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The variation in stool patterns from 1 to 42 months: a population-based observational study
C D Steer1, A M Emond, J Golding
1Department of Community Based Medicine, University of Bristol, Bristol, UK. Colin.Steer@bristol.ac.uk
Insights
This study tracked normal stool patterns in young children, finding frequency decreases with age. Stool consistency shifts from soft to firmer, and color changes from yellow to brown by six months.
Area of Science:
- Pediatric Gastroenterology
- Developmental Pediatrics
- Child Health Research
Background:
- Understanding typical infant and child stool characteristics is crucial for identifying deviations from normal.
- Previous data on stool patterns in early childhood are limited, necessitating comprehensive documentation.
Purpose of the Study:
- To establish normative data for stool frequency, consistency, and color in young children.
- To provide a reference for clinicians assessing pediatric gastrointestinal health.
Main Methods:
- A prospective, population-based longitudinal study involving 12,984 children.
- Data collected via parental questionnaires at 4 weeks, 6, 18, 30, and 42 months.
- Assessment of stool frequency, consistency, and color.
Main Results:
- Mean stool frequency decreased from 3.0 times/day at 4 weeks to 1.3 times/day at 42 months.
- The prevalence of hard stools increased from 14% at 4 weeks to 30% at 42 months.
- Stool color typically transitioned from yellow at 4 weeks to brown by 6 months, with black stools being rare.
Conclusions:
- The study provides valuable age-specific data on stool patterns in young children.
- These findings will aid clinicians in interpreting stool characteristics and assessing developmental changes.
- This research contributes to the understanding of normal pediatric gastrointestinal development.
Objective:
To document the normal stool patterns of young children.
Design:
Prospective population-based longitudinal study.
Setting:
Avon Longitudinal Study of Parents and Children (ALSPAC).
Subjects:
12,984 children, whose parents completed questionnaires at 4 weeks, 6, 18, 30 and 42 months on their frequency of bowel movements and the consistency and colour of their stools.
Results:
Stool frequency declined from a mean of 3.0 times/day (3rd centile 0.6, 97th centile 5.9) at 4 weeks to 1.3 times/day (0.6, 2.7) at 42 months. Stool consistency was soft in most babies with nearly half passing liquid or curdy stool at 4 weeks. 14% of babies usually passed a hard stool at 4 weeks, rising to 30% at 42 months. Stool colour was commonly yellow at 4 weeks and had changed to brown by 6 months. Black stools were extremely unusual at all ages.
Conclusions:
These data on the changes with age in the stool patterns of young children will be useful for clinicians.
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