Causes of Diarrhea in Four-Month-Old Babies
Infant bowel habits and characteristics change quite abruptly during the first few months of life. By about four-months of age a baby may have diapers frequently consisting of soft, liquid or solid stools. A breastfed baby will pass watery or seedy stools that have minimal shape. These are not signs of diarrhea. Infant diarrhea is described as bowel movements that are more frequent, greater in volume, watery and foul-smelling. Baby diarrhea can be due to illness or diet.
DrGreene.com suggests that even a minor change in a baby's diet can result in loose stools. A bottle-fed infant isn't likely to develop a sudden bout of diarrhea as a result of the formula, but if she has suffered from diarrhea, bloating, constipation and other digestive discomforts since beginning the formula, a doctor may recommend a different brand or type.
A breast-fed baby can have diarrhea in response to the mother's diet. Her intake of dairy, spicy foods and even caffeine can upset a baby's sensitive tummy and cause diarrhea. Mothers can keep a food log to help identify what foods trigger diarrhea, fussiness, gassiness and other discomforts in a breastfed baby.
An infant can have a sensitivity or intolerance to milk proteins, known as dairy allergy or lactose intolerance. These issues can develop around 4 months but they will likely be present soon after birth. AskDrSears.com points out that sometimes a short bout of diarrhea is just the body's way of adjusting to digesting foods instead of absorbing nutrients provided in the womb 2.
Diarrhea is a common side effects of many antibiotics. This is true not just for babies but also for adults and children. A mother on antibiotics can pass the medicine to her baby during breastfeeding, which may result in infant diarrhea. The diarrhea should resolve within a day or two of finishing the prescription.
Various bacteria, viruses and parasites can cause diarrhea in an infant. This can be contracted by touching an item contaminated with the organism and putting the hands or the object into the mouth. Such infections are often passed from caregivers and others who handle the baby.
AskDrSears.com indicates that several viral and bacterial infections are common in childhood and can easily be spread to an infant 2. These include rotavirus, E. coli, salmonella and Giardia. This organisms are often found in foods, like raw meats and poorly washed produce.
In addition to diarrhea, the infant may develop a fever, abdominal cramps, vomiting, lethargy and a poor appetite from an intestinal infection. Sometimes the diarrhea contains blood, especially with a bacterial infection. Treatment is not usually offered but the infant is monitored for persistent illness and dehydration.
- DrGreene.com: Diarrhea and Infants
- AskDrSears.com: Diarrhea
- Barr W, Smith A. Acute diarrhea. Am Fam Physician. 2014;89(3):180-9.
- Schiller LR, Pardi DS, Sellin JH. Chronic Diarrhea: Diagnosis and Management. Clin Gastroenterol Hepatol. 2017;15(2):182-193.e3. doi:10.1016/j.cgh.2016.07.028
- National Institute of Diabetes and Digestive and Kidney Diseases. Eating, diet, and nutrition for diarrhea. Updated November, 2016.
- Diarrheal Diseases – Acute and Chronic. American College of Gastroenterology.
- Minocha A, Adamec C. The Encyclopedia of the Digestive System and Digestive Disorders (2nd Ed.) New York:Facts on File. 2011.
- National Institute of Diabetes & Digestive & Kidney Diseases. Diarrhea.
- Newborn image by jhogan from Fotolia.com