Is It Normal for My Baby to Poop Every Three Days?

Is it normal to have a bowel movement only every three days?

My baby is now almost four months old.
Her bowel movements occur every three days, meaning she has two bowel movements on the third day, with only an hour in between.
On the second day, she passes very foul-smelling gas, and on the third day, her stool is extremely smelly and has a mushy consistency.
I would like to know if having a bowel movement every three days indicates constipation.
If this continues long-term, will it lead to the accumulation of toxins in her body? What can I do to help her have daily bowel movements? I worry every day when she doesn't have a bowel movement.
I massage her belly with baby oil daily and sometimes stimulate her anus.
Should I consider giving her a laxative like Bisacodyl or other options? Should I change her formula? If so, which formula would be better for promoting regular bowel movements? She is currently drinking S-26, 120 ml every four hours.
Please help me.
Thank you.

Shan, 30~39 year old female. Ask Date: 2003/04/14

Dr. Zhang Peixin reply Pediatrics

Hello! The frequency of bowel movements varies among babies.
Generally, some may have bowel movements three times a week, and each bowel movement should not be painful or result in thin, ribbon-like stools.
As long as the baby is growing normally, this is acceptable for clinical management.

1.
You can use a lubricant (such as petroleum jelly) to stimulate the anus.
2.
As the baby grows, you can introduce fruit juices, purees, and vegetables to increase fiber intake.
3.
Some infant formulas contain oligosaccharides, which can also help.
4.
Probiotics can aid in bowel movements.
The daily formula intake should be approximately 150 mL per kilogram of body weight to meet growth needs, but some babies may grow well even with less intake.
Therefore, regular weight monitoring remains the best indicator.

Best wishes for health from Dr.
Pei-Hsin Chang, Pediatrician, Taoyuan Health Bureau.

Reply Date: 2003/04/14

More Info

It is quite common for infants, especially those who are exclusively breastfed or on formula, to have varying bowel movement patterns. For a baby who is nearly four months old, having a bowel movement every three days can be within the normal range, particularly if the stools are soft and the baby is otherwise healthy and feeding well.
1. Understanding Bowel Movements in Infants: Infants can have a wide range of normal when it comes to bowel movements. Some babies may poop several times a day, while others may go several days without a bowel movement. The frequency can depend on various factors, including diet (breast milk vs. formula), hydration, and the individual baby's digestive system. If your baby is passing soft, mushy stools, it is generally a sign that they are not constipated, even if the frequency is lower than expected.

2. Concerns About Toxins and Constipation: The concern about "toxic buildup" due to infrequent bowel movements is understandable, but in healthy infants, this is typically not an issue. The body has mechanisms to handle waste, and as long as the stool is soft and the baby is not showing signs of distress (like excessive crying, vomiting, or a distended abdomen), it is likely that everything is functioning normally.
3. What to Do If You're Concerned: If you are worried about your baby's bowel habits, there are several gentle methods you can try to encourage more regular bowel movements:
- Tummy Time: Encouraging tummy time can help stimulate the digestive system.

- Bicycle Legs: Gently moving your baby's legs in a bicycle motion can help relieve gas and stimulate bowel movements.

- Hydration: Ensure your baby is well-hydrated, especially if they are on formula. Sometimes, a small amount of water can be introduced, but this should be discussed with your pediatrician first.

- Dietary Changes: If your baby is on formula, you might consider discussing with your pediatrician whether a different formula might be more suitable. Some formulas are designed to be gentler on the stomach and can help with digestion.

4. When to Seek Medical Advice: If your baby is experiencing discomfort, has hard stools, or if there are any other concerning symptoms (such as a lack of appetite, vomiting, or lethargy), it is essential to consult your pediatrician. They can provide guidance tailored to your baby's specific needs and may suggest treatments or dietary adjustments.

5. Use of Medications: While some parents consider using medications like glycerin suppositories or stool softeners, these should only be used under the guidance of a healthcare professional. Over-reliance on such products can lead to dependency and should be approached cautiously.

6. Changing Formula: If you decide to switch formulas, consult your pediatrician for recommendations. They can suggest formulas that are known to help with digestion and regularity.
In summary, while having a bowel movement every three days can be normal for some infants, it is essential to monitor your baby's overall health and comfort. If you have ongoing concerns, do not hesitate to reach out to your pediatrician for personalized advice and reassurance.

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