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EBF baby +ve Reducing Substance Stool
My baby has suddenly started passing stool 6–7+ times a day and its been more than 2 weeks. Stool test shows pH 6 (acidic) and reducing substances - present. He is 4.5 month old and on
exclusively breastfed. Doctor has suggested introducing formula milk, but I’m considering taking a second opinion first.
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Dr Faisal Zoheb
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No don't stop breast milk. Lactose intolerance causing stool reducing subs+ve is usually temporary,along with loose motions. Unless the baby is losing weight, no need to take action. What are the other symptoms ? Please take a second opinion from a senior pediatrician
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Greetings
In an exclusively breastfed infant, a mildly acidic stool and the presence of reducing substances commonly resemble a physiological lactose overload or a temporary, secondary lactase deficiency following a minor bowel irritant, rather than a definitive, lifelong lactose intolerance. Other potential causes to consider include a secondary disaccharidase deficiency, a transient post-infectious carbohydrate malabsorption, or a cow's milk protein allergy affecting the gut lining if the nursing mother consumes dairy. Management options typically involve implementing proper breastfeeding techniques to ensure the baby receives hindmilk, introducing temporary over-the-counter oral lactase enzyme drops, or having the mother try an elimination diet.
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A stool frequency of 6–7 times/day in an exclusively breastfed 4.5-month-old can sometimes still be within normal variation if the baby is active, feeding well, gaining weight, and has no blood, fever, vomiting, or dehydration.
Acidic stool and reducing substances may suggest temporary carbohydrate/lactose malabsorption, commonly seen after a viral gut infection, and it often improves gradually on its own.
Exclusive breastfeeding should usually be continued if the baby is otherwise thriving. Formula is not always immediately required unless there is poor weight gain, persistent worsening diarrhea, dehydration, significant diaper rash, blood in stool, or concern for cow milk protein allergy/other intestinal conditions.
Next Steps
You may discuss with your pediatrician regarding monitoring weight gain, hydration, and whether a short trial of lactase drops/probiotics is appropriate depending on the clinical picture.
Health Tips
Please seek review urgently if there is lethargy, reduced urine output, persistent vomiting, blood/mucus in stool, fever, abdominal distension, or poor feeding.
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
Do not stop breast feeding continue breast feeding only
It is just temporary lactose intolerance only
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.