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Question
Hello doctor,
My baby is currently six weeks old and what we have been observing is that he finds difficulty while pooping..We give him gas drops and pear juice everyday..He is both breastfed and formulafed..initially he was given enfamil..He used to spit a lot so our doctor advised us to give him similac..Once we started off with similac my baby had severe gastric trouble..We doubted if it was because of similac..So without consulting with doctor we discontinued similac and continued with enfamil as before..He was doing better then..But even now he finds it difficult on few days..How many times a day does he need to poop..Could you please advice me doctor..
Thankyou!!

Answer
Hi Sahana,

Frequency of pooping varies widely in normal babies. Many normal babies do it upto 10-15 times a day...On the other hand, many other normal babies do it once in 3-4 and even upto 7 days!. Anything in between is considered "normal", if the baby is otherwise active, feeding well and passing urine regularly.

"Gas" is also normal, especially in exclusively or predominantly breastfed babies. There is no need to give "gas drops".

Unless the poop he passes is dry, hard that is coming in small pellets or pencil like, your baby sounds fine to me.

All babies (even those who pass watery poops) "appear" to strain (face going red and straining "gestures" they make) as they perceive the normal "bowel pressure" as "discomfort". They do the same before peeing also, if you notice carefully. All this is normal and there is absolutely no reason to worry/ give any medication/ change formula.


Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India

+91-9818356846, +91-11-45535647

www.KumarChildClinic.com

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Dr. Puneet Kumar

Expertise

I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query requiring specific diagnosis of a particular subject.

Experience

I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 15 years of experience in the field.

Organizations
Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (http://www.kumarchildclinic.com)

Publications
(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. http://www.pediatricsciences.com/issue/view/1050000010 (f) Regular column, “How do I treat” in Pediascene (www.pediascene.com) (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 (http://www.pediascene.com/page.php?cid=6&catid=9&id=132 ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

Education/Credentials
After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

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