#asktheexpert my baby is passing stool frequently upto 15 times in a day from birth,i consulted many doctors all are saying it's common for upto 4 to 5 months but my family members are stressing that it is not common and the growth of baby is also not well because of this frequent motions. can anyone doctor suggest if this issue is common or not

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Accepted Answer

It can be concerning when a baby is passing stool frequently, but it's good that you’ve consulted doctors already. As they mentioned, frequent bowel movements can be common in infants, particularly in the early months. Here are a few things to keep in mind:

1. Normal Frequency

Newborns and infants, especially in the first few months, can pass stool anywhere from several times a day to even 15 times a day. It varies widely between babies. This is often because their digestive systems are still maturing and adjusting to the milk (whether breast milk or formula).

Some babies on breast milk can have more frequent stools compared to those on formula.

2. Consistency of Stool

The consistency of the stool matters more than frequency. If the stools are soft or slightly runny, it’s usually not a concern. If the stool is watery or looks like diarrhea, that could be a sign of an issue such as infection or food sensitivity.

Look for signs of dehydration (dry lips, fewer wet diapers, lethargy) if the stools are very frequent and watery.

3. Look for Other Symptoms

Signs of discomfort: Is your baby fussy or showing signs of abdominal discomfort along with the frequent stools? This could indicate a digestive issue or a food sensitivity/allergy.

Changes in feeding: Is your baby feeding well and gaining weight? If not, this could be another indicator to investigate further.

4. Potential Causes to Consider

Breastfeeding: If you’re breastfeeding, ensure that your baby is latching well. Sometimes, frequent stools can occur if the baby is getting mostly foremilk, which is more watery. Try to ensure the baby is getting enough hindmilk as well.

Food sensitivities or allergies: If you’ve recently introduced solids or formula, it could be a sign of a food sensitivity (e.g., lactose intolerance or a sensitivity to certain proteins).

Infections: Though you mentioned you consulted many doctors, if the stool is watery or contains mucus or blood, it could indicate a gastrointestinal infection.

5. When to Seek Immediate Help

If your baby seems very uncomfortable or the stools are very watery and frequent (more than 15 times a day), blood in the stool, or if the baby is showing signs of dehydration, you should consult a doctor again for a more in-depth examination.

Tips for Relief and Monitoring:

Hydration: Ensure your baby is drinking enough fluids, especially if stools are watery. Breast milk or formula should be sufficient in maintaining hydration.

Watch for any changes in behavior: Any drastic changes in your baby's behavior, such as becoming very irritable or lethargic, should be noted and discussed with the pediatrician.

Track the stool patterns: Keep a log of the frequency, consistency, and any related symptoms, as this can help your doctor identify the cause more easily.

If the doctors have already cleared the situation as common for now, and if the baby is gaining weight and seems otherwise healthy, the issue might resolve itself with time. However, if you feel uncertain or if the condition worsens, seeking a second opinion from a pediatric gastroenterologist might help.