Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-03-27 Encounter: Spruce text message CC: Parent concerned about decreased stool frequency (going on 4 days without a bowel movement) since introduction of solid foods. HPI: Greta is an infant who recently began solid foods at approximately one feeding per day in small amounts. Since the introduction of solids, parents have noticed she sometimes goes 1–2 days between bowel movements; at the time of this message she had not had a bowel movement in approximately 3–4 days. She is described as not acting abnormally overall, though she has been cranky in the afternoons, which parents are uncertain to attribute to teething versus constipation. No reports of vomiting, abdominal distension, or signs of significant distress. Assessment: Extended intervals between bowel movements are common in infants after introduction of solids. Mild constipation related to dietary change is likely, particularly given the absence of significant discomfort or distress. Plan: Dr. Hobbs reassured the family that extended gaps between poops are normal in infants. Recommended increasing fluids and offering high-fiber foods such as prunes and pears to address potential constipation. No medications or further workup recommended. Family confirmed they had already increased prunes. Key clinical quotes: "No concerns on my end about the gap in poops if he's not uncomfortable" "Babies will go many days between poops. Sometimes solids will start causing some constipation that can be addressed with more fluids, prunes, pears, etc" Source: Spruce conversation t_2IPCQHTH69O00