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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Child, Green Stools, Passing Gas, Discomfort. Taking Breast Milk And Formula. Treatment?

My baby is 3 months old and is been having green stools 1to 2 in a day, also passing out a lot of gas. And seems to be uncomfortable. I give him both breast milk and formula. 20% of breast milk and 80% bottle feed. Can you please tell me why could he be having green stools? Is it normal or do I need to see a doc? Pls advise.
Mon, 3 Sep 2012
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Pediatrician, Cardiology 's  Response
Hello
Thanks for the query
At three months in a breast and formula feed baby green stool is common. Actually green color is due to bile pigment in stool which usually breakdown into its products giving normal yellow or brown color to the stool. In infancy actually enzymes are not fully matured used in bilirubin metabolism. Passage of gas and bloating can be prevented by keeping the baby in upright position after feed and burp him frequently. Chances of bloating is more in bottle fed baby as baby swallow more air during bottle feed in comparison to breast feed. If size of nipple is small it will allow the baby to gulp air. You can avoid excess dairy products, legumes, tomato in your diet. Follow all these measures and observe for recent gross change in frequency and consistency of stool.
Even after this if symptom persists or any other change in baby's general health, then consult your doctor.
I hope this answers your query effectively.
With regards
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Small Child, Green Stools, Passing Gas, Discomfort. Taking Breast Milk And Formula. Treatment?

Hello Thanks for the query At three months in a breast and formula feed baby green stool is common. Actually green color is due to bile pigment in stool which usually breakdown into its products giving normal yellow or brown color to the stool. In infancy actually enzymes are not fully matured used in bilirubin metabolism. Passage of gas and bloating can be prevented by keeping the baby in upright position after feed and burp him frequently. Chances of bloating is more in bottle fed baby as baby swallow more air during bottle feed in comparison to breast feed. If size of nipple is small it will allow the baby to gulp air. You can avoid excess dairy products, legumes, tomato in your diet. Follow all these measures and observe for recent gross change in frequency and consistency of stool. Even after this if symptom persists or any other change in baby s general health, then consult your doctor. I hope this answers your query effectively. With regards