Diarrhea in Infants: Causes and Solutions for Parents

Infant bowel movement suspected diarrhea issue?

Hello, Doctor: I would like to ask you about my baby who is currently over 7 months old and is exclusively breastfed.
At 4 to 5 months, there were concerns about suspected cow's milk protein and egg allergies causing gastrointestinal allergic diarrhea, which resulted in bloody stools.
After I stopped consuming those foods and started giving probiotics (Ad probiotic), her stools returned to normal (during this time, we began introducing solid foods), and they became formed.
However, during her 6-month vaccinations, the doctor advised that I could eat normally without any special restrictions.
Initially, there were no issues, but about 2 to 3 weeks later, I noticed that her previously formed stools (1-2 times a day) changed to loose stools (1-2 times a day), and she is hardly eating solid foods.
We are trying to change the texture and allowing her to self-feed, but she still isn't eating much.

I would like to know if it is possible for her stools to become almost watery (like rice water) if she is only drinking breast milk and not eating solid foods at this age? I have started restricting my diet again, but it doesn't seem to help.
Besides diarrhea, there are no other significant issues.
Do you have any recommendations? Would continuing to give her probiotics be beneficial? How long should she continue taking them? Thank you!

Cai Xiaojie, 30~39 year old female. Ask Date: 2020/05/10

Dr. Xiao Kaiwen reply Pediatrics

A 7-month-old baby has lost the antibodies transferred from the mother, making them particularly vulnerable to infections.
The baby's stools have become more watery and frequent compared to normal, which may indicate gastroenteritis.
It is advisable to seek evaluation and treatment from a pediatrician.

Reply Date: 2020/05/10

More Info

Understanding diarrhea in infants can be quite challenging for parents, especially when it comes to identifying the causes and finding effective solutions. In your case, your 7-month-old baby has a history of gastrointestinal issues, including diarrhea that may have been triggered by food allergies, specifically to cow's milk protein and eggs. This history is crucial in understanding the current situation.

Diarrhea in infants can arise from various causes, including infections (viral, bacterial, or parasitic), food intolerances or allergies, changes in diet, and even stress or environmental changes. Given your baby's previous reactions to certain foods, it is possible that the introduction of new solid foods could be contributing to her current symptoms. When infants transition to solid foods, their digestive systems are still developing, and they may react to new textures or ingredients, leading to changes in stool consistency.

In your situation, the fact that your baby is primarily breastfed and has recently started solid foods is significant. Breast milk is generally well-tolerated and provides essential nutrients and antibodies that help protect against infections. However, if your baby is not consuming enough solids, her stool may become more liquid, especially if she is still primarily relying on breast milk. The consistency of her stool can also be influenced by the types of solid foods she is offered. Foods that are high in fiber, such as fruits and vegetables, can help firm up stools, while excessive intake of certain carbohydrates can lead to looser stools.

You mentioned that your baby is not eating much solid food and is experiencing frequent loose stools. It is essential to encourage her to try a variety of textures and flavors, as this can help her develop a taste for solid foods. Allowing her to self-feed can be beneficial, as it promotes exploration and can make mealtime more enjoyable. However, if she continues to refuse solids, it may be worth consulting with a pediatrician or a pediatric dietitian for tailored advice.

Regarding the use of probiotics, they can be helpful in restoring gut flora, especially after episodes of diarrhea. Probiotics may aid in digestion and help regulate bowel movements. However, it is essential to choose a probiotic specifically designed for infants and to follow the recommended dosage. Probiotics can generally be given for a few weeks to a couple of months, but it is best to consult with your healthcare provider for personalized recommendations based on your baby's health status.

If your baby's diarrhea persists or worsens, or if you notice any additional concerning symptoms such as dehydration, blood in the stool, or significant weight loss, it is crucial to seek medical attention promptly. A healthcare professional can perform a thorough evaluation and may recommend tests to rule out any underlying conditions.

In summary, while diarrhea in infants can be concerning, understanding the potential causes and solutions can help parents navigate this challenging time. Encouraging a diverse diet, considering the use of probiotics, and maintaining open communication with your healthcare provider are essential steps in ensuring your baby's health and well-being.

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