What should I do if my baby doesn't have a bowel movement for five days?

Patient's question:

Infant, breastfed, may drink one bottle of formula a day, or maybe one bottle every two or three days. White and thick tongue coating, sometimes spits up milk, talks nonsense and smells bad. Previously had a bowel movement every two or three days, the last time was three days ago, now it has been five days without a bowel movement. Stool is watery...

Doctor's answer:

Dear friend, this is how small babies are. They haven't yet developed the habit of having bowel movements at fixed times every day, which means they might not have a bowel movement at all. As long as their bowel movements are not constipated, there is no need to worry.
You need to gently massage the baby's abdomen daily. Use your three middle fingers to massage in a clockwise direction around the navel, for 5 minutes each time, once in the morning and once in the evening. This can help slow down the baby's intestinal movement and encourage bowel movements.
Additionally, from the time the child is two months old, it is important to train them to develop good bowel movement habits, so they can have bowel movements at regular times. The best time for bowel movements is in the morning or before bedtime. Bowel movements in the morning are ideal, while those at night can help the child sleep more soundly. Bowel movements before meals are good for the child's digestion, but avoid bowel movements after meals.
First, observe the child's bowel movement patterns carefully, and then, based on their condition, consciously establish a regular bowel movement schedule. During bowel movements, the mother should make the sound "" together with the child.
Advice: Boiled water is the best laxative for infants. Infants need a large amount of water daily, with each feeding amount being about half of their milk intake:
- Week 2: 30 ml
- Week 3: 45 ml
- After 1 month: 50–60 ml
- At 3 months: 60–75 ml
- At 4 months: 70–80 ml
- At 6 months: 80–100 ml
- At 8–12 months: 100–120 ml
Increase the amount of water appropriately in the summer. If the child has a fever, high fever, vomiting, or nausea and is losing fluids, they should drink more frequently.
Daily Care: The gastrointestinal system of young children is still developing and improving. They can benefit from probiotics like Mimi Ai and He Sheng Yuan. Both Mimi Ai and He Sheng Yuan are probiotics (not medications) that help regulate the gastrointestinal system. Mimi Ai is more affordable, while He Sheng Yuan is relatively more expensive.

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