My 7 mo is on breast milk and supplemented with enfamil once a day at night and he eats purees too. he is very constipated and in pain when having bm.

Constipation: Be sure that the purees don't include bananas or rice. You can try puree of prunes or baby prunes once daily. You can use 1/2 of a pediatric glycerin suppository for him to have a bowel movement until you have straightened his diet out. Good Luck :)

Constipation: Sometimes breast fed babies are affected by conditions in mothers and medicines they take. Make sure mother is not constipated by adding needed fibers in her diet, have baby examined for any rectal fissures etc, which can cause stool with holding.