The symptoms for this problem may include abdominal pain or cramping with loose watery stools.

Diarrhea and cramping can be caused by formula intolerance, contamination and gastrointestinal infection, gastrointestinal dysfunction, medication side effects (especially from antibiotics), and intolerance to orally consumed foods.

Steps to prevent this problem can include making sure that the appropriate feeding method is used, such as bolus, gravity or pump-assisted feeding. The rate of feeding can be reduced if diarrhea occurs and then gradually increased as it resolves. In some cases, it may be appropriate to try a different formula that includes fiber, or to consider pancreatic enzyme or lactase enzyme supplements. Reinforcement of sanitary techniques in handling and administering feeding can also reduce the risk for contamination-related diarrhea. Potential for medication interactions should be anticipated and any intolerances to oral food consumption can be a part of patient counseling efforts.

The volume and rate of formula administration can be reduced or the feeding can be stopped, if necessary, and restarted as the patient feels better. If the diarrhea persists for more than 24 hours, or if there is any bleeding or severe abdominal pain, the physician should be notified immediately.