Fakta och råd om bebisbajs. Direkt av barnläkare. En bebis bajs väcker alltid frågor. Är grönt bajs ett tecken på sjukdom? Måste en bebis ha gult bajs? Kan ett spädbarn ha slemmigt bajs? Här kan du lära dig allt du behöver veta om bebisbajs.
Baby poo in mother's stomach
Babies should preferably not poo while in utero. During pregnancy, the baby does not eat anything by mouth. A fetus makes almost no poo, the liver, on the other hand, forms bile that is secreted in the intestines. The amniotic fluid that the child drinks is absorbed into the blood via the intestine, but some skin residues and other things can interfere with the bile acid. The intestinal contents of a healthy fetus are dark green-black and tough and called meconium.
Some children force out this meconium during pregnancy. It is considered to be a sign that the baby is stressed and it is not healthy to be in his own meconium. Therefore, the midwife supervises children who released meconium in the amniotic fluid extra closely.
Poo in a newborn
När barnet är fött ska däremot mekoniumet komma ut. Nio av tio friska barn bajsar ut sitt mekonium första levnadsdygnet. Bajsar barnet inte ut sitt mekonium under första levnadsdygnet: berätta det för BB-personalen.
Stools in breastfed infants - yellow or green poop is normal
During the first month of life, full-term infants poo an average of 5 times per day, but that varies enormously, 95% of all infants poo between 5 and 40 times a week. Half of all children poo less than four times a day during the first month of life, half more. Nappy pads are smudgy, yellow or green, grainy and often smell sour. Both yellow poo and green are perfectly normal colors for baby poo.
If the child is ok but does not poo spontaneously, but can only poo after a lot of squeezing and temptation every three-four days, you should see a pediatrician for examination, preferably via bvc.
Stools in babies who are fed formula
Children who eat formula tend to poo less often than breast-fed children. I have not found any study on how often they poo on average, but experience tells me once a day or once every other day. Formula-fed children's nappies smell more like adult faeces and are often browner than breastfeeding nappies but vary in color, shape and smell. We do not see constipated infants frequently at the paediatric emergency room, and in principle everyone receives formula, to some degree. A few babies who receive formula and are constipated have received formula that is not mixed in the right proportions. It can be dangerous, so always mix according to the instructions on the packaging!
An infant with constipation is less likely to poo more than every other day, often after a lot of tempting. Tempting can sometimes help and suffices to get the poo, which is often shaped into balls or lumps. If constipation lasts for several days, the baby starts to feel ill, maybe vomit and eats less, so it is important to help a constipated baby to poo.
Constipation since birth
If your baby had a meconium discharge later than 24 hours after birth and has been constipated since birth, you should seek pediatricians and request an investigation for congenital bowel dysfunction, as you would for a breastfed infant. However, if the child had a meconium departure the first day of life, has pooed normally and after a few weeks or months starts to become constipated, you can start treating the baby and see if it helps.
Start treatment with Lactulose 5 ml daily, increase to 10 ml daily if it does not help. Lactulose is available free of charge at pharmacies. Tell your BVC nurse that you are giving Lactulose and that your baby has had some constipation problems.
If Lactulose does not help, it is good to see a paediatrician at the paediatric ward. Bottle-fed babies can also experience constipation due to a cow's milk protein allergy, for example, and may need to try special formula with shredded cow's milk proteins or without cow's milk proteins.
Diarrhea in babies
If the baby's stool changes in the looser direction, becomes watery or much richer and much greener than before it is called diarrhea. Diarrhea in infants is usually due to a stomach ailment and there is no blood in the baby's pelvis, so is usually treated as viral gastric disease with fluid replacement. and there should be no further investigations until after three weeks have passed.
In the case of residual diarrhea lasting three weeks, seek paediatricians at the paediatric surgery for investigation. The most common cause of long-term diarrhea in nursing infants is cow's milk protein allergy.
Infants do not have lactose intolerance, as they must be able to break down lactose to take in breast milk or replacement.
White or gray poo is dangerous
If the child has gray-white poo, like putty, every time: go to the ER and show a nappy. It needs to be investigated, and can be a sign of biliary atresia, an unusual congenital liver disease.
Blood in the stool
Some infants have small streaks of blood in the stool. Nobody really knows why, and if there are small streaks and the child is feeling well, you can calmly wait. If the child has large amounts of blood in the poop - seek out a paediatrician to find out why.
A little slimy baby poop is normal. Often, the stool becomes more slimy during colds, and then it can also become more green. In case of stomach ailments, the poo may sometimes become quite slimy during certain phases. One should never seek care simply because baby poo is slimy, as it is the other symptoms that determine it.
Search the child ER at:
1. Very light stool, whitish poo
2. Abundant diarrhea with a baby who urinates less and is more tired than usual / eats less
3. Abundant amounts of blood in the stool.
Sök BVC, vårdcentral eller barnläkarmottagning vid:
1. Repeated streaks of blood in the stool
2. Breast-fed children who do not poo without temptation / squeezing and then only every third or fourth day
3. Diarrhea that lasts for more than three weeks (in case of copious diarrhea, seek help earlier than that)
4. Formula-fed children (fully or partially) who have been constipated from birth
5. Formula-fed children (wholly or partially) who have become constipated later and do not recover from 5-10 ml Lactulose daily