Should You See a Pediatrician for Baby's Blood-Streaked Stool? - Pediatrics

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Bowel movement issues


Dear Doctor: My baby is currently two weeks old and is drinking formula.
The stool color has been normal, but there have been occasional streaks of blood in it over the past two days.
Should I take my baby to see a pediatrician? Thank you.

Asd, 20~29 year old female. Ask Date: 2016/07/19

Dr. Xiao Kaiwen reply Pediatrics


It is not normal for a newborn's stool to have blood streaks.
It is recommended to visit a major hospital's pediatric department for an examination.

Reply Date: 2016/07/19

More Info


When it comes to a baby’s health, especially concerning something as concerning as blood-streaked stool, it is always better to err on the side of caution. In your case, since your baby is only two weeks old and has started to show blood in the stool, it is advisable to consult a pediatrician as soon as possible.

Blood in a baby's stool can be caused by a variety of factors, some of which may be benign, while others could indicate a more serious underlying condition. Here are some potential causes of blood-streaked stool in infants:
1. Allergic Reactions: One common cause of blood in the stool for infants, especially those on formula, is a milk protein allergy. This can lead to inflammation in the intestines, resulting in blood being present in the stool. If your baby is formula-fed, it may be worth discussing with your pediatrician whether a hypoallergenic formula might be appropriate.

2. Anal Fissures: Babies can sometimes develop small tears in the anal area due to straining during bowel movements, especially if they are constipated. These fissures can cause bright red blood to appear in the stool or on the diaper.

3. Infections: Gastrointestinal infections can also lead to blood in the stool. These infections can be viral or bacterial and may be accompanied by other symptoms such as diarrhea, vomiting, or fever.

4. Intestinal Conditions: More serious conditions, such as intussusception (where part of the intestine telescopes into another part), can also cause blood in the stool. This is a medical emergency and would typically present with other symptoms like severe abdominal pain, vomiting, or lethargy.

5. Other Gastrointestinal Issues: Conditions like necrotizing enterocolitis (more common in premature infants) can also lead to blood in the stool and require immediate medical attention.

Given the age of your baby and the presence of blood in the stool, it is crucial to seek medical advice. A pediatrician will likely perform a thorough examination and may recommend tests such as stool analysis or blood tests to determine the cause of the bleeding. They will also assess your baby's overall health, including their feeding patterns, growth, and any other symptoms that may be present.

In summary, while some causes of blood in the stool can be benign, it is essential to consult with a pediatrician to rule out any serious conditions and to ensure your baby receives the appropriate care. Early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare professional. Your baby's health and well-being are paramount, and it’s always best to be proactive when it comes to potential health issues.

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