereals;
- legumes.
Children ages 1 to 11
- Offer high-fiber foods at least 3 times a day, such as fruit (bananas, pears, figs, plums), vegetables, whole-grain breads and cereals, and legumes.
- Add 1 teaspoon of wheat bran to cereal or yogurt.
- Serve small meals.
- Encourage the child to chew food thoroughly.
- Offer mainly water to drink.
- Offer apple, pear, or prune juice.
Important: Some foods, such as dried fruit, can be a choking hazard depending on the child’s age. Cut them into small pieces or prepare them so they are safe for the child to eat.
Making bowel movements easier
During toilet training:
- Offer a potty rather than the toilet.
- Every day, encourage the child to sit on the potty at the same times for 5 to 10 minutes, especially after meals (toileting schedule).
- Let the child watch a parent use the toilet.
- Comfort the child if painful bowel movements are making toilet training harder.
- If needed, take a temporary break from toilet training.
If the child is toilet trained:
- Every day, encourage the child to sit on the toilet at the same times for 5 to 10 minutes, especially after meals (toileting schedule).
- Provide a small stool for the child to rest their feet on.
- Gently massage the abdomen in a clockwise direction 3 to 4 times a day.
- Encourage the child to be active during playtime.
Avoid
- Do not use medications to help with bowel movements (laxatives) without medical advice.
- Ask a pharmacist for advice before using any constipation treatment.
When to seek medical attention
Constipation that keeps coming back
Difficulty passing stools
For babies under 1 year:
- fever and no bowel movements
- stools that are often small, watery, or hard
- fewer than 2 bowel movements a day in breastfed babies under 4 weeks old
For babies and children under 11:
- constipation (no bowel movements) for several days
- frequent pain when having a bowel movement
- ribbon-shaped stools
For children ages 1 to 11:
- red blood in the stool (even a small amount)
- refusing to eat
- not gaining enough weight
For children ages 4 and over: passing stool into their underwear without meaning to (involuntary leakage)
Need help?
Call Info-Santé at 811, Option 1, to speak with a nurse at any time.
Go to the pharmacy for advice on medications or treatment.
Make an appointment at your medical clinic or CLSC.
If you do not have a family doctor, go to gap.soinsvirtuels or call 811, Option 3.
When to go to the hospital right away
Black blood or a lot of red blood in the stool
Frequent vomiting, or vomit that is green or yellow-green
Rapid changes in overall condition:
- unusual tiredness (drowsiness) or difficulty staying awake
- less responsive to what is happening around them
- confusion, agitation, or unusual behaviour
- hallucinations (seeing or hearing things that are not real)
- reduced appetite or thirst
- difficulty carrying out usual daily activities
For babies under 3 months of age: fever
For babies under 1 year:
- stomach that is very painful to the touch
- continuous crying that cannot be soothed
- swollen stomach with frequent vomiting
For children ages 1 to 11: stomach that is very hard and very painful for more than 2 hours