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Orange stain in diaper
37 days old baby boy. Noticed orange stain in diaper. Breastfed for the last three days. Earlier on formula as well as breastfeed. Is it normal? Is the feed enough.
Answers (9)
Greetings
Orange stains in a diaper are usually urate crystals from highly concentrated urine.
While common during the first few days of life, this finding is unexpected at 37 days old.
This discoloration often indicates mild dehydration or that the baby is not getting enough milk.
Kindly visit a pediatrician to evaluate the infant to check their weight gain and overall hydration.
Closely monitor the baby to ensure they are producing at least six heavy wet diapers a day.
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Dr. Jay Gajjar
Pediatrician
8 yrs exp
Surat
Physical assessment is mandatory
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Dr. Divya Singh
Pediatrician
9 yrs exp
Panchkula
Orange stains are usually due to urate crystals (concentrated urine). However, at 37 days, please ensure adequate feeding. Baby should have at least 6 wet diapers in 24 hours with good weight gain. Breastfeed 8–12 times daily
Next Steps
If stains persist or urine output is low, get a feeding and weight assessment done by your paediatrician
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
7 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Kanika Gupta
Pediatrician
3 yrs exp
Faridabad
orange stain in a wet diaper usually comes from concentrated urine or urate crystals . At 37 days this is a bit later. since you only moved fully to breastfeeding three days ago and he's still settling into the new pattern.
Next Steps
Check Weight gain and urine output and adequacy of sleep for the next week and consult a pediatrician.
Helpful Tips
See a pediatrician the same day if he seems feeds poorly, or you notice any blood in the diaper.
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Mr. Bhalala lalji narshibhai
Pediatrician
8 yrs exp
Ahmedabad
*Orange stain at 37 days is likely urate crystals / concentrated urine.*
This is commonly called "brick dust" appearance. It is common in first 3-4 days of life, but at 37 days it usually suggests inadequate breast milk intake and mild dehydration.
*What to advise parents:*
1. *Feeding adequacy:* Baby should feed 8-12 times/day, at least 20-30 min per feed. Since baby was on mixed feed earlier and now only breastfed for 3 days, transition may have caused less intake.
2. *Check hydration signs:*
- Urine frequency - should be at least 5-6 wet diapers/day
- Urine color - should become pale yellow, not dark orange
- Baby activity, alertness, skin turgor, weight gain
- Stool pattern
3. *Red flags to visit immediately:* Lethargy, poor cry, sunken fontanelle, dry lips/mouth, no urine for >6 hours, fever, poor weight gain.
This needs *physical weight check and assessment of feeding technique and quantified feed volume*. Advise to visit nearby Pediatrician for weight plotting and counseling on exclusive breastfeeding.
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Dr. Tangade Vishal Bhanudas
Pediatrician
4 yrs exp
Pune
Visit physically to nearby pediatrician.
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Dr. Pooja Singh
Pediatrician
8 yrs exp
Gurgaon
Keep watch, orange urine could indicate concentrated urine which in turn may be due to inadequate feeding that leads to mild to moderate dehydration, keep watch on baby's activity, feeding pattern and urine output.. but best to consult further based on weight and quanitified feed volume as baby is too young
Next Steps
consult a good pediatrician
Health Tips
ensure breastfeeding/ formula every 2-2.5 hourly.
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A single orange or pink tinged stain in a wet diaper usually comes from concentrated urine, something urate crystals cause, and it normally settles once feeding picks up. At 37 days this is a bit later than when it's most common, but it's not alarming on its own, especially since you only moved fully to breastfeeding three days ago and he's still settling into the new pattern.
Next Steps
Track his wet diapers over the next day or two and aim for six or more, and check his weight gain at his next pediatrician visit to confirm the feed is enough.
Health Tips
See a pediatrician the same day if he seems unusually sleepy, feeds poorly, or you notice any blood in the diaper.
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