What can I do for my baby's constipation?
Suzanne Berman, M.D.
Almost all formula-fed babies, at some time between the ages of 2 weeks and 4 months, will go for 2-4 days without a bowel movement. (Breast-fed babies may do this as well but it is less common.) This is perfectly normal and is not constipation.

Why does this happen?
Most of a baby's milk gets absorbed by his body, leaving very little waste product. Babies have an incredible growth spurt at this time in their lives, sometimes putting on as much as a pound in a week or two. All the calories, protein, fat, and other nutrients in the baby's milk provide the necessary nutrition to do this. The baby's intestines are designed to absorb as much of these nutrients as possible, and not much will be left over. Also, there is not much in infant formula that is “indigestible” (unlike an adult diet, which includes things like cellulose from salads, which are just expelled in the stool.)

If this happens to my baby, what should I do?
Nothing. It's normal and doesn't require any treatment.

When should I worry if my baby doesn't have any bowel movements?
A baby who isn't stooling because of something bad will have other symptoms, such as:

So what counts as constipation in a baby?
Constipation in babies means hard stools – not infrequent stools. That is, a baby who has no bowel movements for 2-3 days and then has a soft stool does not have constipation. But a baby who has hard, pebble-like bowel movements – even he has several a day – is constipated.

What can I do if my baby is truly constipated?
Some helpful, safe remedies that soften the stool include:

We do NOT recommend: Could the iron in her formula be making her constipated?
No. (Iron only constipates children if it is taken in huge amounts – much more than is found in any formula.) Do not switch your baby to the low iron formulas. These formulas should only be used when babies are getting additional iron drops. (In fact, the formula labels say this.) Putting a baby on a low-iron formula can cause anemia, which is much worse than constipation.