General Practice 2022

Blood in baby's diaperê: what it could be (and what to do)

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Blood in baby's diaperê: what it could be (and what to do)
Blood in baby's diaperê: what it could be (and what to do)

The presence of blood in the baby's diaper is always a reason for alarm for parents, however, in most cases the presence of blood in the diaper is not a sign of serious he alth problems, it can only arise due to situations more common such as buttock rash, cow's milk allergy or anal fissure, for example.

Also, when a baby's urine is very concentrated, it may contain urate crystals that give the urine a reddish or pinkish color, making it look like the baby has blood in the diaper.

To test if it is really blood in the baby's diaper, you can put some hydrogen peroxide on the stain. If there is foam production, it means that the stain is actually blood and, therefore, it is important to consult the pediatrician to identify the cause and start the appropriate treatment.

1. Reddish foods

The baby's poop can turn reddish due to the ingestion of red foods such as beets, tomato soup or some food with red dye, for example, which can create the idea that the baby has blood in the diaper.

What to do: avoid giving these foods to the baby and if the problem persists for more than 24 hours, consult the pediatrician to identify the problem and start the treatment.

2. Diaper rash

Diaper rash is the presence of irritated and red skin on the buttocks that can bleed after cleaning the skin, causing bright red blood to appear in the diaper.

What to do: if possible, leave the baby without a diaper for a few hours a day and apply a diaper rash cream such as Dermodex or Bepantol, for example, at each change diaper. See all the care needed to take care of baby's diaper rash.

3. Cow's milk allergy

The presence of blood in the baby's stool can also indicate that the baby is allergic to cow's milk protein, for example. Even in breastfed babies, cow's milk protein can be passed to the baby through breast milk when the mother ingests cow's milk and dairy products.

What to do: remove cow's milk from the baby's or mother's diet and observe if blood continues to appear in the diaper. Here's how to identify if your baby has a milk protein allergy and what to do.

4. Anal fissure

The existence of blood in the diaper of a baby who is frequently constipated can be a sign of a fissure in the anal region, as the baby's stools can be very hard and, when they come out, cause a small cut in the anus.

What to do: give the baby more water and make the porridge with more water to be less consistent, facilitating the elimination of stools. See also a home remedy for constipation in the baby.

5. Rotavirus vaccine

One of the main side effects of the Rotavirus vaccine is the presence of blood in the baby's stool up to 40 days after taking the vaccine. Therefore, if this happens, it should not be given importance, as long as the amount of blood is small.

What to do: if the baby is losing a lot of blood through stool, it is advisable to go to the emergency room immediately.

6. Very concentrated urine

When the baby's urine becomes too concentrated, urate crystals are eliminated in the urine, giving it a reddish color that can look like blood. In these cases, when testing with hydrogen peroxide, the "blood" does not produce foam and, therefore, it is possible to suspect that it is just very concentrated urine.

What to do: increase the amount of water given to the baby to decrease the concentration of urine and urate crystals.

7. Intestinal infection

Severe intestinal infection can injure the intestine internally and cause bleeding in the feces, usually accompanied by abdominal pain and diarrhea, and vomiting and fever may occur. Check out other symptoms that may indicate an intestinal infection in the baby.

What to do: Take the baby to the emergency room immediately to identify the cause of the problem and initiate appropriate treatment.

When to go to the doctor

Although in most cases blood in the diaper is not an emergency situation, it is recommended to go to the emergency room when:

  • The baby is bleeding profusely;
  • Other symptoms appear such as fever above 38ยบ, diarrhea or excessive desire to sleep;
  • The baby doesn't have the energy to play.

In these cases, the baby should be evaluated by a pediatrician to perform urine, feces or blood tests and identify the cause, starting the appropriate treatment, if necessary.

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