Blood in stool...

Jessica - posted on 03/26/2012 ( 3 moms have responded )

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So I'm not sure how often this happenes, but I thought I would ask. My friends baby has severe food allergies, and she is 4.5 months old. She is strictly breastfed. She was also diagnosed with FPIES. My question is when the baby poops it looks as though there is blood in her poop, there is RED in her poop! but when they do stool studies it comes back negative for blood, what is this red color? They also said that when they did her labs her liver, pancreas, and one other organ had increased function. Has anyone else gone through this?

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Brittney - posted on 03/26/2012

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Are you sure it is blood? does the 4.5 month old strain to poop?



A common cause of blood in an infant’s stool is a slight anal tear (fissure) from baby straining with the passage of the stool. The small amount of blood from an anal fissure tends to look like a red streak on the outside of the stool.

Another common cause of blood in the stools of infants is food allergies. The top allergens are cow’s milk products and soy. See Dairy and other Food Sensitivities in Breastfed Babies for more information.

A third common cause: If mom has a cracked nipple or other bleeding, then baby may ingest some blood from mom (this is not harmful to baby), which may show up in baby’s stool.

Occasionally, blood in the stool may be due to breastmilk oversupply. Per Dr. Jack Newman, bloody stools in some babies have been eliminated completely by resolving mom’s oversupply. This can be done by following the usual management procedures for oversupply; it can also be helpful to use breast compressions to increase the amount of fat that baby gets while nursing. See Can a baby be allergic to breastmilk? for more information on oversupply causing blood in baby’s stool.

There are several case reports of a baby beginning to have mucous and/or blood in the stool after starting vitamin/fluoride drops, where the blood disappeared after the drops were discontinued.

Blood in the stool may also be caused by a temporary case of lactose intolerance, due to an intestinal infection.

Certain kinds of infectious diarrhea can cause bloody stools in babies, including Salmonella and C. Difficile. C. Difficile is a bacteria that grows in the gut if the bacterial balance has been upset; the toxin can cause injury to the mucosa and bloody stools. Breastfed babies tend to have less severe symptoms than non-breastfed babies because breastmilk inhibits the growth of the bacteria.

Various forms of colitis , intussusception , or other intestinal disorders are other possible causes.

Jessica - posted on 03/26/2012

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The blood never goes away...no matter what the mom does:( but every time she does a stool sample it comes back neg. there was only one time it didn't. Do you know anything about lab work coming back really elevated? Her liver and pancreas and she also was checked for infection in her poop and nothing...

Brittney - posted on 03/26/2012

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Red can also be something she has eaten, I gave my daughter a taste of tomato sauce one day when she was 5 months old and then she had red poop, I waited a few days and it went away. Red can also be from blood in the stool (which you pointed out negative), a food allergy (maybe to something mom is eating), and some medications (like red infant tylenol). If it is still red, then the doctor should know what to do. FPIES usually goes away at about 3 years old.

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