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3 month old child, dark green stools, foul smell, excessive gas. On formula feeds. Treatment?

dear sir, my baby is 3 months old.. she has been having dark green colour motions from a month, which has a very bad odour different from other infants i have observed. she has excessive gas and writhes in pain and cries loudly when she has to pass it from when green motions have started... before that she was very comfortable....she is formula fed and i am very careful about its hygenic preparation..... plz advice.
Asked On : Fri, 9 Nov 2012
Answers:  3 Views:  982
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Pediatrician 's  Response
at first you should use breast milk if possible. formula feed is not tolerated by your baby. if it is not possible , then prepare the formula in strict hygienic condition , like boiling the water and cooling before preparing feeds. then syp metronidazole and some prebiotics to be used.
Answered: Fri, 9 Nov 2012
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Pediatrician Dr. Amit Kumar's  Response
hello! i think your child may be suffering from what i called as lactose intolerance that is generally temporary after some kind of gastro-intestinal upset. i would also like to know whether she is passing loose stools currently of any time during the last 1 month. u should consult pediatrician in your area and he will advice some commonly available tests to reach a diagnosis. secondly green colored stool can also be there due to inadequate feeds the child may be receiving. u don't need to worry much as it is generally a transient condition and will go away as the child is weaned to other home made food, but do consult your pediatrician before doing any thing. thank you
Answered: Fri, 9 Nov 2012
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Pediatrician, Neonatology Dr. Arunava Biswas's  Response
Could you remember if the green stool started after putting her on formula milk or changing the formula brand? Dark green coloured stool is normal in formula fed babies. Iron contents in the formula is not absorbed completely and remaining part in stool makes it green.

Gas in bowel comes from two source, air and intestine. Baby intakes a lot of air in their stomach while feeding. This is more common in breastfed babies, but also seen in formula fed babies. Please check the following during feeding her -

1. Choose the right feeding bottle. The one with nipple that stays back in baby's mouth and the curvature fits baby's chin angle is the best. Otherwise, baby has to suck more to get milk. In the process, she intakes more air too.

2. While feeding, put baby in uplifted posture, so mouth is at a higher level than stomach.

3. Put the bottle in such a way that the nipple end of bottle stay lower, then the baby gets only milk, not air.

4. Burp the baby after feeding. Pat repeatedly on her back in sitting position, or hold her on chest so her chin touches your shoulder, then pat on her back. This will make her burp and get the air in stomach out.

5. The air in intestine comes from gas produced by digestion of milk. Intolerance to some food components (most commonly- lactose) may cause excessive production of fowl smelling gas. Prebiotics and probiotics may help in such situation, consult your pediatrician before use.

If the problem still persists, consult your pediatrician and get your baby examined.

Post if you have further queries.
Answered: Fri, 9 Nov 2012
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