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Mill Valley Pediatrics - Items filtered by date: June 2016
16 June 2016 In News




As the triage nurse here at Mill Valley Pediatrics Inc., I am aware of all of the concerns that parents have for their little ones. As I listen to the phone messages and call parents back, I realize that the number one concern is…well…”Number 2”.

Newborn Stool:

When your baby is first born, the type of stool you will see in the diaper will depend on whether your baby is consuming breast milk and/or formula. The first few bowel movements (BM) are normally sticky and dark in color. During the first few days of life (normally between days 2-4), you will see the stool transition to a creamier, yellow-green color. This is a sign that your baby is starting to digest the milk/formula. (Yay!) As your baby grows, the stool will continue to change from time to time. It is important to remember that EVERYTHING affects your baby's stool! Illness, changes in what they are eating or drinking (formula changes) etc. all may cause your childs stool to appear different. While your baby’s body is adjusting to the outside world, you may see your baby grunt, get red in the face, and whimper while they are trying to pass stool. This is very common and it takes young babies some time to figure out how to use all of these muscles together and push the stool out. Should this become excessive or your baby becomes more fussy, please call us. Remember, you know your baby best!


Transitioning from breast feeding to formula feeding and later to cows milk: When an infant is breastfeeding, majority of the breastmilk is used up by thier little body which results in fewer stools in the diaper. As the child is transitioning from breast milk to formula, your baby’s stools will change almost immediately. Once the child is taking formula, the stool will become thicker and the color may change to more of a brown color. The consistency of the stool may be similar to peanut butter.  Your baby may have bigger bowel movements, but less often. It is important to note that if you change from one formula to another, you may see a change in bowel habits as well.

Adding solids into baby’s diet: As your little one begins to eat solid foods, the texture, color, and consistency of the food may change the stool as well. Example: if your little tyke takes in a lot of strawberries, you may see these in the diaper. It is common to see chunks of food in the diaper. Again, you may see your baby straining, grunting or getting red in the face while trying to pass stool. This is common, as the baby is learning to adjust to the new consistency.

Final advice on constipation concerns: Constipation is the presence of hard stool. This means that we don’t worry so much about the time between bowel movements. As your baby grows and changes his/her bowel habits may change as well. If your baby is having hard, pebble like stool, this is true constipation. If the stool is large and soft but comes less frequently, and your baby is passing gas and not vomiting, this is okay to monitor at home. Should you see a little blood on the wipe, on the stool, or in the diaper, this is okay! Large, hard stool can cause fissures which are a small tear in the rectum. Again, you know your baby best!  Should you have concerns always call our office, we are here to help!

Tips to help constipation:

*Provide juice if over 4 months of age or as directed by physician – ½ juice to ½ water – any baby juice is ok (apple, grape, prune, or pear).

*Bicycle leg movements

*Warm bath to soothe tummy

*Apply Aquaphor or Vaseline to help protect bottom when stool passes


Reasons to go to Emergency Room:

~Your child IS NOT passing gas

~Your child is vomiting due to constipation

~Extreme fussiness

~More than a small amount of blood in/on stool

~Your child complaining of pain that doesn’t resolve


Diarrhea is a common condition in babies and young children. Diarrhea is defined by watery, frequent stools. This can be caused from the dreaded Gastrointestinal Virus (GI bug), teething, and sometimes even too much juice. As your child passes watery, more frequent stools, this pulls water from their body and can lead to dehydration. If your infant/child is also vomiting, you can offer small amounts of fluids to maintain hydration. Pedialyte is a good choice for infants over 6 months of age.

Tips for Diarrhea

* If your infant/child is also vomiting, you can offer small amounts of fluids to maintain hydration. Pedialyte is a good choice for infants over 6 months of age.

*Children younger than 12 months should be offered smaller more frequent feeds. Breastmilk/formula should be offered first as this is the best source of nutrients.

*Children 12 months and over can still eat smaller more frequent meals. Do not offer too many fruits, fruit juices, and sugary drinks. Popsicles are a good option to help replenish fluids as well. ***100% fruit will make diarrhea worse***

*Bananas help to slow down the intestines; starchy foods and rice are all good options in small amounts.

**Never give infants/young children anti-diarrheal medication unless directed by a physician**

*Diaper rash is common with diarrhea; sometimes this stool is more acidic than normal and can burn the skin. To help soothe this, you can use a sensitive, alcohol free wipe to clean bottom, and Aquaphor or Vaseline to protect skin. Should your kiddo have an open area, clean the area, apply a dime sized amount of Neosporin on the open area and cover with Aquaphor.

*For diaper rashes that are hard to clear up, we recommend an Aquaphor, Neosporin, Maalox, Lotramin combo. Mix equal parts and in a jar and apply with each diaper change.

Dehydration Signs and Symptoms/Reasons to go to Emergency Room:

*If your child has not urinated at least once within the past 6 hours. If there is a little amount urine, but not as much as normal, that is okay.

*No tears when he/she cries

*Mouth feels dry or sticky

*Your child is breathing faster than normal

*Soft spot on top of infants head seems sunken in

*Your child is lethargic (your child is abnormally drowsy and sluggish)

Thank you for allowing me to participate in the care of your child. I enjoy speaking to all of you on the phone and look forward to meeting you all in person.Never hesitate to call the office, I am always here to help!



Nurse Kathy, RN

Triage Nurse






Contact Us

17853 State Route 31
Marysville, Ohio 43040

  • Phone: (937) 578-4210
    Fax: (937) 578-4220
  • Patients: Patient Portal

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Office Hours:

Monday - Wednesday: 8:00 a.m. – 6:00 p.m.
Thursday & Friday: 8:00 a.m. - 5:00 p.m.

Telephone Hours:

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Thursday & Friday: 8:30 a.m. – 5:00 p.m.