I have a mother with a 7 month old baby girl, full term. She has given
permission to post. Breastfeeding established well and the baby has been on
exclusive breastmilk for the first six months. Baby has always been a low
poop baby - with a dirty nappy every two weeks to three weeks. No pain, or
suggestion of discomfort when passing mustard yellow poop the mother
descibes as the consistency of paint. Baby started the 'two week' poop at
about 3 weeks old, and one 'Microlax enema' a lubricating gell for ease of
passing, was administered once in the first few weeks.
For the past two weeks, baby has been having a few spoonfullls of pureed
veg, fruit, and baby custard.
Still nursing on demand, and frequently, no other liquids.
Baby was in pain and discomfort, and mother guessed it was consitpation. She
did baby massage, cycled legs and some solid, yellow but not hard, poop
emerged. Mum continued to massage and aid the poop out - again, firm and
broke off, but not hard. Baby was straining and in great distress, and
mother found fresh blood streaks, which she presumed was from the straining.
At this point she administred a 'Microlax enema' using less than the 5ml
tube and continued to massage and aid transit. All cleared through and baby
returned to 'normal'.
Mother has tremendous bowel problems as a small child, which was diagnosed
as 'spastic bowel', although it never responded to fibre. She's worried
sick, and quite badly scared by both the amount of pain, and the blood. I've
reassured her that fresh blood streaks when the baby was straining so hard
is probably not a problem at all, and to stop giving solids for a few weeks
whilst we sort out what might be going on. She's happy to do this. The
baby custard lists both ground rice and maize as a thickening agent.
Mum is the Rural Outback in Australia. Baby is thriving and weight gain is
good and there is an older child who has not had this problem.
Any thoughts?
Morgan Gallagher
Online Lactaneer
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