Childhood Diseases

Posted by: Racoon | 2011-07-15


Formula and constipation

Dear Prof

Please remind me of what strategy to follow to alleviate constipation in my 10 month old son. I am busy weaning him, and he is now drinking 4 bottles of Isomil 2 per day and breastfeeding twice at night. I started him quite a while ago on one scoop of S26 gold in his porridge, but it instantly made him constipated. Switched to NanHA in the porridge and he no improvement, then to Isomil and he was better. I tried Novalac HA as well and it also made him constipated. Thus when I started him on formula it was the Isomil. He is nevertheless still getting constipated now that he is drinking large amounts of the formula and I had to give him a glycerine supposatory last night so the he could pass his stool which was a hard little ball followed by a softer mass. What is the next step to take to alleviate this? he doesn''t really want to drink juice or water, and only takes a sip or two. His 2-year old Chiari 1 brother is on Pegicol for chronic constipation (at diagnosis we didn''t know he was constipated, until an Xray revealed faecal loading), but I think it is more likely due to the brainstem compression than diet, as he eats wholegrains and loads of fruits and veggies and is now 7 months later very constipated when we stop the Pegicol. So, no reference framework for me to work from, especially as the eldest (5) has had soft to loose-ish stools his entire life. I am not keen on giving the baby any meds. Any suggestions will be much appreciated. Many thanks as always.

Expert's Reply



Constipation is not usually due to an allergy to cow's milk formulas. In any case even off this kind of formula and on a soya formula, Isomil, your baby is still constipated. Seeing as he is not keen on water or fruit juice yet it would be best to try a special formula for constipated babies.Try him on Novalac IT. For the first two days you should alternate his Isomil feeds with Novalac IT and after the two days only on Novalac IT.

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