From the Guidelines
Infant constipation can be treated with small amounts of fruit juice, particularly prune, pear, and apple juices, which contain sorbitol and other carbohydrates that help increase the frequency and water content of stools.
Treatment Options
- The North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition constipation guideline suggests using juice, such as prune, pear, and apple juices, to help treat constipation in infants 1.
- The recommended amount of juice is 10 mL/kg body weight, which can help increase the frequency and water content of stools without causing excessive malabsorption of carbohydrates.
- Prune juice is often recommended due to its high sorbitol content, which can help soften stool and make it easier to pass.
- Other juices, such as pear and apple juice, can also be used, but may be less effective due to their lower sorbitol content.
Important Considerations
- Excessive juice consumption can lead to chronic diarrhea, flatulence, bloating, and abdominal pain, so it is essential to use juice in moderation and only as recommended.
- Whole fruit is still the preferred source of nutrition, as it provides fiber and other essential nutrients that are lacking in fruit juice.
- Pediatricians play a crucial role in guiding parents on healthy dietary choices and advocating for policies that promote nutritious eating habits 1.
From the Research
Treatment Options
- Treatment for infant constipation typically involves a combination of fecal disimpaction, laxatives, and promotion of regular bowel habits 2, 3, 4
- Laxatives such as polyethylene glycol, lactulose, and mineral oil may be used to prevent future impaction and promote regular bowel movements 2, 3, 4
- Behavioral modifications, such as toilet training and education on bowel habits, are also important components of treatment 5, 4
- In some cases, dietary changes, such as adding fiber or withholding cow's milk, may be recommended 6, 3
Pharmacotherapy
- Polyethylene glycol is effective and well-tolerated for disimpaction and maintenance therapy 3, 4
- Lactulose and lactitol-based medications are authorized and effective for infants under 6 months 4
- Mineral oil is less commonly prescribed due to potential side effects 4
Dietary Modifications
- An adapted infant formula with high levels of lactose and magnesium may help increase stool water content and improve symptoms of constipation in formula-fed infants 6
- Adding fiber to the diet may also improve constipation 3