Q. One month old baby has not passed stool for four days. Is it something to be worried?

Answered by
Dr. Suresh Kumar G D
and medically reviewed by Dr. Nithila A

Hello doctor,

My one-month-old has not passed stool for four days. She is passing smelly gas a lot, and she is not sleeping properly. Her stomach grumbles. Why?

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Dr. Suresh Kumar G D

MBBS., DCH., MRCPCH., MRCPSYCH., CCT ( CHILD & ADOLESCENT PSYCHIATRY
Child Health Paediatrics Psychiatry

Hello,

Welcome to icliniq.com.

1. Was your baby passing stools usually before these four days? How often was she passing stools?

2. When did the baby first pass meconium (first stool)?

3. Was she passing soft stools? Was it easy to move?

4. Was she born at full term? What is her weight? How is she feeding? Breast milk or formula feed?

5. Is she fine with your feeding?

6. It is common for newborn babies on breastfeeding to pass stool only once every few days. Some babies pass stools more than seven times in a day, some pass stools once in seven days. Both of these are a regular pattern. What is important is whether the stools are soft and comfortable to pass?

7. If you are breastfeeding, continue feeding her as usual. If formula-fed, consider adding some more water or change of brand.

8. If your baby is in pain or very uncomfortable or vomiting, you need to take her to her pediatrician today for physical examination. I hope this helps.

Thank you doctor,

Yes, she was passing normally three-four times. She passed meconium last month. Her stools were yellow watery. Easy to pass. She was bored full term. Exclusive breast feeding.

Dr. Suresh Kumar G D

MBBS., DCH., MRCPCH., MRCPSYCH., CCT ( CHILD & ADOLESCENT PSYCHIATRY
Child Health Paediatrics Psychiatry

Hello,

Welcome back to icliniq.com.

If your daughter passed meconium within the first 48 hours after birth, it is reassuring. Continue exclusive breastfeeding as usual. It is normal for breast fed babies to pass stools less frequently. You can try gently massaging her tummy with fingertips and moving her legs very smoothly while giving her bath. Do not do it vigorously. Continue gentle playing with her as usual. It is not advisable to provide any medication to a baby before she is examined. If there are other concerns like not feeding or vomiting or incessant cry, she needs to be considered by her pediatrician. Otherwise, you can continue as usual.

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