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Dad on Duty: What No One Tells First-Time Fathers
ExpertsFatherhoodParenting

Expert Dad on Duty: Prepared, Present and Part of the Triad

by Dr Maraschin, expert paediatrician
written by Dr Maraschin, expert paediatrician

Nothing really prepares you for becoming a dad. One minute you are staring at your baby in complete amazement and the next you are wondering if you are doing any of this right. That emotional mix of pride, panic, exhaustion and love is something many first-time fathers quietly experience in those early weeks. The truth is, nobody has it all figured out straight away, and most dads are learning as they go, one sleepless night at a time.

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Becoming a father for the first time has you looking at your baby in awe and, in the next moment, wondering what you signed up for. Believe me, this is normal. I so enjoyed the movie “The Ugly Truth”. For those of you not familiar with it, the story revolves around a radio show host, Mike, who is extremely cynical about relationships and a woman who believes in true love and finding the “perfect man”. Somewhere in between, they both find out that in all relationships there is joy and difficulty. I like to liken this to the parent journey. On the one hand, your baby is more than you could ever have imagined, and on the other side is the ugly truth. Sleepless nights, the sense of responsibility and the worry can be overwhelming.

Fathers often experience a sense of being on the outer edge of the circle with all that goes on during the birth and in the days that follow. Back home, fathers often express feelings of uselessness, not being equipped with the tools required and can also feel displaced from their partner’s life.

It is tough, but there are so many things that fathers can do to ensure that they are a crucial part of this new triad. It begins with being prepared for the arrival of your baby and knowing what to expect:

1. Before the birth 

I would strongly recommend joining antenatal classes. Not only will you meet other couples, but you will be provided with information on which to base many important decisions. One of these decisions will be your birth plan. Are you going to try the natural route, or is a caesarean indicated? What is your partner’s expectation of you during the birth? 

2. During and shortly after the birth

A normal delivery takes time, especially if it is a first pregnancy. Be prepared to stay with your partner. In case of a caesarean, go into the theatre. Fathers often get given the honour of cutting the cord. You will be able to go into the nursery for baby’s first bath. Mom may still be receiving medical attention during this time, so you play an important role. 

3. What to expect while in hospital with regards to baby:

  • Meconium – The first stool, which is dark and sticky.
  • TSH test – This is a thyroid function test. The thyroid is a critical hormone required for normal growth.
  • Blood group – Your baby’s blood group is usually tested from the cord blood.
  • SBR test/ Jaundice – It is crucial that your baby’s jaundice levels are monitored. High jaundice levels are usually treated with lights.
  • Metabolic screen – This is an additional test which may be offered to you. It screens for certain treatable, inherited conditions which your baby may have. Conditions such as cystic fibrosis can be detected immediately to lower the risk of severe illness.

4. What to expect while in hospital with regards to Mom:

  • Colostrum – A highly concentrated, nutrient-dense, yellowish fluid, which is produced before the breastmilk arrives. It is often called liquid gold because it plays such a vital role in immunity, gut health and growth.
  • Breastfeeding is not always easy. Your job will be to keep breastfeeding sceptics away and to keep in mind that the most successful breast feeders are women who have an involved partner. Breastfeeding takes 40 hours a week. Sounds like a full-time job to me. She will need your help and encouragement.
  • Engorgement – When the breastmilk comes in, Mom’s breasts may get swollen and sore. As Mom’s body adapts to the amount of milk she needs to produce, this will settle.
  • Three-day blues – About 80% of new mothers experience this phenomenon because of rapid hormonal shifts and fatigue. You can support her by caring for the baby between feeds and ensuring that the anxiety and tearfulness don’t extend beyond two weeks.
  • Pain at birth site – Whether it was a normal delivery or caesarean, Mom may experience pain. Watch for fever or increasing pain.

Dad on Duty: What No One Tells First-Time Fathers

5. Once home

Donald Winnicott coined the term “Primary Maternal Preoccupation”. It explains the shift in a mother’s focus where she prioritises her baby and becomes intensely attuned to the baby’s needs to the exclusion of everything else. Fathers must make the relationship a triad. Get involved. This is crucial for the welfare of the baby and family unit. Here are some tips on how to do this:

  • Hold your baby naked against your chest – it’s great for gut integrity. Baby will respond to your heartbeat, smell and body temperature.
  • Baby wearing – Carried babies cry 43% less, fall asleep quicker and sleep for longer. Your heartbeat makes them feel secure and calm.
  • Bonding with baby reduces chances of depression in fathers.
  • Make your own rituals – bath time, nappy changes, winding.

There isn’t a right way… your way is good too.

6. When should you be concerned about baby?

Fathers play an important role in assessing a situation. Should you be concerned, keep these points in mind: 

  • Fever – normal is between 36.5⁰C and 37.5⁰C. Anything above this should be investigated, especially in the first 3 months.
  • Jaundice – looks yellow, is excessively sleepy, poor feeding.
  • Excessive crying.
  • Vomiting – possetting is normal. This is a little bit of spit up after feeds. Vomiting may indicate a more serious problem.
  • Diarrhoea – A sudden change in frequency should be closely monitored to ensure baby doesn’t become dehydrated.
  • Constipation – A breastfed baby doesn’t usually struggle with constipation. In the case of formula-fed babies, it is important to ensure the bottle is being mixed correctly. There are also formulas designed to assist with constipation.

7. Post-natal depression

Fathers play a very big role in recognising the symptoms. Depression may occur in any mother but is exacerbated by:

  • Stress during the pregnancy and delivery or complications during birth.
  • A previous history of depression and anxiety.
  • The signs – sadness, crying, irritability, anxiety, insomnia, exhaustion, feelings of not coping or struggling to bond. If the symptoms last for more than two weeks, but especially after six weeks following the birth, please seek medical help.
  • Stay involved. Your presence in your baby’s world is especially important at this time.

8. What about us?

The loss of intimacy with a partner can be very difficult for a father. There is light at the end of the tunnel, but it may take time. Remember this: 

  • Intercourse is only recommended after Mom’s six-week check-up.
  • A high percentage of women experience low libido and sexual dysfunction from between a few weeks up to one year after the delivery.
  • Breastfeeding can lead to vaginal dryness, which makes intercourse uncomfortable.
  • Postpartum blues and tiredness play a big role in the loss of libido.
  • Talk to one another and take time out.
  • If the problem persists, speak to your partner’s gynaecologist.

 Conclusion 

Remember that you are a father now. There are plenty of studies which will support the fact that your involvement is vital to the social, psychological and physical wellbeing of your baby. You have a role to play in every step of this journey. So, when you are pacing the passage at 02:00, with a baby that is struggling to sleep and an exhausted mother in the next room, remember the “beautiful truth”- there will be bad days, but these will be outweighed by the good ones, as long as you are there for the ride.

 References 

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Bokdrolletjies and Chipolatas: Why Talking About Poo Matters More Than Parents Realise
Children's HealthExpertsPre-schoolersToddler HealthToddlers

Expert Bokdrolletjies and Chipolatas: Why Talking About Poo Matters More Than Parents Realise

by Dr Yentl Gamiet , Paediatric Surgeon
written by Dr Yentl Gamiet , Paediatric Surgeon

For something everybody does, it is surprising how uncomfortable it still feels to mention it out loud. Talking about poo is often avoided, laughed off or rushed past, even though it can reveal important clues about health and wellbeing. When families become more open and relaxed about talking about poo, they create space for better communication, earlier intervention and healthier habits without shame.

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Why getting comfortable speaking about poo is more important now than ever, and why days like National Poop Day in the USA are VERY important.

The Giver – Lois Lowry

“The worst part of holding the memories is not the pain. It’s the loneliness.”

I cannot remember an exact moment or patient encounter that made me realise that managing constipation is really important work. The privilege of sharing a seven-year-old’s story and being able to offer safety without judgement feels like sacred work. Most of the time, parents and caregivers also have the big job of self-reflection and perspective change. Even with great outcomes, these struggles capture mental real estate, and that is even before engaging the village. IT’S A LOT!

There are few opportunities in healthcare to address family wellbeing, like delving into the topics of constipation and gut health. Poop is essentially a scientific marker for health. Poop is also a screening tool for stress. The mental health burden associated with untreated constipation is scary.

A point of entry is daunting if you surrender to the stigma that surrounds many subjects that should just be “biology”. Poop is difficult to rebrand, but it is essential to bravely embrace the challenge. We need to charge our rescue boats against the current of destructive societal taboos to extract children from the islands of discomfort and shame they find themselves on.

Is there a better way to do it than within a bedazzled vessel of joy, complete with a standout soundtrack?

My experience with even the littlest bambino is that we universally underestimate their capacity to understand and process information, but we also underestimate the onslaught of information they’re already exposed to. This underestimation in itself is dangerous, but combined with a lack of a comparable response or effort to assist in the processing of this information, it demands that we prioritise the destigmatisation of conversations about poop (and a myriad of awkward topics).

Why shame is dangerous (especially around poo)

  1. Children hide symptoms

When poo is treated as embarrassing or “naughty”, this delays diagnosis and makes treatment more difficult because:

  • Children don’t report pain, bleeding, or difficulty
  • Accidents are hidden
  • Caregivers only notice when constipation is severe

  1. Withholding becomes a learned behaviour

Intentional stool withholding is most commonly reported in potty-training–aged children. Before the age of voluntary control, which ranges from eighteen to twenty-four months, what may appear to be behavioural issues with straining and discomfort in younger children usually relate to issues with maturity and coordination.

Hard stool can create a continuum of discomfort, predisposing to intentional stool withholding. Stool withholding:

  • Stretches the rectum
  • Reduces sensation over time
  • Worsens constipation and soiling
  • Creates a vicious cycle that can last years

This is a well-recognised mechanism in functional constipation. The cycle is often referred to euphemistically as “the constipation carousel”.

A wonderful resource is the Instagram page Stool Withholding Help, created by Dr Kate McGarry (a psychologist who is creatively passionate about the subject), a bona fide member of the Poop tribe, of which I am a proud card-holding member.

  1. Accidents become punishment, not symptoms

Children are reprimanded for something they cannot control. Soiling is often misinterpreted as:

  • Laziness
  • Bad behaviour
  • Defiance

  1. Psychological harm accumulates

The effects of unaddressed constipation can persist even after bowel symptoms improve. Children who feel ashamed about bowel problems are more likely to develop:

  • Anxiety
  • Low self-esteem
  • Social withdrawal
  • School avoidance

  1. Families delay seeking help

Lack of access to trusted information may result in a delay in seeking help. Parents may:

  • Normalise severe symptoms
  • Feel embarrassed to raise concerns
  • Wait until complications occur

  1. The management of complicated constipation can be medically traumatic

Disimpaction is the process of “unblocking” the intestines medically once the constipation carousel has gone through a cycle or two. It is very difficult to get around hospital admissions and enemas. By the time children are admitted to the hospital for disimpaction, they have often had multiple attempts at disimpaction (from homemade remedies, traditional healers, and GPs). This is just a function of the workflow and referral framework of our healthcare system — not a condemnation. Children and their caregivers can show symptoms of post-traumatic stress around the administration of enemas.

  1. Shame worsens health inequities

Silence amplifies vulnerability. Children are most affected when shame overlaps with:

  • poverty or overcrowding
  • limited toilet access
  • cultural taboos
  • school environments where toilet use is restricted

Normalising poop talk improves early detection, reduces fear and withholding, improves treatment adherence, and restores dignity and bodily autonomy. Shame turns a common, treatable problem into a hidden and chronic one. Open conversations are a form of prevention.

National Poop Day carries this objective of destigmatisation at its heart. It’s a day with mysterious origins, with no links to international human rights organisations or major research, but something that sprouted organically from members of this Poop tribe — a motley crew aboard a bedazzled ship.

ALSO READ: Your child’s poo: what’s normal and what’s not

References

  1. Yvonne McCague, Katie Hill, Eileen Furlong, Suja Somanadhan, The psychosocial impact of childhood constipation on the children and family: A scoping review, Journal of Pediatric Nursing, Volume 82,2025, Pages e142-e163, ISSN 0882-5963, https://doi.org/10.1016/j.pedn.2025.04.007.
  2. https://www.instagram.com/stoolwithholdinghelp?igsh=MTFlMXpmY2QweXV4NA==
  3. https://www.instagram.com/pooandtheloo?igsh=MTB3OHVwcnE5b3pkeA==
  4. https://www.pelvicfloorphysio.co.za/

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The first trimester is often painted as a magical time filled with excitement, glowing skin and happy announcements. But the reality? It’s often a mix of joy, exhaustion and confusion. Your body is changing rapidly, and no one really tells you how strange or emotional those first few weeks can be. From unpredictable hormones to cravings that make no sense, the first trimester is full of surprises and not all of them come with a sparkle.
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Premium 7 Unexpected Truths About the First Trimester

by Ally Cohen, Content Creator and Digital Marketer
written by Ally Cohen, Content Creator and Digital Marketer

Think you know what to expect in early pregnancy? Think again. The first trimester isn’t just about morning sickness and fatigue; it can also come with surprising emotional shifts, strange cravings and changes you didn’t see coming. From a heightened sense of smell to unexpected mood swings, many early symptoms often go unspoken. Whether you’re newly pregnant or trying to prepare, these unexpected truths about the first trimester could help you feel less alone and far more prepared. Ready to find out what no one tells you about the first trimester? Let’s dive in.

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Infant Botulism Explained Simply for Worried Parents
Baby HealthBabies

Premium Infant Botulism Explained Simply for Worried Parents

by Ally Cohen, Content Creator and Digital Marketer
written by Ally Cohen, Content Creator and Digital Marketer

If you’ve heard of infant botulism, you might be feeling alarmed but understanding the basics can ease some of that worry. This rare but serious illness is caused by a bacteria that can grow in a baby’s gut, often linked to honey or dust exposure in infants under 12 months. Knowing the signs, risks and prevention tips can help you feel more confident and in control. While the word “botulism” sounds frightening, early detection and proper care make a huge difference. Want clear, simple answers about infant botulism and how to keep your baby safe? Keep reading, we've broken it all down for peace of mind.
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Getting To Grip With Gripes: Understanding Your Baby's Tummy Troubles
Baby HealthBabiesDownloads and Printables

Getting To Grips With Gripes: Understanding Your Baby’s Tummy Troubles

by BabyYumYum (Supplied)
written by BabyYumYum (Supplied)

The first few months with your little one are a whirlwind of emotions, cuddles and, sometimes, a whole lot of crying. While some fussiness is perfectly normal, persistent crying, especially when accompanied by other telltale signs, could mean that your baby is experiencing gripes. But what exactly are gripes, and how can you help your little one find relief?

What are gripes, exactly?

Flatulence or gassiness is common in babies and usually goes away on its own.1,2 Occasionally, however, babies can experience gassiness that becomes uncomfortable1 – this is called gripes. When a baby experiences gassiness, small bubbles form in their stomach or intestines, and these can sometimes lead to pressure, pain, and tummy discomfort.1,2 Generally, gassiness isn’t something you need to worry too much about but, if your baby is uncomfortable, it’s a sign that they’re asking for your help!1,2

Why do babies get gripes?

Almost all babies experience gassiness.1,2 Here are some common reasons for why your little one might be gassy:1

  • Swallowing air: During nursing or bottle-feeding, if babies don’t latch correctly or feed in certain positions, they may swallow air which can lead to gassiness.
  • Excessive crying: During crying episodes, babies tend to swallow a lot of air, which can lead to gassiness. It can be tricky to tell if the gas is caused by crying or if the crying is caused by gas so make sure that you are tending to your baby’s needs and soothing them in the best way possible.
  • Digestive problems: Constipation or acid reflux can lead to gassiness. This is something you can speak to your healthcare professional about, especially if it is frequent or severe.
  • Immature digestive tract: Babies are new to the world… and so are their digestive tracts! Their bodies are still learning how to digest food which means they may experience gassiness more often than adults.
  • Virus: Gastrointestinal viruses can lead to different stomach problems, including gas, vomiting, and diarrhoea. If you notice any worrying signs, speak to your healthcare professional.
  • Food sensitivity: As your baby gets older, you may start introducing new or solid foods. These may cause gas which, if it happens often, could be a sign of a food sensitivity. 

Spotting the signs: Is it gripes?

When a baby is experiencing gripes, they are bound to let you know about it and are usually a less-than-happy baby.2 Here are some common signs that can help you figure out if your baby might be experiencing gripes:1-3

  • Intense crying or crying more than usual.
  • Scrunching and getting red in their face while crying.
  • Squirming frequently.
  • Pulling their legs up to their chest.
  • Not sleeping or eating well.
  • Appearing unhappy or extra fussy.
  • Having a hard, bloated tummy. 

So, how can you help your baby find relief?

Getting To Grip With Gripes: Understanding Your Baby's Tummy Troubles

Good news! There are a number of things you can do to try help soothe your baby’s discomfort. Since gripes are often caused by a buildup of gas in the tummy, you can help your baby by getting the gas bubbles to move more quickly out of their body.1,2 Here are some simple home remedies that you can try:1-3

  • Change your baby’s feeding position so their head is above their tummy.
  • Slow down your baby’s feeding to prevent them from swallowing air.
  • Burp your baby more often and hold them in an upright position.
  • Swaddle your baby.
  • Move your baby’s legs in a gentle circular motion.

Gently rub and massage your baby’s tummy.

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Aspen Little Wonders Baby Teeth Chart
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When should you speak to your healthcare professional?

Although minor gas doesn’t necessarily require a visit to the doctor, you should speak to your healthcare professional if you notice any of the following:1-3

  • Constipation
  • Diarrhoea
  • Blood in your baby’s stool
  • Fever
  • Vomiting
  • Lack of appetite
  • Weight loss 

Woodwards Gripe WaterWhat other remedies are available?

Many parents find comfort in time-tested remedies. For generations, families have turned to WOODWARD’S Celebrated Gripe Water to help soothe babies experiencing gripes. This trusted formula contains ingredients that can be used to help relieve your baby’s gas and tummy discomfort. WOODWARD’S Celebrated Gripe Water has been comforting babies with gripes for over 160 years and is S.A.’s #1 Gripe Water.4*

It’s also part of Aspen’s Little Wonders trusted portfolio of products for children – because when Little Wonders have bigger needs, you can count on Aspen to lend a helping hand.

Little wonders range

The bottom line

Gripes can be a challenging part of early parenthood but remember that you’re not alone. By understanding the signs, trying different soothing remedies, and seeking professional advice when needed, you can help your baby find relief.

*In both value and volume.

References:

  1. Villines Z. Causes and how to relieve gas in a baby [Internet]. Medical News Today. 2023 [cited 2025 Apr 4]. Available from: https://www.medicalnewstoday.com/articles/324725.
  2. Cleveland Clinic. Gassy Baby? Try These 9 Gas Relief Tips [Internet]. Cleveland Clinic. 2024 [cited 2025 Apr 4]. Available from: https://health.clevelandclinic.org/how-to-relieve-baby-gas.
  3. Brown T. Infant Gas: How to Prevent and Treat It [Internet]. WebMD. 2024 [cited 2025 Apr 4]. Available from: https://www.webmd.com/parenting/baby/features/infant-gas.
  4. Woodward’s Impact Rx, February 2025.

S0 WOODWARD’S Celebrated Gripe Water. Reg. No.: E/11.4.3/1551. Each 5 ml contains 50 mg sodium bicarbonate and 2,15 mg dill seed oil, terpeneless. [S0] ASHTON & PARSONS Infant Powders. Ref. No.: E679 (Act 101/1965). Each sachet contains 4,055 mg Tincture Matricaria Duplex. [S0] INTEFLORA Sachets. Reg. No.: 44/11.9.2/0783. Each sachet contains 250 mg lyophilised cells of Saccharomyces boulardii CNCM I-745. [S0] PEGICOL Plain (powder for reconstitution). Reg. No.: A39/11.5/0385. Each sachet of powder contains 6,563 g macrogol 3 350, 25,1 mg potassium chloride, 89,3 mg sodium bicarbonate and 175,4 mg sodium chloride. [S0] LACSON. Reg. No.: Z/11.5/0055. Each 5 ml of syrup contains 3,3 g of lactulose. [S0] Lennon Glycerin Suppositories for Infants and Children. Reg. No.: E/11.6/1540. Each suppository contains 1,12 g glycerin. [S0] LENOLAX Paediatric. Reg. No.: E/11.5/1982. Each 1ml contains 160 mg sodium dihydrogen phosphate monohydrate and 60 mg disodiumphosphate heptahydrate. [S0] Behoedmiddel Vir Kinders. Reg. No.: E/11.4.1/1528. Each 5 ml contains: Light Magnesium Carbonate 210,00 mg, Prepared Chalk 79,85 mg, Alcohol (100 %) 6,48 % v/v.

Trademarks are owned by or licensed to the Aspen Group of companies. © 2025 Aspen Group of companies or its licensor. All rights reserved. Marketed by Pharmacare Limited t/a Aspen Pharmacare Co. Reg. No.: 1898/000252/06. Healthcare Park, Woodlands Drive, Woodmead, 2191. ZAR-ZOSEAG-03-25-00007. 04/2025.

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IT’S TIME TO TALK POOP: HOW TO HELP YOUR CHILD WITH CONSTIPATION
Children's HealthBabiesBaby HealthPre-schoolersToddler HealthToddlers

It’s Time To Talk Poop: How To Help Your Child With Constipation

by BabyYumYum (Supplied)
written by BabyYumYum (Supplied)

As parents, we learn to become experts in many unexpected things. But one topic that can often raise questions (and sometimes embarrassment) is poop! Changes in your child's bowel movements can be a sign of various things, and constipation is a common issue that many children experience. Let's break down what constipation looks like, its causes, and how you can help your little one find relief.

What is constipation?

Constipation is generally defined as infrequent bowel movements or difficulty passing stools and is quite common in children, especially during potty training.1,2 Simply put, a child may be experiencing constipation if they poop less often than normal.1,2 More often than not, constipation in children doesn’t last long and isn’t something to worry about1 – but, it’s important to be able to decipher your child’s bowel movements so that you can help them find relief or speak to a healthcare professional, if needed.

What causes constipation in children?

There are various causes of constipation in children. Some common causes include:1,2

  • Diet: A lack of fibre in the diet (found in fruits and vegetables).
  • Dehydration: Not drinking enough fluids can make stools hard and difficult to pass.
  • Potty training: Stress or anxiety related to potty training as well as delaying going to potty while playing can sometimes lead to withholding stool.
  • Anxiety: Changes in routine, moving houses, or starting school can contribute to constipation.
  • Underlying medical conditions: Constipation can sometimes be a symptom of health conditions like hormonal or metabolic disorders.

Constipation may make it painful for your little one to go to the bathroom often leading them to withhold their stool which can create a cycle of worsening constipation.1,2 The longer your child experiences constipation, the more difficult it can become for them to get back to normal, which is why it’s important to know what to look out for so that you can help your child as soon as possible.2 

Spotting the signs: What’s normal, what’s not?

Your child may not be able to tell you when they’re constipated, so it’s important that you stay on the lookout for signs and symptoms. Some of these include:1,2

  • Pooping less than two or three times per week.
  • Large, dry, hard stool that is difficult to pass and can be accompanied by some bleeding.
  • Stool that resembles small pellets or rabbit droppings.
  • Straining or feeling pain while pooping.
  • Pain or bloating in the abdomen that improves after they have a bowel movement.
  • Soiled underwear that can look like diarrhoea (also called overflow soiling).
  • Deliberately avoiding or delaying pooping.

Sometimes, even your child’s stool can tell you a lot about their bowel habits and help you figure out if they might be constipated!3 The below chart may be able to help you decode your child’s poop, empowering you to help them early so that they can get the relief they need:3

Your child may not be able to tell you when they’re constipated, so it’s important that you stay on the lookout for signs and symptoms

How can you prevent constipation in your child?

Good news! There are some strategies you can try at home to help prevent constipation in your child:1,2

  • Diet: Offer your child plenty of fibre-rich foods (like fruits and vegetables).
  • Hydration: Make sure your child is drinking plenty of water.
  • Routine: Schedule toilet time, especially after meals or before bed.
  • Activity: Encourage your child to be physically active.

When should you speak to your healthcare professional?

Although constipation can go away on its own with lifestyle and dietary changes, it can become serious and may require the help of a healthcare professional. It’s important to speak to your doctor if your child is constipated for more than two weeks or if you notice any of the following along with constipation:1

  • Fever
  • Vomiting
  • Weight loss
  • Bloody stools or rectal bleeding
  • Swollen abdomen
  • Persistent abdominal pain

What other remedies are available?

Aspen’s Little Wonders trusted portfolio of products for children is designed to help your child with various ailments, including constipation. Speak to your healthcare professional about the Little Wonders solutions for constipation – because when Little Wonders have bigger needs, you can count on Aspen to lend a helping hand.

Little wonders range

In a nutshell

Constipation is a common issue in children and, while it can be concerning, it’s often manageable with simple dietary and lifestyle changes. By understanding the signs of constipation, decoding your child’s poop, and speaking to a healthcare professional when needed, you can help your little one find relief and maintain healthy bowel habits.

 

References:

  1. Cleveland Clinic. Toddler Constipation [Internet]. Cleveland Clinic. 2022 [cited 2025 Apr 7]. Available from: https://my.clevelandclinic.org/health/diseases/17785-constipation-in-children.
  2. Constipation in children [Internet]. NHS. 2023 [cited 2025 Apr 7].  https://www.nhs.uk/baby/health/constipation-in-children/
  3. Blake MR, Raker JM, Whelan K. Validity and reliability of the Bristol Stool Form Scale in healthy adults and patients with diarrhoea-predominant irritable bowel syndrome. Aliment Pharmacol Ther. 2016;44(7):693-703.

[S0] WOODWARD’S Celebrated Gripe Water. Reg. No.: E/11.4.3/1551. Each 5 ml contains 50 mg sodium bicarbonate and 2,15 mg dill seed oil, terpeneless. [S0] ASHTON & PARSONS Infant Powders. Ref. No.: E679 (Act 101/1965). Each sachet contains 4,055 mg Tincture Matricaria Duplex. [S0] INTEFLORA Sachets. Reg. No.: 44/11.9.2/0783. Each sachet contains 250 mg lyophilised cells of Saccharomyces boulardii CNCM I-745. [S0] PEGICOL Plain (powder for reconstitution). Reg. No.: A39/11.5/0385. Each sachet of powder contains 6,563 g macrogol 3 350, 25,1 mg potassium chloride, 89,3 mg sodium bicarbonate and 175,4 mg sodium chloride. [S0] LACSON. Reg. No.: Z/11.5/0055. Each 5 ml of syrup contains 3,3 g of lactulose. [S0] Lennon Glycerin Suppositories for Infants and Children. Reg. No.: E/11.6/1540. Each suppository contains 1,12 g glycerin. [S0] LENOLAX Paediatric. Reg. No.: E/11.5/1982. Each 1ml contains 160 mg sodium dihydrogen phosphate monohydrate and 60 mg disodiumphosphate heptahydrate. [S0] Behoedmiddel Vir Kinders. Reg. No.: E/11.4.1/1528. Each 5 ml contains: Light Magnesium Carbonate 210,00 mg, Prepared Chalk 79,85 mg, Alcohol (100 %) 6,48 % v/v.

Trademarks are owned by or licensed to the Aspen Group of companies. © 2025 Aspen Group of companies or its licensor. All rights reserved. Marketed by Pharmacare Limited t/a Aspen Pharmacare Co. Reg. No.: 1898/000252/06. Healthcare Park, Woodlands Drive, Woodmead, 2191. ZAR-ZOSEAG-03-25-00008. 04/2025.

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Tummy troubles are common in little ones
Baby HealthBabies

Tummy troubles are common in little ones

by Panado
written by Panado
Tummy troubles are common in little ones, especially during their first year.1a Your baby may not be able to tell you their tummy hurts, but they can show signs of discomfort that are hard to miss. You might notice they’re extra fussy, squirmy, or their eating, sleeping, or nappy habits seem a bit off.1b

There are plenty of reasons why your baby’s tummy might be giving them a hard time. Let’s look at some common culprits and how you can help your baby’s tummy feel better. 

Common Causes of Tummy Problems in Babies

Colic: Colic involves crying or fussiness lasting more than three hours a day and occurring more than three times a week.2a It typically starts a few weeks after birth and resolves by four months.2b To soothe colic, you can try things like probiotics2c, swaddling,2d or gentle rocking.2e

Gas: Babies often get air in their tummies because they can swallow it while breastfeeding, bottle feeding, crying, yawning, or even sucking on a pacifier.3a This trapped air can make them uncomfortable and give the sensation of being full, even when they’re still hungry.3b To reduce gas, try anti-colic bottles3c and gently pat or rub your baby’s back to encourage them to bring up wind.3d A gentle tummy massage (in a circular, clockwise motion) can also help.3e

Milk Protein Allergy: Milk protein allergy occurs when a baby reacts to proteins in cow’s milk.4a Symptoms include vomiting, diarrhoea, and coughing.4b If your breastfed baby has a milk allergy, it’s a good idea to chat with an allergist about any changes you might need to make to your diet. For formula-fed babies, your paediatrician may recommend switching to an extensively hydrolysed formula or an amino acid-based formula.4c

Constipation: Constipation in babies involves firm, dry pellet-like stools.5a To help ease constipation, try a warm bath to relax your baby’s bowels,5b or move their legs in a “bicycle” motion.5c If you’re formula feeding, be sure to follow the instructions carefully and use the correct number of scoops of formula to water to avoid constipation.5d

Reflux: Reflux (posseting) is common in babies under six months.6a It happens because the muscle between the food pipe and stomach isn’t fully developed, allowing milk to travel back up.6b Most babies outgrow it by 12 months as their digestive system matures and they spend more time sitting upright6c. Until then, try a responsive/paced feeding approach6d and try keeping your baby’s head higher than their bottom during feeds.6e

Gastrointestinal Infections: Stomach infections can cause nausea, vomiting, diarrhoea, fever, and belly pain.7a While you can’t completely shield your baby from the germs that cause gastroenteritis, encouraging proper handwashing for the whole family is the most effective way to reduce its spread.7b

Other Things That Can Affect Your Baby’s Tummy

Breastfed babies naturally unlatch when they’ve had enough, but with a bottle, it can be trickier to know when to stop. Watch for signs of fullness, like turning their head away, slowing down their sucking, or relaxing their fingers, arms and legs.8 When your baby starts solids around six months, start with a teaspoon of food and slowly increase the amount based on your baby’s hunger and fullness cues.9

Panado® Has The Power To Fight Their Pain

Panado®’s infant-friendly formula is formulated to relieve fevers, ease mild to moderate pain, and provide relief during teething, tummy aches, or after vaccinations. Panado® helps soothe pain and fever from as early as 0 months. Available in alcohol and sugar-free syrups and drops, Panado® is fast-acting10.

Panado® also makes medicine time a breeze with its taste-bud friendly flavours – peppermint flavoured syrup11, because it’s “mint to be”, strawberry flavoured syrup12, which is as “berry nice” as it sounds, and peppermint flavoured infant drops13 with a dosage dropper.

Always administer using a medicine measure or a syringe. Do not exceed the recommended dose.  Dosage details can be found at https://panado.co.za/dosage-calculator/ and are calculated according to your child’s age and weight. 

Panado® is trusted14 by parents to bring relief when your little one needs it most so your baby can get back to what they do best: filling your world with joy.

Panado® products are available at Baby City, Pick n Pay, Checkers, including Hypers, Shoprite, Clicks, Dis-Chem, and Independent Pharmacies. For more information and references, visit https://panado.co.za/ and join the conversations on Facebook.

References:

  1. Healthychildren.org. Abdominal Pain in Infants: 8 Possible Reasons Your Baby’s Tummy Hurts. Available from: https://www.healthychildren.org/English/health-issues/conditions/abdominal/Pages/Abdominal-Pains-in-Infants.aspx. Last accessed February 2025.
  2. Kheir AE. Infantile colic, facts and fiction. Ital J Pediatr. 2012 Jul 23;38:34. doi: 10.1186/1824-7288-38-34. Retraction in: Ital J Pediatr. 2014 Mar 11;40(1):9. doi: 10.1186/1824-7288-40-9. PMID: 22823993; PMCID: PMC3411470. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3411470/#. Last accessed February 2025
  3. Tomee Tippee. Bottle Feeding. Available from: https://www.tommeetippee.com/en-gb/parent-library/newborn-baby/feeding/bottle-feeding/bottle-feeding-and-burping. Last accessed February 2025.
  4. NEMOURS KidsHealth. Milk Allergy in Infants. Available from: https://kidshealth.org/en/parents/milk-allergy.html. Last accessed February 2025.
  5. HSE. Constipation in babies (0 to 6 months). Available from: https://www2.hse.ie/conditions/constipation-children/constipation-in-babies-0-to-6-months/. Last accessed February 2025.
  6. NCT. What is baby reflux? Symptoms and support. Available from: https://www.nct.org.uk/information/baby-toddler/baby-and-toddler-health/what-baby-reflux-symptoms-and-support. Last accessed Febraury 2025.
  7. Cincinnati Children’s. What is Gastroenteritis? Available from: https://www.cincinnatichildrens.org/health/g/gastroenteritis. Last accessed February 2025.
  8. STRONG4LIFE. 6 Signs Your Baby Is Full. Available from: https://www.strong4life.com/en/feeding-and-nutrition/hunger-and-fullness-cues/6-signs-your-baby-is-full. Last accessed February 2025.
  9. Littleones. SOLIDS! The when, what, how of solid food. Available from: https://www.littleones.co/blogs/our-blog/solids-the-when-what-how-of-solid-food?srsltid=AfmBOopFZludYxRbS51K9kYc5AhRQ1iOVRRvVE7_9FxEkA1vuqpwpZxE. Last accessed Febraury 2025.
  10. Wilcock A, Twycross R. Therapeutic reviews: Acetaminophen (Paracetamol). Journal of Pain and Symptom Management, 2013;46(5):747-755.
  11. Panado® Paediatric Syrup Alcohol and Sugar-Free approved professional information, May 2022. 
  12. Panado® Paediatric Strawberry Syrup approved professional information, March 2002.
  13. Panado® Infant Drops approved professional information, August 1990.
  14. Circana, MT, Dec 2024 MAT.

07.03.2025.1000001485. March 2025.

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Baby Yum Yum - Taking care of a newborn baby advice from a paediatrician on everything from sleep to feeding & car seats
BabiesExpertsNewborn Babies

Expert Taking care of a newborn baby: advice from a paediatrician on everything from sleep to feeding & car seats

by Dr Maraschin, expert paediatrician
written by Dr Maraschin, expert paediatrician

Welcoming a newborn into your life is a joyous yet challenging experience. As a new parent, you want to ensure that your baby is well-cared for in every aspect, from sleep routines to feeding schedules and car seat safety. Navigating this new territory can be overwhelming, but expert advice can make a world of difference. Read on to get invaluable tips from a paediatrician on taking care of a newborn with confidence. Written by Dr Maraschin, Expert Paediatrician.

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A new baby ushers in the new in every sense of the word. New routine, new responsibilities, new roles, and a whole new way of thinking. When we talk about new, what is more exciting and more daunting than being handed a little, wriggling bundle and being told: “it’s all yours”?

I often watch the expression on parents’ faces as they exit the maternity ward, ready to go home with their new baby for the first time. There is such joy but, at the same time, I know that there are also many concerns about what it will be like to have this little human at home and what it will take to keep it safe, healthy and happy.

Below are some of my take-home tips for surviving the first few weeks with a newborn. I hope you will find them useful in the first few weeks of being home.

Support structures available to parents with a newborn baby:

First-time parents don’t feel alone! There are many support structures available to you:

  1. Clinic sisters on duty at the nursery 24 hours a day
  2. Municipal clinic sisters
  3. Your paediatrician
  4. Private baby clinics
  5. Private sisters who can call at your home
  6. Breastfeeding association

Remember to choose the support that best suits you and your baby.

Taking care of a newborn baby: car seat advice

  • Babies must be transported in a car seat at all times. Spend money on a car chair, as having your baby properly secured in a car is of absolute importance.
  • Car accidents are one of the leading causes of injuries in babies and children.
  • I am putting this point first as it is vital that your baby be transported home from hospital in a well-fitting car seat. They are never too little for a car chair.

Taking care of a newborn baby: feeding advice

  • Breastfeeding is always the best option for a newborn. This is a very sensitive issue for new mothers and it comes with a tremendous amount of stress if the breastfeeding is difficult.
  • Please don’t feel inadequate if you are struggling to feed. There are a number of resources available to assist with feeding. Mothers can make use of a lactation specialist who can visit you while you are still in hospital. Organisations such as La Leche have people who will come to your home and help you to get the breastfeeding established.
  • Generally, breastfed babies will feed every 2.5 to 4 hours.
  • Allow your baby to drink from one breast for about 10 minutes. If baby falls asleep on the breast, you may want to change the nappy at this point so that they wake up and are ready to feed on the other breast. Baby may not feed as long on the second breast.
  • Try not to become your baby’s dummy. Baby should have at least two hours between feeds to allow baby to sleep and for you to get a break.
  • Put a safety pin or ribbon onto your bra strap to remind yourself which breast you finished on. This way you will remember where to start the next feed. Starting on the same breast each time may result in you becoming engorged and baby may then begin to favour one breast over the other.
  • If baby appears to be gulping, try putting pressure above the areola for a few minutes until your strong let-down reflex has subsided. This way the milk flow will slow down. You can also lie back on your bed or in a comfortable chair so that your breast milk doesn’t come out as fast.
  • Wind baby properly between breasts.
  • If you are not able to breastfeed, then find a formula that best suits your baby. It is important that you don’t chop and change between formulas too often, as this may upset the gut.
  • A bottle-fed baby should not be fed more frequently than every three hours, as you are able to ensure the correct amount of milk per feed.

Taking care of a newborn baby

Taking care of a newborn baby: sleep advice

Each baby is different and their sleep patterns will be too.

  • A newborn will sleep on average 9 to 18 hours per day.
  • One stretch of between 4 to 5 hours in a 24-hour period is acceptable.
  • Do not allow the baby to go longer than this without a feed in the first six weeks. If baby does sleep for too long, their blood sugar levels drop and they may find it difficult to feed later.
  • Breastfeed on demand as frequent feeding increases the breast milk production.
  • Try to encourage regular feeds during the day so that baby doesn’t make up for missed feeds at night. This helps to reduce the chances of day/night confusion, where baby sleeps well during the day but then makes up feeds at night.
  • It is important that you try to establish a good sleep routine from the beginning. Swaddle baby in a light blanket so that they feel secure.
  • Try to keep baby in a darkened room for each sleep and away from loud noise or excessive stimulation.
  • Talking softly to your baby or singing will soothe baby.
  • If you need to hold your baby to get them to sleep, that is absolutely fine. Once baby is asleep you can put them into their crib.

Taking care of a newborn baby: advice about crying

Crying is a baby’s only means of communication.

  • A baby may cry because:
    • They are hungry.
    • They need a nappy change.
    • They are uncomfortable.
    • They are in pain.
    • They are tired.
  • Remember to cuddle your baby as much as possible if needing to be soothed.
  • If you are unable to soothe your baby and baby cries for an extended period of time, please contact your nurse or paediatrician. Your baby may be ill or in pain.

Taking care of a newborn baby: advice about poo (stools)

  • A breastfed baby may pass a stool seven times in one day or as infrequently as once in seven days.
  • Breastfed babies pass very wet and, at times, “explosive” stools.
  • In breastfed babies, stools are watery with globular specks. The colour of the stool is usually bright yellow but can also be green or brown.
  • Bottle-fed babies tend to have one or two stools a day.
  • Bottle-fed babies may suffer from constipation and if this does occur please seek help from your clinic sister or paediatrician.

Taking care of a newborn baby: caring for the umbilical cord

  • Clean the umbilical cord and the base of the cord with surgical spirits after each nappy change.
  • When the cord starts to separate, the umbilical stump may bleed a little. Continue routine care.
  • Babies cry when you clean the cord. This is because the spirits are cold and not because the cord hurts the baby.
  • If the stump bleeds, it may also be that the cord is catching on the nappy. Fold the nappy down away from the cord to avoid this.

Taking care of a newborn baby: advice on what to do if they have jaundice

  • If baby looks yellow, they may be suffering from jaundice. This is common and may lead to poor feeding and excessive sleeping.
  • Please contact your clinic sister or paediatrician. It is of utmost importance that you communicate with the doctor’s rooms once you have done a jaundice test at the laboratories. This will enable correct management of jaundice.Newborn baby

Taking care of a newborn baby: weekly weight check at the baby clinic

  • Adequate weight gain is an important sign of your baby’s well-being. If your baby gains less than 90 grams per week for two successive weeks, please contact your paediatrician.
  • Weekly weight gain checks are important to ensure that baby is getting adequate milk. This is especially important if baby is breastfed.
  • There are a number of places one can go for weekly weight checks and these include pharmacies, private nurses or clinics.
  • I would advise that baby gets weighed on the same scale each week for the first few weeks. Scales do differ so you want to have consistency with the weight assessment.

Taking care of a newborn baby: advice on immunisations

  • Your baby should receive the BCG and oral Polio drops while still in hospital or within 10 days after birth.
  • The next immunisation date will be between six and eight weeks of age.

Taking care of a newborn baby: advice on vitamins

  • Babies are not exposed to sufficient sunlight in a modern lifestyle. For this reason, vitamin D needs to be supplemented. Your baby should, therefore, receive a multivitamin that contains 400IU of vitamin D daily. Some of these products contain probiotics and are also suitable for use.

Taking care of a newborn baby: advice on cardiopulmonary resuscitation and first aid

  • A course in CPR can save your baby’s life in an emergency.
  • There are a number of different people offering such courses and they will usually cover other medical topics such as burns, poisoning and choking.
  • I would highly recommend that all parents do a CPR course before their baby even arrives or as soon as possible after birth.

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Advice on your newborn baby: Google it

  • Google is an amazing tool for getting information, but you have to be careful.
  • Please use recognised medical websites or those that make use of multi-disciplinary teams for information.
  • Not all information on Google is necessarily acceptable practice.

Newborn baby: gadgets and technology

I know I am talking to Millennials who probably know way more than I do about gadgets and apps, so I’m going to note some items I feel are important. What I want to stress is that there are so many products and apps and sites available that new parents can be left feeling overwhelmed, anxious and certainly out of pocket. A parent’s intuition and common sense, in my opinion, is often way more accurate than that of a gadget. Remember, you know your baby’s every cry, you know your baby’s feeding and sleep routine, and you are the one who spends time with your baby. No gadget or healthcare professional can ever take the place of the carer.

  • Screening tests are performed prior to your baby’s birth to make sure of the baby’s health. After the birth, there are further tests available to ensure that your baby is in optimal health. The thyroid function is critical for normal brain development and growth. This test should be performed either on cord blood or as part of a newborn screen after 48 hours of birth. The newborn screen is a test which looks for metabolic disorders and 24 conditions including cystic fibrosis and galactosemia can be identified. This new technology allows these conditions to be managed before they cause damage to your baby.
  • Hearing tests can be performed from birth onwards to ensure that your baby can hear properly. This will be vital for the development of normal speech.
  • Eye screening – A highly specialised visual screening machine is used to take a photo of your baby’s eyes. This can be done from six months of age and can exclude many eye abnormalities, allowing us to refer your baby for specialist treatment if necessary. Eyesight is a very important component of development.
  • Thermometer – Invest in a good electronic thermometer. A baby’s temperature should be between 36.5 and 37.5 degrees Celsius. A reading lower or higher than that may indicate a medical problem.
  • A baby monitor that allows you to hear and see your baby will give you peace of mind, especially if baby is sleeping in another room or being taken care of by another individual while you are at work. There are products which include audio and visual technologies. These technologies can link to your smart device and allow you to be aware of your baby’s well-being when you are not present.
  • Heart-rate and breathing monitors – Babies who are high risk should have some form of heart-rate and breathing monitor. The most accurate of these are extremely expensive and not in the range of the average parent. I recently came across a little sock which does measure these functions. This is not the only product on the market, so I would recommend that you investigate various products to find one that best suits your needs. Babies who are at risk are premature babies or those with cardiac or other serious conditions. In my opinion, such a device is not necessary for every healthy, newborn baby.
  • Vaccine record app – Every new parent is discharged with a vaccine record card. It is such an important record because many schools require it before enrolment and obtaining certain travel documents can only be done with proof of vaccinations. The problem is that we move house, misplace or misfile these cards. If all the child’s vaccines are done by a single professional then obtaining a copy of the records may be possible.

Generally, people struggle to get vaccination records if they lose their cards. There are, however, a number of apps that allow you to record your child’s vaccine schedule. I’d recommend that you investigate an app that is comprehensive and that has good backup so that your child’s vaccination records are forever safe on the cloud.

YOU MUST TAKE A LOOK AT: 5 Beautiful Prayers for a Newborn Baby + Personalised Baby Prayer Generator

Advice on your newborn baby - Baby Yum Yum

Your newborn baby: when to call your doctor

  • If baby is lethargic to the extent that baby is not sucking well.
  • Inconsolable irritability or crying.
  • Jaundice (yellow skin discolouration)
  • Frequent large vomits.
  • Fever (temperature greater than 37.5 degrees Celsius or 99.5 degrees Fahrenheit).
  • Low temperature (less than 36 degrees Celsius or 96.8 degrees Fahrenheit)

Parental health

  • Parents also have needs and, on occasion, rights too.
  • Take care of your own health. Keep a lookout for signs of postnatal depression (baby blues). Symptoms may include excessive weepiness, anxiety about the baby’s well-being and poor sleep. Seek medical advice earlier rather than later if such symptoms appear.
  • Get rest while your baby rests. It is a good idea to get a family member or friend to babysit on occasion in order for you to get some rest.

READ NEXT: 10 things I wish I had known about the first week with a newborn

Six to eight-week check-up

  • This is an important check-up post discharge when baby is examined and normal development is assessed.
  • Your baby will also receive a set of vaccinations at this age.
  • Remember to bring along questions you wish to ask. So often parents get to the end of an appointment and have forgotten to ask about things that have been of concern.

Our modern world is filled with technology and all sorts of items intended to make our lives easier. That is all fine and well in the world of predictive outcomes. Unfortunately, babies do not fall into this category. They have not read the manuals, blogs or posts of the experts. They are little individuals who have unique needs.

As healthcare professionals, we can guide parents along a path that has proved successful in the past. Professionals writing blogs are communicating their professional opinions as well as their experiences. What we cannot do is predict if your baby is going to respond in the same way to the last. My advice is always for parents to find sources that speak to their heart when seeking advice. A multi-disciplinary approach is often the most comprehensive.

There is no right way or wrong way as long as your baby is loved, fed, warm and healthy. Trust your instincts, use products and sites that support your way of thinking, but never lose sight of the human factor. We have been raising healthy children for thousands of years. The modern parent is no different. Believe in yourself, find what fits into your lifestyle and trust your gut.

This article was written for BabyYumYum by our partner paediatrician, Dr Maraschin. Visit his webpage www.drmaraschin.co.za for in-depth information on what to do when faced with a medical emergency.

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How can you treat your child's constipation?
Children's HealthPre-schoolers

How can you treat your child’s constipation?

by Dulcolax
written by Dulcolax
Constipation is a common problem in children, accounting for 3–5 % of paediatric primary care visits and 10– 25 % of paediatric gastroenterology consultations. 1 Constipation in children is more likely to affect those who are sedentary, don’t eat enough fibre, don’t drink enough fluids, take particular medication, or have a medical condition that affects the anus or rectum. 2

Your child may be experiencing constipation if they pass unusually large calibre and/or hard stools, have fewer than three bowel movements per week, or experience pain when passing a stool. 1 Your child could have a swollen abdomen or feel bloated, and some may tell you that they feel like not all of their stool has passed. 3

Besides causing discomfort, constipation can be burdensome to both children and parents and, if left untreated, can cause stool-holding behaviour, faecal impaction, and reduced quality of life. 1 Children with constipation benefit from prompt and thorough treatment to help your child pass soft stools, ideally once a day and without difficulties. 1

What are some of the most common treatments for constipation in children?

  • Diet modifications: Providing sufficient fluids and a fibre-rich diet has been shown to help alleviate constipation by hydrating and improving stool consistency and stimulating the gut for increased bowel movement. 1,2,4 Additionally, limiting the intake of cow’s milk may improve constipation in some children, especially if the intake of cow’s milk is excessive. 1,2,4
  • Education: Your child must understand the importance of not delaying their response to the call to pass a stool, as they can become less responsive when they feel the urge as a result. 1,2 Assisting your child with proper positioning while passing a stool is essential, as is establishing a toileting routine with unhurried access to the toilet. 1,2 Your child might need a break from toilet training, which can improve their constipation. 5
  • Massage: Gently massaging your child’s abdomen may stimulate and relax the muscles that support the bladder and intestines, helping to promote bowel activity. 4,5 Regularly stimulating the pelvic area with light exercises can also help stimulate natural bowel movement. 4,5

If your child still finds no relief and their symptoms last for more than 2 weeks, then it may be necessary for them to go to the doctor and take medication to help them find relief. 3 You should always consult with your doctor before giving medicines to your child, as they will conduct a physical exam and gather a complete medical history of your child to help them inform their clinical decisions. 5 Depending on the circumstances, your child’s doctor may recommend: 5 

  • Over-the-counter fibre supplements or stool softeners: If your child doesn’t get a lot of fibre in their diet, adding an over-the-counter fibre supplement might help. 4 Check with your child’s doctor to determine the correct dose for your child’s age and weight. 5
  • A laxative or enema: If an accumulation of faecal material creates a blockage, your child’s doctor may suggest a laxative or enema to help remove the blockage. 5 You should never give your child a laxative or enema without first checking with your child’s doctor. You also need to follow the instructions on the proper dose correctly. 5

While constipation in children isn’t usually serious, you should take your child to a doctor immediately should they have bleeding from their rectum, blood in their stool, constant pain in their abdomen, vomiting, or weight loss. 2,3.  

Choose Dulcolax®

Dulcolax® is the world’s No.1 non-prescription laxative brand that works with your child’s body to target where it is needed most. 4,5 Choose freedom from constipation with Dulco®, a range that provides targeted, effective relief from constipation within 15-60 minutes. 5*

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* Suppositories work within 15-60 minutes, tablets within 6-12 hours, and powder for oral solution within 24-72 hours

References: 1. Leung AK, Hon KL. Paediatrics: how to manage functional constipation. Drugs Context 2021;10. 2. Mayo Clinic Staff. Constipation in children (Symptoms & causes) [online]. 2021, Sep 18 [cited 2024, Apr 29]. Retrieved from: URL: https://www.mayoclinic.org/diseasesconditions/constipation-in-children/symptoms-causes/syc-20354242. 3. National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & Causes of Constipation in Children [online]. 2018, May [cited 2024, Apr 29]. Retrieved from: URL: https://www.niddk.nih.gov/healthinformation/digestive-diseases/constipation-children/symptoms-causes. 4. Wegh CA, Baaleman DF, Tabbers MM, Smidt H, Benninga MA. Nonpharmacologic treatment for children with functional constipation: a systematic review and meta-analysis. J Pediatr 2022;240:136-49. 5. Mayo Clinic Staff. Constipation in children (Diagnosis & treatment) [online]. 2021, Sep 18 [cited 2024, Apr 29]. Retrieved from: URL: https://www.mayoclinic.org/diseases-conditions/constipation-in-children/diagnosis-treatment/drc-20354248. 6. MAT Q4 2023 value data in Nicholas Hall’s global CHC database DB6. 7. Corsetti M, Landes S, Lange R. Bisacodyl: A review of pharmacology and clinical evidence to guide use in clinical practice in patients with constipation. Neurogastroenterol Motil 2021;33(10):e14123.

[S0] DULCOLAX® 5 mg Suppositories. Each paediatric suppository contains 5 mg bisacodyl. Reg. No. E/11.5/534. [S0] DULCOLAX® Tablets. Each tablet contains 5 mg bisacodyl. Contains sugar. Reg. No. E/11.5/531. For full prescribing information refer to the professional information approved by the medicines regulatory authority. DULCOSOFT® powder for oral solution. 1 sachet contains 10 g macrogol as powder for oral solution. For full prescribing information refer to the instructions for use. 

Opella Healthcare South Africa (Pty) Ltd, Reg. no.: 2020/176440/07. 4th Floor, Building I, Hetford Office Park, 90 Bekker Road, Midrand, 1652.

Tel: (011) 256 3700. www.sanofi.co.za. MAT-ZA-2400204-1.0-04/2024.

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Childhood constipation: Triggers and how to avoid them
Children's HealthPre-schoolers

Childhood constipation: Triggers and how to avoid them

by Dulcolax
written by Dulcolax
Constipation is a common problem in children and occurs when a child has infrequent bowel movements or hard, drystools. 1 When stool stays too long in the colon, the colon absorbs too much fluid from it, causing it to become hard, dry, and challenging to pass. 2 Fortunately, while there can be several causes for constipation in children, many of them are common and temporary, 1 meaning you can address them relatively quickly to help your child find relief.
 

What common factors can trigger constipation in children?

Withholding: Children often get constipated from holding in their stool to avoid or delay having a bowel movement. 1,2  The reason for withholding stools is specific to each child, but children can withhold their stools when they have toilet training issues, feel embarrassed to use a public bathroom, do not want their playtime to be interrupted, or fear the toilet and/or having a painful or unpleasant bowel movement. 1-3

  • Fibre-poor diet: Consumption of fast food and diets low in fibre-rich fruits and vegetables are known predisposing factors for constipation in children. 1,3 This commonly occurs when children switch from an all-liquid diet to one that includes solid foods. 1
  • Routine changes: Any changes in your child’s routine, such as travel, can affect their bowel function. 1 This is why children are more likely to experience constipation when they start school outside of the home. 1
  • Allergies: An allergy to cow’s milk or consuming too many dairy products can sometimes lead to constipation. 1
  • Stress: Children are at an increased risk for developing constipation if they experience psychological stress, which can be caused by home-related events (divorce of parents, severe illness in a family member) and school relate events (bullying, poor performance). 1,3
  • Medical conditions and medications: Certain medical conditions can cause constipation in children, and certain medicines and dietary supplements can worsen constipation in children. 2 This is why you must consult a healthcare professional before administering any medications to your child.

Children with constipation can experience a poor health-related quality of life that can affect them physically, socially, emotionally, and academically. 3 This can have significant implications for their future,3 so it’s essential to help them avoid constipation as far as possible.

Some ways that you can help your child avoid constipation include:

  • Fibre-rich diet: High-fibre foods such as fruits, vegetables, beans, whole-grain cereals, and bread can help your child’s body form a soft, bulky stool. 1 You should encourage your child to drink plenty of fluids, with water being the best choice. 1
  • Toilet routine: Regularly set aside time for your child to use the toilet after meals. 1 You can even provide your child with a footstool if necessary so they can be more comfortable and have enough leverage to release a stool.1
  • Kind reminders: Some children can get so busy during their play that they ignore the urge to have a bowel movement. 1 Delays like this can contribute to constipation, as they occur often enough, so kind reminders to your child now and then can be very beneficial. 1
  • Be supportive: Reward your child’s efforts, not just their results. 1 Giving them small rewards like stickers or games for trying to move their bowels can go a long way. 1
  • Consult a doctor: If your child has a medical condition or is taking medication, then it’s possible that they could be experiencing constipation as a result. 1 It’s best to consult with a qualified healthcare professional so that they can review your child’s current condition and suggest alternative medications if necessary. 1

Choose Dulcolax®

Dulcolax® is the world’s No.1 non-prescription laxative brand that works with your child’s body to target where it is needed most. 4,5 Choose freedom from constipation with Dulco®, a range that provides targeted, effective relief from constipation within 15-60 minutes. 5*

dulcolax

* Suppositories work within 15-60 minutes, tablets within 6-12 hours, and powder for oral solution within 24-72 hours

References: 1. Leung AK, Hon KL. Paediatrics: how to manage functional constipation. Drugs Context 2021;10. 2. Mayo Clinic Staff. Constipation in children (Symptoms & causes) [online]. 2021, Sep 18 [cited 2024, Apr 29]. Retrieved from: URL: https://www.mayoclinic.org/diseasesconditions/constipation-in-children/symptoms-causes/syc-20354242. 3. National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & Causes of Constipation in Children [online]. 2018, May [cited 2024, Apr 29]. Retrieved from: URL: https://www.niddk.nih.gov/healthinformation/digestive-diseases/constipation-children/symptoms-causes. 4. Wegh CA, Baaleman DF, Tabbers MM, Smidt H, Benninga MA. Nonpharmacologic treatment for children with functional constipation: a systematic review and meta-analysis. J Pediatr 2022;240:136-49. 5. Mayo Clinic Staff. Constipation in children (Diagnosis & treatment) [online]. 2021, Sep 18 [cited 2024, Apr 29]. Retrieved from: URL: https://www.mayoclinic.org/diseases-conditions/constipation-in-children/diagnosis-treatment/drc-20354248. 6. MAT Q4 2023 value data in Nicholas Hall’s global CHC database DB6. 7. Corsetti M, Landes S, Lange R. Bisacodyl: A review of pharmacology and clinical evidence to guide use in clinical practice in patients with constipation. Neurogastroenterol Motil 2021;33(10):e14123.

[S0] DULCOLAX® 5 mg Suppositories. Each paediatric suppository contains 5 mg bisacodyl. Reg. No. E/11.5/534. [S0] DULCOLAX® Tablets. Each tablet contains 5 mg bisacodyl. Contains sugar. Reg. No. E/11.5/531.For full prescribing information refer to the professional information approved by the medicines regulatory authority. DULCOSOFT® powder for oral solution. 1 sachet contains 10 g macrogol as powder for oral solution. For full prescribing information refer to the instructions for use. 

Opella Healthcare South Africa (Pty) Ltd, Reg. no.: 2020/176440/07. 4th Floor, Building I, Hetford Office Park, 90 Bekker Road, Midrand, 1652. Tel: (011) 256 3700. www.sanofi.co.za. MAT-ZA-2400204-1.0-04/2024.

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