Yellow-Green Discharge in Infants: Causes and Concerns - Pediatrics

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Yellow-green discharge in diapers?


Hello, doctor.
Last Wednesday, I noticed that my 11-month-old daughter had occasional yellow-green discharge in her diaper.
After observing for two days, we went to the New Tower Hospital for a urine test, which showed no infection.
However, it has been a week, and I still occasionally see yellow-green discharge.
Just now, after her nap, I found a lump of discharge near her clitoris.
I used a cotton swab to collect it, and it appeared to be the same as what was previously found in her diaper.
I would like to know if this is related to her eating solid foods, and if any further tests are needed.

Panny, 20~29 year old female. Ask Date: 2021/12/17

Dr. He Zongxian reply Pediatrics


Hello, based on your description, it is important to consider that the yellow-green discharge may originate from the reproductive tract or gastrointestinal tract rather than the urinary tract.
If this phenomenon persists, it is advisable to take the child to a gynecologist for further evaluation.
Sincerely, He Zongxian.

Reply Date: 2021/12/17

More Info


When it comes to yellow-green discharge in infants, particularly in an 11-month-old girl, there are several factors to consider. The presence of yellow-green discharge can be concerning for parents, and it is important to understand the potential causes and whether further investigation is necessary.

Firstly, the color and consistency of the discharge can provide clues about its origin. Yellow-green discharge in infants can originate from various sources, including the urinary tract, gastrointestinal tract, or even the reproductive system. In your case, since a urine test was conducted and no infection was found, it is less likely that the discharge is related to a urinary tract infection. This is a positive sign, but it does not completely rule out other potential causes.

One possibility is that the discharge may be related to the gastrointestinal system. Infants often experience changes in stool color and consistency, especially when they begin to consume solid foods. The introduction of new foods can lead to variations in bowel movements, and sometimes, undigested food particles can appear in the stool, leading to unusual colors. However, if the discharge is persistent and not solely related to bowel movements, it may warrant further investigation.

Another consideration is the possibility of a vaginal discharge. In female infants, it is not uncommon to see some discharge due to hormonal changes, especially if they are experiencing a surge in estrogen from their mother. This discharge can sometimes appear yellow or green, but it is usually normal and not a cause for concern unless accompanied by other symptoms such as irritation, foul odor, or discomfort.

Given that you have observed this discharge for over a week and it has not resolved, it would be prudent to consult a pediatrician or a pediatric gynecologist. They can perform a thorough examination to determine the source of the discharge and whether any further tests are necessary. This may include a physical examination and possibly a swab to analyze the discharge for any signs of infection or other abnormalities.

In terms of dietary factors, while the introduction of solid foods can influence stool color, it is less likely to be the direct cause of yellow-green discharge. However, certain foods, particularly those high in iron or with strong pigments (like carrots or spinach), can affect stool color. If you suspect that a specific food may be contributing to the issue, keeping a food diary and noting any changes in discharge or bowel movements can be helpful for your healthcare provider.

In summary, while yellow-green discharge in infants can be related to dietary changes, it is essential to consider other potential causes, especially if the discharge persists. Consulting with a healthcare professional is the best course of action to ensure your child's health and address any concerns you may have. They can provide guidance on whether any tests are needed and help you understand the situation better.

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