Addressing Infant Bowel Issues: Nutrition Tips for Parents - Nutrition

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Infant bowel movement issues?


Hello, nutritionist.
I have a few questions:
1.
My son is currently over three months old.
Since he turned one month, he has been on a mixed feeding regimen and only has a bowel movement every three days.
His stools are soft and contain quite a few curds.
Is this normal?
2.
Can we start introducing solid foods when he turns four months old, or should we wait until he is six months old?
3.
Is it safe to take multivitamins sold at pharmacies on a long-term basis?
4.
Is DDS-1, a type of probiotic, safe to consume if purchased from a pharmacy?
Thank you!

Xiao Ling, 30~39 year old female. Ask Date: 2004/02/29

Dr. Shi Guimei reply Nutrition


Hello! Are you referring to mixed feeding as the simultaneous breastfeeding of both breast milk and formula? It is generally acceptable for infants to have soft stools every three days.
Regarding the presence of curds in the stool, it is recommended to bring a sample to the doctor during vaccination or pediatric check-ups for evaluation to determine if further examination is necessary.
Solid foods can typically be introduced around four months of age, starting with foods that are less likely to cause allergies, such as cereals (rice or wheat porridge), fruit juice, or vegetable soup.
Begin with small amounts, introducing only one new food at a time, and after a period of observation to ensure the infant tolerates it, gradually increase the quantity and consistency before trying another new food.
If the infant is feeding well, there is no need to supplement with a multivitamin; however, if feeding is not ideal, considering a multivitamin supplement may be appropriate.
Infants under one year of age should not be given any probiotic foods.
Sincerely, Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/02/29

More Info


Addressing infant bowel issues and ensuring proper nutrition is crucial for the healthy development of your child. Here are some insights and recommendations based on your questions:
1. Bowel Movements in Infants: It is not uncommon for infants, especially those who are breastfed or mixed-fed, to have infrequent bowel movements. A frequency of every three days can be normal, as long as the stools are soft and the baby is not showing signs of discomfort. The presence of milk curds in the stool is also typical for infants consuming milk-based formulas or breast milk. These curds are a result of the digestion process and are generally not a cause for concern. However, if your child seems to be in pain, has a distended abdomen, or if there are any drastic changes in bowel habits, it would be wise to consult your pediatrician.

2. Introduction of Solid Foods: The general guideline for introducing solid foods is around six months of age. However, some pediatricians may recommend starting as early as four months, especially if the baby shows signs of readiness (such as being able to sit up with support, showing interest in food, and having good head and neck control). It's essential to consult with your pediatrician before starting solids, as they can provide personalized advice based on your child's development and health status.

3. Long-term Use of Multivitamins: Multivitamins can be beneficial for infants, especially if there are concerns about their dietary intake. However, it's crucial to use them under the guidance of a healthcare professional. Over-supplementation can lead to toxicity, particularly with fat-soluble vitamins (A, D, E, K). If your child is eating a balanced diet that includes a variety of foods, they may not need additional vitamins. Always consult your pediatrician before starting any long-term supplementation.

4. Probiotics and DDS-1: Probiotics, including DDS-1 (a strain of Lactobacillus acidophilus), can be beneficial for infants, particularly for those experiencing digestive issues like constipation or diarrhea. Probiotics help maintain a healthy gut flora and can aid in digestion. However, it's essential to choose a product that is specifically formulated for infants and to discuss its use with your pediatrician to ensure it is appropriate for your child's age and health condition.


Additional Nutritional Tips for Infants:
- Hydration: Ensure your baby is adequately hydrated, especially if they are experiencing constipation. If your baby is older than six months, small amounts of water can be introduced. For younger infants, breast milk or formula should provide sufficient hydration.

- Fiber-Rich Foods: Once your baby starts solids, include fiber-rich foods such as pureed fruits (like pears, prunes, and apples) and vegetables (like peas and sweet potatoes) to help promote regular bowel movements.

- Monitor Reactions: When introducing new foods, do so one at a time and monitor for any adverse reactions or allergies. This approach helps identify any food intolerances or allergies early on.

- Routine: Establishing a feeding routine can help regulate bowel movements. Regular meal times can signal the body to expect food and may help in establishing a regular bowel pattern.

- Consultation: Regular check-ups with your pediatrician are vital. They can provide tailored advice based on your child's growth, development, and any specific health concerns.

In conclusion, addressing bowel issues in infants requires a combination of proper nutrition, hydration, and sometimes the use of probiotics or supplements under medical guidance. Always consult with your pediatrician for personalized advice and recommendations tailored to your child's specific needs.

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