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45 days old passing stool more then 8 times. Feeding with enfamil state 1. Is this common?

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Pediatrician, Neonatology
Practicing since : 1970
Answered : 891 Questions
Hello Doctor,
My daughter is of 45 days old and she is passing stools more than 8 -11 time per day. We are feeding her with Enfamil State 1 as her mother not able to get the brast milk. She is passing the stools very forcely and Stools are not toomuch watery and are yellowish. We consult the local doctor, but he said its common for bottle feeding babies. Could you please suggest your opinion?
Posted Fri, 9 Nov 2012 in Digestion and Bowels
Answered by Dr. Uma Rajah Ananth 40 minutes later

If the stools are not watery and yellowish in colour, then the stools are normal.

Regarding the frequency of 8-11 times per day also, it is normal. This happens because of a reflex in small infants called gastrocolic reflex by which the babies pass a stool when the baby just starts to take a feed.

As the child grows this pattern will improve.

You can get assurance that your baby is normal from

1-noting the weight gain of the baby
2-baby sleeping normally for 1-2 hrs after the feed
3-no abnormal cry

Hope this satisfies your concern!

Above answer was peer-reviewed by
Follow-up: 45 days old passing stool more then 8 times. Feeding with enfamil state 1. Is this common? 8 days later
Hello Doctor,

How long the gastrocolic reflex symptoms will be in kids normally. Now my baby is passing the stools very watery and yellowish,after she had cold from the past four days. We are using WIKORYL oral drops for the cold suggested by the local pediatrician.
But we are a bit worrying about the freequent stools. Is there any alternatives to control the freequent stools like changinng formula or medicine?

Apart from this the baby weith gain, sleep are fine.

Please advice.

Best Regards,
Answered by Dr. Uma Rajah Ananth 34 minutes later
Thanks for the details.
Gastro colic reflex usually persists for 6-8 months.
The watery stools in your baby following cold are abnormal.
This is mostly due to viral infection which caused both the cold and watery stools.
The cold medicine is ok.
For the watery stools,give some oral electrolytes .
This is available in sachets with instructions printed.
Mix the powder in clean water and give 1 oz after every watery stool.
Observe the urine output.
Check the watery stools for reducing substance in the laboratory. If negative, there is no need to change the milk. If positive, you have to start lactose free milk.
Kindly get in touch with your pediatrician again and let him assess the child.
Good luck
God bless
Dr Uma
Above answer was peer-reviewed by
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