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I'm still constipated at 4 weeks postpartum. What can I do?

Constipation is something that every woman should try to avoid after having a baby. The medications given for nausea and pain during labor and in the immediate postpartum period can cause constipation, so it’s extra important to make sure that you’re drinking enough water, eating foods that are high in fiber, and also taking a stool softener as recommended by your doctor. If you do become constipated, it can make bowel movements extremely painful, especially as it relates to everything that’s going on because you just had a baby. So if those interventions aren’t helping, talk with your doctor and they can recommend other treatments for you. But there are a few things that, generally speaking, work for most people. Like I said, make sure you’re drinking a lot of water, and especially if you’re a nursing mother you need more water anyway. So, while you’re nursing, fill up a cup of water and drink while your baby’s drinking. Just make that a habit and that will help make sure you’re getting enough. If your urine is light yellow to clear then you’re drinking enough water. If not, then make sure that you drink even more. Also make sure that you’re eating high fiber foods. Pears and apples with the skin left on are especially helpful, as well as raisins and prunes, popcorn, sweet potatoes, peas, spinach, beans - all of these things are really high in fiber. Now, do know that if you normally eat a diet full of lots of processed food and you start to eat high fiber food, it can cause gas and bloating. That may stray you away from wanting to eat high fiber food, but keep at it, slowly introduce more fiber. You can even use fiber supplements and eventually it should help you become more regular and the gas and bloating will start to decrease. Movement also helps - after having a baby sometimes you get a little sedentary because you just feel like you’re sitting on the couch and nursing all the time and trying to catch a nap whenever you can. After you’ve had the baby you shouldn’t exercise until you’ve been checked out by the doctor - either your 6 or 8 week appointment, depending on mode of delivery - but until then you should still move around. This will not only help with constipation, but also reduce your chances for blood clots, which are possible after having a baby. Also be sure that you’re not holding it and that you have good bowel habits, trying to establish a routine as much as you can. Because just like toddlers who are trying to potty train, if adults hold it and don’t listen to those cues that their body is sending them, then their body will stop recognizing them and then the stool will just continue to build up and cause issues with constipation. Now if the things that I’ve talked about aren’t helping, then sometimes people turn to laxatives and those types of things, but those should only be used under the direction of a doctor. So if you’ve had issues with constipation and it’s becoming more of an acute problem, not just a chronic problem, talk with them and they’ll decide what will be best for you. If you have blood in the stool, extreme weight loss or weakness, or if the treatments that your doctor has previously recommended aren’t working, be sure to call them and let them know about those things and they can determine if further investigation is warranted. If you have more questions in the future for me, feel free to ask them on our Facebook page at facebook.com/IntermountainMoms and recommend us to your family and friends too.