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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Runny And Painful Bowel Movement In A Baby?

my 4 month old baby is always screaming in pain when he has a bowel movement, he goes every day, sometimes a few times a day, they are soft stools, often very soft and runny, he also spends the whole day in pain trying to go. I have just started weaning him, this has made no difference, its as though he is constantly constipated without actually being constipated?
Mon, 26 Sep 2016
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Pediatrician,  's  Response
yes , your child is constipated , and the loose motions you see sometimes is due to the Fermentation of the stool by his bowel bacteria .
children around the age of 4-6 months usually have these symptoms because of the change in bowel mucosa and it's beneficial bacteria , the constipation may resolve but the pain is still there because of a minor Anal fissure developed due to the straining.
breastfed babies rarely can have this problem, so I recommend you to try shifting the milk towards breast milk and cut down the cows milk .
the use of lactulose 2.5 ml twice daily is very helpful to loosen his stool , you can decrease the dose when you feel he is passing a lot of stool .
I hope this helps
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What Causes Runny And Painful Bowel Movement In A Baby?

yes , your child is constipated , and the loose motions you see sometimes is due to the Fermentation of the stool by his bowel bacteria . children around the age of 4-6 months usually have these symptoms because of the change in bowel mucosa and it s beneficial bacteria , the constipation may resolve but the pain is still there because of a minor Anal fissure developed due to the straining. breastfed babies rarely can have this problem, so I recommend you to try shifting the milk towards breast milk and cut down the cows milk . the use of lactulose 2.5 ml twice daily is very helpful to loosen his stool , you can decrease the dose when you feel he is passing a lot of stool . I hope this helps