Breastfed Baby’s Poop: How It’s Different & When To See Doctor

Yellow to a light greenish-colored paste like seedy poop is normal in breastfed babies.

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Monitoring a breastfed baby poop can tell you about their wellbeing. Most breastfed babies may poop around five to six times per day or more than that. A few babies may even poop after each feeding session. Checking the frequency, quantity, texture, and consistency of a newborn’s poop can help the caregivers or parents understand if the baby is well-fed or has any health issues (1).

Read on to know about breastfed baby poop and when to seek pediatric care.

How Often Should Breastfed Babies Poop?

The number of times a breastfed baby poops can tell you whether or not they have enough milk per day. Sometimes a baby might poop twice or thrice a day or even more. The frequency of poop increases gradually by the fourth or fifth day and will continue until around six weeks.

Some babies might poop after every feeding, which is normal. It happens due to the gastrocolic reflex, which causes the digestive system to function whenever food reaches the stomach (2).

What Is A Normal Breastfed Baby Poop Like?

Meconium is the first poo your baby will pass within 24-48 hours of birth. It is usually greenish-black and has a sticky texture (1) (3). It has no distinct smell, so you might not know when your baby has pooped.

In some cases, the baby might pass the meconium before birth. This happens because the baby might be under stress or due to a lack of oxygen. When the meconium is passed into the amniotic sac, there might be chances the baby inhales it into the lungs. This leads to meconium aspiration syndrome (MAS) that causes breathing problems in newborns.

After three to four days of birth, your baby’s poop will become lighter in color and less sticky in texture. This color change happens when your baby starts to digest the breastmilk (1). The color of a healthy breastfed baby’s poop is slightly green or mustard yellow. It has a creamy texture, and sometimes, it might also appear seedy.

It is natural to see changes in the color of your baby’s poo. There is nothing to worry about since it is usually related to the food you eat or your baby is eating (once the baby starts eating solids).

How Does Poop Change With Solids?

When your baby starts to have solid food, the color and consistency of their poop also change. During this time, the poop becomes more firm and brownish (4). The poo also starts to become smelly with the introduction of solid food. You might also find a few chunks of food in your baby’s poop (seedy poop).

  • Greenish-brown: Green poop is completely normal and can be due to having green food.
  • Dark green: It might be due to the presence of iron in the food, and the source can be an iron supplement or an iron-fortified baby formula (4).
  • Darker yellow: This is usually found in formula-fed babies. The characteristic color can be either yellow or green. It has a stronger smell and a thick pasty consistency.

When To See A Doctor?

You should immediately consult your child’s pediatrician or healthcare provider if you notice the following in your baby (4):

  • Red poop: Red color might be because of having beets in the diet. However, if that is not the case, then red streaks in the stool might indicate blood. A smaller amount could be due to infant constipation, whereas, the higher amount might indicate some internal problem.
  • White poop: Colorless, chalky, or white poop might mean a liver or gall bladder problem.
  • Black poop: This is normal until two to three days after birth. However, if it continues for about a week of birth, it might indicate blood in their gastrointestinal tract.
  • Frothy/foamy poop: This happens when there is an increased concentration of lactose in the breastmilk.

Frequently Asked Questions

1. Why can breastfed babies go days without pooping?

It is normal for breastfed babies to go about two weeks without pooping because their strict breastmilk diet provides them with all the nutrients they require and use up, leaving little to be excreted out (5).

2. How do I help my breastfed baby poop?

Although it is usual for breastfed babies to not poop for a few days and they rarely suffer from constipation, if they do not poop for longer periods, you may try the following (6):

  • Give them a warm bath
  • Massage their bellies, giving gentle pressure in a clockwise direction outward from their belly button
  • Move their legs in a bicycle motion while they lay on their backs

Variations in the baby poop are normal from time to time. There might be a wide range of colors, textures, and consistencies indicating the baby’s health and feeding pattern. However, it does not mean that all of them indicate some internal problem or disease. Checking with your baby’s healthcare provider or pediatrician can help in proper diagnosis and timely management.

Key Pointers

  • The number of times a baby poops often indicates whether they’ve had enough milk in a day.
  • A healthy breastfed baby’s poop may be creamy in texture and greenish or mustard yellow.
  • As the baby starts solids, the poop becomes firm and may be greenish-brown, dark green, or dark yellow.
  • Contact a doctor if the poop color becomes red, white, black, etc.

References

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