Bowel Movement when I Change his Nappy
Category:
Miscellaneous
Age:
4 mo.
Bowel Movement when I Change his Nappy
Hi Helen

My 4 1/2 months old son has started on solids, i.e. cereal and gruel. His stools have become more firm, and he has bowel movements every second day. I breastfeed him the remainder of the day.

Only once has he had bowel movements in his nappy, otherwise it is always when I am changing his nappy. I often sense when it is time and I usually help him a little massaging around his navel and doing cycling movements with his legs. Then I push his legs up over his tummy, he often starts to break wind where after the stools pass.

My husband told me yesterday that it is rather silly that I help him pass the stools, he needs to learn to do it himself ... do I do him a disservice and is bowel movement every second day normal or should it be every day?

He has 2 cereal meals a day, in total approx. 1 dl a day - besides approx. 150 ml of gruel. The rest of the feeds are breast feeds.

Only once it has seemed as if it was painful for him to pass the stools, and I gave him a spoonful of prune purée on top of the cereal. His stools are firm but not hard.

Best regards
Christina


Helen Hansen
Answer

Dear Christina

Well ... with premature babies the procedure is often as described by you, i.e. push the legs over the baby's tummy, massage gently around the navel, which helps them pass the stools. With this in mind, little by little they learn to have bowel movements without any help. I understand that the stools are about to pass and that you help by massaging and pushing his legs up - or ...?

On the other hand, I agree with your husband that your son has to learn to do it himself, but he is still so young and I do not think that it could influence his behaviour in this regard in future. The most important is to be sure that he has his bowels moved and you just have to help him the best you can.

Bowel movements every second day is quite normal, but you have to pay attention to how your son reacts when he has his bowels moved as well as to take a look at the stool consistency, i.e. he should not be in any pain, and the stool consistency should be soft and be passed without any problems. It is fine that you regulate his stomach via the food, i.e. offering him fruit/prune purée should the stools seem too hard, variate between the different cereals. As he will start on vegetable purée, this way having an even more variated diet, you will experience that his bowel movement routine will change.

I hope this is helpful. I wish you and your son the best of luck:o)

Kind regards,

Helen Hansen