Baby's Bowel Movements on Hydrolyzed Formula

Infant formula and bowel movement issues?

Doctor: Hello! My baby is one month old and is drinking Nestlé NAN Hypoallergenic Formula.
His stools have always been soft and mushy, occurring once or twice a day.
I would like to know if drinking hypoallergenic formula could cause this type of bowel movement.
Is this kind of stool normal? Thank you.

Wawa, 20~29 year old female. Ask Date: 2016/02/12

Dr. Xiao Kaiwen reply Pediatrics

It is normal for infants to have bowel movements ranging 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.
Therefore, soft, mushy stools are normal.
The shape of the stool is not related to whether the infant is consuming hydrolyzed protein formula.

Reply Date: 2016/02/12

More Info

When it comes to understanding your baby's bowel movements while on a hydrolyzed protein formula, there are several factors to consider. First, it's important to recognize that hydrolyzed formulas, like the Nestlé NAN Hypoallergenic formula you mentioned, are designed for infants who may have allergies or intolerances to standard cow's milk protein. These formulas contain proteins that are broken down into smaller peptides, making them easier for babies to digest and less likely to trigger allergic reactions.

Now, regarding your baby's bowel movements, having soft, mushy stools is generally considered normal for infants, especially those who are exclusively formula-fed or breastfed. The consistency of a baby's stool can vary significantly based on their diet. For babies on hydrolyzed formulas, the stools may be softer than those of babies on standard formulas or breast milk. This is because the hydrolyzed proteins are more easily absorbed, which can lead to softer stools.

In your case, with your baby having one to two bowel movements per day, this frequency is also within the normal range. Infants can have anywhere from several bowel movements a day to just a few per week, and this can vary widely from one baby to another. As long as your baby is feeding well, gaining weight appropriately, and not showing signs of distress (such as excessive crying, straining, or discomfort during bowel movements), the soft, mushy stools are likely normal.

However, if you notice any significant changes in your baby's bowel habits, such as a sudden increase in frequency, a change in color (especially if it becomes very dark or has a foul odor), or if your baby seems to be in pain or discomfort, it would be wise to consult your pediatrician. They can assess whether the formula is suitable for your baby or if any adjustments are needed.

In summary, soft, mushy stools in a one-month-old baby on hydrolyzed protein formula are typically normal. It's essential to monitor your baby's overall health, including feeding patterns, weight gain, and general behavior. If you have any concerns or if your baby's bowel movements change significantly, don't hesitate to reach out to your healthcare provider for personalized advice and reassurance.

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