Your Baby's Sour Smelling Stool: When to Worry? - Pediatrics

Share to:

Feces have a sour smell?


Hello, doctor.
I would like to inquire about the smell of my baby's stool.
My baby is 2 months and 22 days old, currently weighs 6.3 kg, and is on a full formula diet (Abbott Similac).
He drinks 150 cc per feeding and can have 5 to 6 feedings a day.
He typically has one bowel movement a day, occasionally having one every two days or two in one day, which seems to be within the normal range.
However, the stool has a sour smell, and my mother-in-law insists that this is abnormal based on her experience with over 20 children, suggesting that we, as new parents, should change the formula.
On the other hand, other mothers and my own mother have told me that the color of the stool is normal (stool consistency of 7-9 on the Bristol stool scale), and there are no signs of lethargy, bloating, poor growth, or constipation, indicating that there is no need to change the formula.
They mentioned that since the baby's intestinal development is not yet complete, switching formulas at such a young age could be too burdensome for the baby's gut.
I would like to ask the doctor if the sour smell of the stool indicates that the baby is having absorption issues with the formula.
If there is indeed a problem and a formula change is necessary, should we mix the new formula in gradually or switch to the new one all at once? There are various opinions on this, and I'm unsure which approach is correct.

Ri Ri Min, 30~39 year old female. Ask Date: 2022/01/21

Dr. Pei Rensheng reply Pediatrics


Hello: For infants fed with formula milk, if there is an excess of sugar, the baby’s stool may appear foamy, more liquid, yellow in color, and have a strong sour smell.
In such cases, it is advisable to reduce the sugar content appropriately.
I recommend trying formulas labeled as "low lactose," such as Mead Johnson's EnfaCare or Abbott's Hydrolyzed formulas.
Unless it is a severe medical condition, when switching formulas, I suggest doing so gradually to avoid significant changes in taste that could affect the baby's appetite.
Wishing you health and peace! Sincerely, Ren Sheng.

Reply Date: 2022/01/21

More Info


When it comes to understanding your baby's stool, particularly the sour smell that you're noticing, it's essential to consider several factors. First and foremost, it's important to recognize that infants have unique digestive systems that are still developing, and their stool characteristics can vary widely based on their diet, age, and individual metabolism.

In your case, your baby is 2 months and 22 days old, consuming formula milk, and having bowel movements that range from once a day to once every two days. This frequency is generally considered normal for infants, especially those on formula. The sour smell of the stool can be attributed to several factors, including the type of formula being used, the baby's digestive processes, and even the introduction of new foods if applicable.

1. Formula Composition: The formula you mentioned, "亞培心美力" (Abbott Similac), is designed to meet the nutritional needs of infants. However, different formulas can lead to different stool odors. Some formulas may produce a more acidic stool due to their composition. It's not uncommon for formula-fed babies to have stools that smell sour, especially if they are digesting lactose or other components in the formula.

2. Digestive Development: At this age, your baby's digestive system is still maturing. The sour smell could indicate that the formula is being fermented in the intestines, which is a normal part of the digestive process. As long as your baby is feeding well, gaining weight appropriately, and not showing signs of distress (such as excessive crying, vomiting, or diarrhea), the sour smell alone may not be a cause for concern.

3. Signs to Watch For: You mentioned that your baby does not exhibit any signs of discomfort, such as lethargy, bloating, or constipation. These are crucial indicators of digestive health. If your baby is active, feeding well, and gaining weight, these are positive signs that their digestive system is functioning properly.

4. When to Consider Changing Formula: If you notice additional symptoms such as persistent diarrhea, blood in the stool, severe abdominal pain, or if your baby seems unusually fussy or uncomfortable, it may be worth consulting with your pediatrician. They can assess whether a formula change is necessary. If a change is recommended, it is typically advised to transition gradually by mixing the old formula with the new one over several days to allow your baby's digestive system to adjust.

5. Transitioning Formula: If you do decide to change formulas, the general recommendation is to mix the new formula with the old one, starting with a small amount of the new formula and gradually increasing it over a week or so. This method helps to minimize any potential digestive upset that might occur from a sudden switch.

In conclusion, while the sour smell of your baby's stool can be concerning, it is often a normal part of their development, especially when they are formula-fed. As long as your baby is thriving and not showing any signs of distress, there may be no need for immediate concern. However, maintaining open communication with your pediatrician is essential, as they can provide personalized guidance based on your baby's specific health needs.

Similar Q&A

Understanding Sour Smell in Baby's Stool: Causes and Concerns

My baby was born about 7 weeks ago. In the hospital, due to digestive issues, the doctor prescribed LGG (Lactobacillus rhamnosus GG). After finishing the LGG, my baby had a bowel movement only once in three days, and the stool was thicker than before, with a very strong sour odor...


Dr. Zhang Yingwen reply Pediatrics
Hello: Foul-smelling stools are often due to abnormal fermentation caused by the inability to digest and absorb carbohydrates. Breast milk is the most easily digestible milk for humans, so the sour odor of your baby's stool may not necessarily be influenced by additives in b...

[Read More] Understanding Sour Smell in Baby's Stool: Causes and Concerns


Is Your Baby's Stool Smell Linked to Formula Changes?

My baby is now three months old, and I noticed that the stool has a strong odor. Could this be due to the formula? I have been gradually switching to a premium milk formula.


Dr. Wang Jiayi reply Pediatrics
Hello Ms. Hsiao-Yi: It is normal for a baby's stool to have some degree of odor; it cannot be completely odorless. If there is a particularly foul smell, mucus, or blood streaks, you should bring a fresh stool sample to a pediatrician for evaluation, and sometimes further ...

[Read More] Is Your Baby's Stool Smell Linked to Formula Changes?


Understanding Digestive Issues in Infants: Is Sour Stool Normal?

Recently, the nanny has been insisting that I buy Xinfang Feiming or Ruoyuan tablets for my daughter. She says that the sour smell of my daughter's stool indicates that undigested food is fermenting. However, I remember that my daughter has always had a slightly sour stool s...


Dr. Pei Rensheng reply Pediatrics
Hello: 1. Typically, stool is alkaline or neutral (pH values ranging from 7.0 to 7.5). Newborn stool is slightly acidic, with a pH of 5.0 to 7.5. The pH of stool depends on the diet and bacterial fermentation in the small intestine. Carbohydrates tend to make the pH acidic, whi...

[Read More] Understanding Digestive Issues in Infants: Is Sour Stool Normal?


Is Your Baby's Stool Normal After Gastroenteritis? Understanding Baby's Digestive Health

Hello, Dr. Hsiao: My baby is now just eight months old. Before having gastroenteritis, his stools were firm and shaped like logs, occasionally passing pellet-like stools. However, during the gastroenteritis, he had watery stools with a sour smell. Now that the gastroenteritis has...


Dr. Xiao Kaiwen reply Pediatrics
If the stool has a higher water content than normal, it is considered diarrhea. Moreover, if your baby has watery and slightly acidic stools the day after consuming regular formula, it indicates that the gastroenteritis has not fully resolved. It may be insufficient to dilute hal...

[Read More] Is Your Baby's Stool Normal After Gastroenteritis? Understanding Baby's Digestive Health


Related FAQ

Baby Stool

(Pediatrics)

Bloody Stool

(Pediatrics)

Infant Urination

(Pediatrics)

Bowel Movements

(Pediatrics)

Pediatric Vomiting

(Pediatrics)

Jaundice

(Pediatrics)

Accidental Ingestion

(Pediatrics)

Candidiasis

(Pediatrics)

Cough

(Pediatrics)

Fever

(Pediatrics)