Your Baby's Bowel Movements and Formula Feeding Concerns

Baby bowel movements

Hello, doctor.
I would like to ask about my baby who is currently 8 and a half months old.
She was exclusively breastfed until 6 months, after which she started having formula milk at night and breast milk during the day.
Her bowel movements were 1 to 2 times a day until she turned 8 months, but now that she is on formula milk exclusively, she has at least 4 to 5 bowel movements a day, and they are very loose.
Could this indicate that she is not adapting well to the formula? Additionally, she doesn't seem to enjoy drinking milk; sometimes from 8 AM to around 5 PM, she only drinks two bottles of 120cc milk, and sometimes even less than that.
Given her current situation, is she not getting enough nutrition? Is it that she simply doesn't like milk? What should I do?

Ting, 30~39 year old female. Ask Date: 2012/12/24

Dr. Xiao Kaiwen reply Pediatrics

1.
An increase in the frequency and water content of stools indicates diarrhea.
There are many potential causes, such as viral gastroenteritis or the introduction of new dairy products that the baby may not be able to tolerate.
If you suspect that the new dairy product is causing the issue, you can stop it for two to three days.
If the stools improve, and then diarrhea recurs upon reintroducing the dairy, it may indicate that the baby is still not able to tolerate that dairy product.
2.
An 8.5-month-old baby may experience a milk aversion phase, and the amount of milk intake can vary.
If the baby consumes less milk but receives adequate nutrition from complementary foods, normal growth and development indicate that nutritional needs are being met.
3.
During the milk aversion phase (disinterest in milk), complementary foods can be offered as a substitute.

Reply Date: 2012/12/24

More Info

It's completely understandable to have concerns about your baby's bowel movements and feeding habits, especially at the age of 8.5 months when many parents are transitioning from breast milk to formula. Let's break down your concerns regarding your baby's bowel movements, formula feeding, and overall nutrition.

Firstly, regarding your baby's bowel movements: it is common for infants to have varying patterns of bowel movements, especially when transitioning from breast milk to formula. Breast milk is generally easier to digest and can lead to fewer bowel movements, while formula can result in more frequent and sometimes looser stools. The fact that your baby is having 4-5 bowel movements a day and they are quite watery could indicate that her digestive system is still adjusting to the formula. However, if your baby is otherwise healthy, gaining weight appropriately, and does not show signs of discomfort (like excessive crying or fussiness), this may simply be her body's way of adapting to the new diet.

If you suspect that the formula might not be suitable for her, consider the following: some babies may react to certain ingredients in formula, such as lactose or specific proteins. If you notice any signs of discomfort, such as excessive gas, bloating, or rashes, it might be worth discussing with your pediatrician about trying a different formula, such as a lactose-free or hypoallergenic option.

Now, regarding her milk intake: at 8.5 months, babies typically require about 24-32 ounces of formula or breast milk per day, along with solid foods. If your baby is only consuming about 240cc (approximately 8 ounces) of formula throughout the day, this is significantly below the recommended amount. It's important to ensure that she is getting enough nutrition, especially since she is also transitioning to solid foods.
Here are some strategies to encourage her to drink more milk:
1. Routine: Establish a consistent feeding schedule. Babies thrive on routine, and knowing when to expect their next meal can help stimulate their appetite.

2. Offer Milk in Different Forms: If she is resistant to drinking from a bottle, try offering milk in a sippy cup. Some babies prefer this method as it allows them to have more control.

3. Mix with Solids: You can incorporate formula into her solid foods, such as mixing it into oatmeal or pureed fruits and vegetables. This can help increase her overall intake without forcing her to drink more milk.

4. Check for Preferences: Sometimes, babies may have preferences for certain flavors or temperatures. Experiment with slightly warming the milk or trying different brands of formula to see if she responds better.

5. Minimize Distractions: During feeding times, try to create a calm environment. Reducing distractions can help her focus on eating.

6. Consult with a Pediatrician: If you continue to have concerns about her milk intake or bowel movements, it’s always best to consult with your pediatrician. They can provide personalized advice and may suggest dietary adjustments or further evaluations if necessary.

In summary, while it’s normal for babies to have varying bowel movement patterns, the frequency and consistency you described may warrant a discussion with your pediatrician, especially in relation to her formula intake. Ensuring she receives adequate nutrition is crucial for her growth and development. Keep observing her behavior and feeding patterns, and don’t hesitate to seek professional guidance if you feel something is off. Your attentiveness is key to ensuring her health and well-being.

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