Baby's Bowel Issues: When to Worry About Changes

Bowel issues?

Hello, I would like to ask about my 2-month-old baby.
Recently, he would cry and get upset right after drinking milk, but his stool color was normal.
Then someone suggested switching formula because they were concerned about a possible milk protein allergy, so we recently changed from Carlotta to Nestlé's Alfare hypoallergenic formula.
However, now he only has a bowel movement once a day, or sometimes not at all, and his stool is dark green, thick, sticky, and very foul-smelling.
Despite this, he doesn't seem to be crying or fussing.
Is this normal? Also, he used to drink 120 ml of milk but now he often only drinks about 90 ml before getting upset and refusing to continue.
He sometimes spits it out with his tongue, and I have to burp him and let him rest before he continues.
However, it has been over 40 minutes since he finished drinking.
Is it possible for him to get tired of the milk so quickly?

Ru Ru, 20~29 year old female. Ask Date: 2016/02/11

Dr. Xiao Kaiwen reply Pediatrics

It is normal for an infant's bowel movements to range from two to three times a day to once every two to three days.
As long as the stool is not hard, watery, contains blood, or is grayish-white, it is considered normal (greenish stools are simply a result of higher iron content in formula and are not a concern).
There is no specific timeframe for when infants may experience a feeding aversion, although the peak period is typically between four to six months of age.
As long as the infant's growth and development are normal, non-pathological feeding aversion (such as that caused by gastroenteritis, vomiting, diarrhea, or hand, foot, and mouth disease) can be considered benign.
Therefore, if your child is growing and developing normally (which can be confirmed by a pediatrician), there should be no cause for concern.

Reply Date: 2016/02/11

More Info

When it comes to understanding your baby's bowel issues and when to worry about changes, it's essential to consider several factors, including the frequency, consistency, and color of the stools, as well as the baby's overall behavior and feeding patterns.

Firstly, it's not uncommon for infants, especially those who are two months old, to experience variations in their bowel movements. The transition from one formula to another can significantly impact a baby's digestive system. In your case, switching from a standard formula to a hydrolyzed protein formula (like Nestlé's NAN) can sometimes lead to changes in bowel habits. Hydrolyzed formulas are designed for babies with sensitivities or allergies, and while they can be beneficial, they may also take some time for your baby to adjust to.

Regarding the frequency of bowel movements, it's important to note that it's normal for infants to have varying patterns. Some babies may have several bowel movements a day, while others may go a day or two without one. As long as the stools are not hard and the baby is not showing signs of distress, infrequent bowel movements can be acceptable. However, if your baby is passing stools that are very hard or dry, this could indicate constipation, which may require intervention.

The color and consistency of the stool are also crucial indicators of digestive health. In your case, the stools being dark green and sticky can be a result of the formula change. Green stools can be normal, especially if the baby is consuming iron-fortified formula. However, if the stools are excessively foul-smelling, this could indicate a malabsorption issue or an imbalance in gut flora, especially if the baby is not feeding well or is showing signs of discomfort.

You mentioned that your baby is becoming upset and refusing to finish their bottle, which could indicate that they are experiencing discomfort or are simply not hungry. Babies can indeed develop preferences or aversions to certain formulas, and this can happen relatively quickly. If your baby is consistently refusing to drink more than 90ml, it may be worth consulting with your pediatrician to rule out any underlying issues, such as reflux or an intolerance to the new formula.

In terms of the crying and fussiness during feeding, this can be attributed to several factors, including gas, discomfort from the formula, or even just a phase of development where the baby is more sensitive. It's essential to monitor your baby's behavior closely. If they are otherwise happy, gaining weight, and meeting developmental milestones, then the changes in bowel habits may not be a cause for concern. However, if you notice any signs of distress, such as persistent crying, refusal to eat, or changes in weight, it would be prudent to seek medical advice.

In summary, while some changes in bowel habits and feeding patterns can be normal, it's crucial to keep an eye on your baby's overall well-being. If you have any concerns about their feeding, bowel movements, or general behavior, don't hesitate to reach out to your pediatrician for guidance. They can provide personalized advice and determine if any further evaluation or intervention is necessary.

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