My 2 MONTH Old Daughter Is Not Passing Stool From

Posted on Sat, 28 Dec 2019

Question: My 2 MONTH old daughter is not passing stool from 37th day.She is 70 days old now. Meconium was passed 38 hrs post birth without stimulation. We started Duphalac syp. 3ml twice a day, didnt work at all. Only Dulcolax suppositories are helpful so far( once in 5-6days). She passes a lot of gas (Shows discomfort) and passes Urine without any problem.
X-ray BARIUM ENEMA (normal /contrast) reports are normal. TSH is normal.
Birth wt is 2.8kg. Present wt is 4.2kg(Breastfeeding). Till 37th day she urinated more than 10 times atleast and passed stool twice fully. She is a full term baby but we choose C-section (as my 1st delivery was C-section with no complications). What could be the treatment for this condition?

Answered by Dr. Sumanth Amperayani (7 hours later)

Brief Answer:
I need some more information please

Detailed Answer:
I understand your concern.
She has doubled the birth weight which is an excellent prove that she is not having anything major.
She is feeding well which is again a pointer that the baby is healthy.
She does not vomit every feed.
Her thyroid status appears to be normal and even the barium enema is normal which almost rules out Hirschsprung's Disease.

1. Do you mean that she is passing flatus but she is not passing stools?
2. She has not passed even a speck of motion or do you mean that her passing is difficult?
3. Can you upload here if you have any of her reports in hand?
4. Is there any family history of constipation?

Best regards - Dr Sumanth A

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sumanth Amperayani (11 hours later)

My daughter is very fussy during feeding and after due to flatulence. No vomiting at all so far. 1. She is passing flatulence after every feed. There are traces of motion on diapers coming our with gas, when Duphalac was given but not otherwise. 2. Not passing any stool at all on her own unless Dulcolax suppositories are used periodically. The stool she passes after Dulcolax is not hard but Creamy paste texture like. 3. Uploading the X-ray report FYI. 4. No family history of constipation.

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
Suggestions on constipation

Detailed Answer:
Hello... I understand your concern.

Please be rest assured that this is a completely physiological issue and nothing related to constipation at all.

Babies of this age until 6 months of age (either breastfeed or formula fed) usually how some discrepancies in the bowel movements.

They can pass motion 10 times per day or 10 days once also.

As long as the baby is feeding well, urinating at least 4 times per day, is active otherwise and smiling - you need not worry at all about this particular pattern of stools.

You need to worry only when there are symptoms like -

1. Not passed motion consistently for 10 days.
2. Abdomen is distended and tight.
3. Vomiting consistently or green colored or bilious vomiting.
4. Not passing flatus for 7 to 10 days.
5. Refusal of feeds.
6. Decrease urine output and the baby not being active.

I wish your kid a bright future. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Best regards - Dr Sumanth Amperayani

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (24 minutes later)

Thanks doctor. The symptoms 1, 2 , 5 and 6 are prevalent at present. Due to this problem baby feeding time is reduced considerably and she is sleeping for long hours. Urine output is reduced as well. With Dulcolax instant motion occurs. Could this be an Intestinal issue or Nerve growth related ?

Answered by Dr. Sumanth Amperayani (21 minutes later)

Brief Answer:
Suggestions on constipation

Detailed Answer:
I suspected Hirschsprung's disease - but the Barium enema being completely normal is the red herring here.
But if the baby's weight gain is appropriate - it should not be anything serious.
As soon as the baby is 6 months old - start giving her papaya (best natural laxative) along with water and this problem should get solved.
If not the gold standard test to rule out nerve problem is - a rectal biopsy.
I am a consultant at XXXXXXX Kamakoti CHILDS Trust Hospital in XXXXXXX and you may approach me in this regard please.

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar