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Pediatrics/2 month old - No BM in 30 hours

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Question
My 2 month old hasn't had a BM for almost 30 hours. Baseline 3-5 BM's per day - usually during breast feedings. He is mostly breastfed with occasional supplement formula if breast milk is unavailable while I am at work. Abdomen appears slightly distended with +BS and flatus. He is not overly fussy at this time. No fever or any other associated symptoms. Should I be concerned?

Answer
Hi, Daisy,

Breast fed infants sometimes have weird, but normal pooping patterns the change inexplicably.  I have seen breast fed infants go a week without a stool and be fine and have no distress.  When they have one, watch out!  It can be big and explosive.  If they seem to be having some distress, then gently stimulation of the rectum with a well lubed q tip inserted a centimeter in will sometimes promote a stool.

Good luck, Dr. Olson

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David Olson, MD

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I would be happy to attempt to answer any questions about general pediatric topics, either medical issues or behavioral issues. This would include all the various questions one receives in a busy pediatric practice. I`m a board certified pediatrician in northern Michigan and have been in practice for over 15 years. I enjoy the teaching role I have in our practice and would enjoy the opportunity to help others with their pediatric problems.

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