Liane, this honestly seems to me to be a case of a baby who is not getting 
enough milk. The problem is not that he's not pooping, the problem is that 
he's not getting enough milk to make him poop!! Either the mother is not 
producing enough or the baby is not transferring the milk (hard to tell from 
what you are saying - but the before and after weight of 2 ounces is not 
enough, for one thing, and this baby is way below his birth weight at 18 
days). I would be significantly concerned.

You mentioned that mom is pumping and supplementing with small amounts of 
her milk. Is that because she's only getting small amounts? If so, milk 
production may be the issue, and I'd take steps to increase it - more 
pumping, herbs, domperidone. If she has more, I'd strongly encourage her to 
give that baby everything she has. But given how low his weight is at this 
point, I think supplementation with donor milk or formula is likely to be 
necessary.

Maybe there is a medical issue, but I'd want to be providing this baby with 
more milk first to see if we can rule that out. Give him plenty of 
supplement and see if things improve.

Teresa Pitman 

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