Newborn baby's bowel movements are yellow-green and granular, what should I do about the anus?

Patient's question:

What is the reason for the newborn baby's yellow-green, granular stool with slightly broken skin around the anus? The baby is 12-13 days old and is currently being fed a mix of breast milk and formula, with a transition to a new formula brand underway. In the afternoon, the baby's stool suddenly became yellow-green and granular, and there were three or four small areas around the anus with slightly broken skin. What could be the cause and how should it be resolved? Thank you!

Doctor's answer:

According to your description, the newborn baby's stool is yellow-green and granular, which may indicate some indigestion; there is a slight skin break around the anus, which could be due to frequent bowel movements, possibly causing a small anal fissure. It's not a serious issue, so there's no need to worry excessively.
It's recommended not to be too concerned and to focus on careful observation. ~It will likely resolve within a few days. If necessary, you can give the baby some "Mama's Love" (a probiotic supplement). After each bowel movement, gently clean the anus with warm water and apply gentamicin ophthalmic ointment. You should see improvement within 2 days.
Note: During each feeding, first breastfeed the baby for 5-10 minutes, then switch to formula milk for digestion and feeding.
Wishing your baby good health!

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