Newborn Stool Patterns: Lactose Intolerance vs. Normal Changes

Q: Newborn Stool Patterns: Lactose Intolerance vs. Normal Changes

Hello： <br>1. <br>An increase in breast milk supply may lead to an increase in the frequency of bowel movements. <br>You can observe if there is an increase in stool moisture, or if mucus or blood is present, as this may indicate diarrhea. <br>If there are no such symptoms and on

Newborn Stool II

Hello Doctor, I previously consulted you about the issue of lactose intolerance in newborns.
Currently, the milk intake is 100-120 CC every 3-4 hours.
Since the night of December 20, I started adding 30 CC of breast milk, and the breast milk amount has now increased to 60 CC per feeding.
I have a couple of questions:
1.
If the amount of breast milk increases, is it possible that the frequency of bowel movements will also increase? How can I determine if this is normal and not due to lactose intolerance causing an increase in bowel movements?
2.
What would be the appropriate principles for incorporating breast milk? Thank you!

tina, 30~39 year old female. Ask Date: 2011/12/25

Dr. Pei Rensheng reply Pediatrics

Hello:
1.
An increase in breast milk supply may lead to an increase in the frequency of bowel movements.
You can observe if there is an increase in stool moisture, or if mucus or blood is present, as this may indicate diarrhea.
If there are no such symptoms and only the frequency of bowel movements has increased, this is considered an acceptable normal phenomenon and not classified as diarrhea.
2.
Even in cases of diarrhea, breastfeeding can continue.
Physicians may consider administering medications such as Kaopectate, Smecta, or Questran, along with probiotics.
In most cases, it is possible to resolve diarrhea without the need for lactose-free formula.
Wishing you a Merry Christmas and a Happy New Year!
Sincerely,
Pei Ren-Sheng

Reply Date: 2011/12/25

More Info

Understanding the stool patterns of newborns can be quite complex, especially when considering factors such as lactose intolerance and the introduction of breast milk. Let's break down your questions and provide some clarity on the matter.

1. Stool Frequency and Lactose Intolerance: It is indeed possible for the frequency of bowel movements to increase when the amount of breast milk is increased. Breast milk is generally easier to digest than formula, which can lead to more frequent stools. In healthy infants, it is common to see a range of stool frequencies, from several times a day to once every few days. The key indicators of whether the increased frequency is normal or a sign of lactose intolerance include the consistency, color, and presence of any accompanying symptoms.

- Normal Stool Characteristics: Normal breastfed infant stools are typically yellow, seedy, and have a soft, mushy consistency. They may vary in frequency but should not be excessively watery or accompanied by signs of distress, such as crying during bowel movements or abdominal discomfort.

- Signs of Lactose Intolerance: Lactose intolerance in infants can manifest as watery stools, often accompanied by gas, bloating, and irritability after feeding. If your baby is experiencing these symptoms consistently after increasing breast milk intake, it may warrant further investigation.

2. Introducing Breast Milk: When introducing breast milk to a formula-fed baby, it is generally recommended to do so gradually. This allows the infant's digestive system to adapt to the changes. Here are some guidelines to consider:
- Start Slow: Begin by introducing small amounts of breast milk, as you have done, and monitor your baby's reaction. Gradually increase the amount over several days or weeks, depending on how well your baby tolerates it.

- Observe for Changes: Keep a close eye on your baby's stool patterns, behavior, and overall comfort. If you notice any significant changes in stool consistency or frequency, or if your baby seems uncomfortable, it may be necessary to adjust the amount of breast milk being given.

- Consult with a Pediatrician: If you have concerns about lactose intolerance or any other digestive issues, it's always best to consult with your pediatrician. They can provide personalized advice based on your baby's health history and current condition.

In summary, while an increase in breast milk can lead to more frequent stools, it is essential to monitor the characteristics of those stools and your baby's overall well-being. If you notice any signs of distress or abnormal stool patterns, do not hesitate to reach out to your healthcare provider for further evaluation. Remember that every baby is unique, and what is normal for one may not be for another.

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