My niece is around 3 months, since 20 days she is not passing stools regularly, last time after 5 days induced with soap ,now again since 7 days not passed ,what to do? Can again induce with soap, is it safe? What is the treatment for constipation in infants, red flag signs?

Dr. Prakash MedatwalPediatrician43yrs exp

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Avoid bottle feed if doing Clean nostrils daily after bath Dulcolax suppository child size pushed per anal She will pass stool after some time Plenty of fluids by mouth Breastfeeding to be continued  

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Dr. Upam DekaPediatrician11yrs exp

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It's normal for infants to pass stool even after every 5-7 days. What's more important is the consistency of the stool. If it's soft and there's no abdominal distension, it's okay for the baby to pass stool every 5 days. Treatment of constipation of infants is a huge topic & it can be harmful if treatment is tried without a pediatrician. Red flag signs are-- failure to thrive, abdominal distension, intermittent diarrhoea, rectal bleeding, h/o delayed passage of stool at birth (>48 hrs) etc.  

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Dr. Giriraj SharmaPediatrician9yrs exp

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Red flag signs- delayed passage of first stool after birth (>24 hr) poor weight gain abdomen distension vomiting give mother feed only you can put glycerin suppository into anus don't use soap.  

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It's normal for infants to pass soft stools upto once in a week. Look for refusal to feed, abdominal distension and vomiting and a sick looking child. If the baby looks playful and is breastfeeding well, one may wait. This doesn't seem to be constipation and treatment is not required in this case.  

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Babies on breast feeds pass stools once in 6-7 days.So do not worry Not safe to give soap. If baby is feeding well and active , nothing to worry, you can wait for 1 week 

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