Your Baby's Bowel Movements: What’s Normal at 7 Months? - Pediatrics

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Baby bowel movements


Hello, doctor.
I would like to ask, my baby will be seven months old in two days.
He is drinking Enfamil hydrolyzed formula and started eating solid foods (pureed foods) at four months.
Since starting solids, his stools have become larger and clay-like.
However, why does my baby have bowel movements about five to six times a day, with only a small amount each time? Is this a normal phenomenon?

En Mami, 20~29 year old female. Ask Date: 2016/06/03

Dr. Pei Rensheng reply Pediatrics


Hello: According to objective (textbook) standards, diarrhea is defined as a stool output exceeding ten grams per kilogram of body weight in infants, and more than two hundred grams per day in children or adults.
However, in practice, we do not weigh daily stool output.
Therefore, clinically, we observe an increased frequency of bowel movements in children, along with a change in stool consistency to a watery form, and an increase in the excretion of water and electrolytes in the stool, which allows us to diagnose diarrhea.
If diarrhea is present, the next two important considerations are the child's vitality and whether there is blood in the stool.
Wishing you peace and health.
Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare, Zheng Jueyi.

Reply Date: 2016/06/03

More Info


At seven months old, your baby is at a crucial stage of development, and understanding their bowel movements is essential for ensuring their health and well-being. It’s common for parents to have concerns about their baby's stool consistency, frequency, and overall digestive health, especially after introducing solid foods.

Firstly, it’s important to note that the transition from a milk-only diet to including solid foods can significantly alter a baby's bowel movements. When babies start eating solids, their stools may change in color, consistency, and frequency. The introduction of different foods can lead to a variety of stool characteristics, including a more formed or "mud-like" consistency, as you described. This is generally normal as their digestive systems adapt to processing new types of food.

Regarding the frequency of bowel movements, it is also common for babies to have varying patterns. Some babies may have several small bowel movements throughout the day, while others may go less frequently but produce larger amounts. In your case, having five to six bowel movements a day, even if they are small, can be within the normal range, especially if your baby is still adjusting to the new diet. However, if the stools are consistently very loose or watery, this could indicate a potential issue, such as a gastrointestinal infection or intolerance to a specific food.

It’s also worth considering the type of formula you are using. You mentioned that your baby is on a hydrolyzed formula, which is often recommended for babies with allergies or sensitivities. If your baby is experiencing any discomfort, such as excessive gas, cramping, or irritability, it might be worth discussing with your pediatrician whether a different formula or dietary adjustment is necessary.

In addition, the introduction of solid foods can sometimes lead to constipation or changes in stool consistency. Foods that are high in fiber, such as pureed fruits and vegetables, can help promote healthy bowel movements. If your baby is not consuming enough fiber-rich foods, this could contribute to the stool changes you are observing. It’s essential to ensure that your baby is getting a balanced diet that includes a variety of fruits, vegetables, and grains.

If you are concerned about the frequency or consistency of your baby's stools, or if you notice any other symptoms such as blood in the stool, persistent diarrhea, or signs of dehydration (such as decreased urination or lethargy), it is crucial to consult your pediatrician. They can provide tailored advice and may recommend dietary changes or further evaluation if necessary.

In summary, while the changes in your baby's bowel movements are likely normal as they transition to solid foods, it’s essential to monitor their overall health and comfort. Keep an eye on their stool consistency, frequency, and any accompanying symptoms. If you have any doubts or concerns, don’t hesitate to reach out to your healthcare provider for guidance. They can help ensure that your baby is thriving and that their digestive health is on track.

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