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Are There Any Side Effects Of Using Lactogen And Breast Milk?

Posted on Sat, 9 May 2015

Question: Have been feeding both lactogen and breast milk for baby does it have side effects? How much formula to give as my milk is not sufficient for her? Wil they be constipated as she does not have regular everyday bowel movement? She is 4 weeks old till date

Answered by Dr. Arun (55 minutes later)

Brief Answer:
no side effects. Don't worry

Detailed Answer:
Hi,
Thanks for writing to us.

At 4 weeks usually there will be enough breast milk output for most of the mothers. However if your milk output is less you can add lactogen. No problem. No side effects.

Mild constipation can occur, but usually improves in a few days.

Always breastfeed each time for 20 minutes, after that if baby is still hungry you can give 30 to 50 ml extra. Stop once baby refuses the feed.
Ensure she passes urine atleast six to eight times a day.

Wishing your child good health

Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Arun (17 minutes later)

How much lactogen to be given for her? How many feeds

Answered by Dr. Arun (20 minutes later)

Brief Answer:
2 or three feeds

Detailed Answer:
Lactogen is one scoop for 30 ml
At this age upto 120 ml can be given at a time 2 or three times a day.
But keep it as minimum as possible and breastfeeding should be maximum.
Regards

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Arun (36 minutes later)

Hai doctor ur suggestions were a relieving for me as it's my first child I just a one more question my daughter seems to be colicky she cries excessively in the evening with clenched fists and a flushed face she doesn't feed properly at those times and she is very gassy passes lot of gas doc we tried colicaid it works out well but what's the dosage and how to manage colicky kid everyone here are getting frustrated with her cries and in turn reduces my milk supply due to stress are there any solutions how long does it take to reduce and does lactogen causes colic doc?

Answered by Dr. Arun (49 minutes later)

Brief Answer:
colicaid is good

Detailed Answer:
Colicaid 0.3 ml thrice a day before feed for a week is what I recommend to my patients.
Colic pain may last upto 3 to 4 months.
Proper burping after each feed should help.
Don't worry it will settle down soon.
Lactogen doesn't cause it.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Arun (16 minutes later)

My daughter passes urine at least 7 to 8 times in a day but doesn't pass motion for 2 to 3 days what's the problem doc

Answered by Dr. Arun (18 minutes later)

Brief Answer:
noproblem

Detailed Answer:
It is normal for babies at this age to pass motion once in few days.
No treatment is required.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Arun (2 hours later)

My daughter gets hiccups after every feed and we are not able to feel her burp what are the ways to burp her and what to do about hiccups

Answered by Dr. Arun (4 minutes later)

Brief Answer:
hiccups can be normal

Detailed Answer:
Hiccups can be normal or due to gas.
Collimax and bifilac should help.
To burp put baby on your shoulder and tap gently her back for 15 minutes

Regards

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Arun (3 hours later)

I feed my daughter my milk but since doesn't latch on properly sometimes I have to express and feed her i am able to express around 15 ml each time and give 25 ml of lactogen with half a scoop I feed around every hourly or second hourly will this be sufficient? Usually is there a measured volume of breast milk given for an 4 week old infant? Should I decrease or increase the formula?

Answered by Dr. Arun (5 hours later)

Brief Answer:
That should.be ok

Detailed Answer:
If baby is gaining weight and passing urine well as mentioned above, it means that the feed you are giving is adequate. I think that what you are giving should be OK because you express sometimes and feed formula one to two hour once.

If not increase the formula.

4 week old infant.can.drink. 120 ml usually (breast and formula put together during each feed) Every 3 hours
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (32 hours later)

My daughter 4 weeks old is awake from 11 to 3 in the night and she wants to feed every half a hour and goes to urine more and cries again for feed . I have hypothyroidism from childhood and is on eltroxin 100 micrograms I feel my milk is less and give her lactogen 25ml with almost a scoop is it correct wht is the reason for crying at night and do infant feel lot hungry at night? And stay awake ? day time she feeds every 2 hours.she cries with flushed red face for feed

Answered by Dr. Arun (1 hour later)

Brief Answer:
yes they are hungrier at night

Detailed Answer:
Hi
Thanks for writing to us.
It is very normal for infants to be hungrier at night.
They tend to be more active and their demand goes up in the night
This day night rhythm changes slowly and by 6 to 12 months they start resting more at night.
Don't worry.
You mentioned that she goes urine often which indicates that you are giving her adequate milk including formula.
Try increasing formula to 60ml /2 scoops.
Always add one scoop to 30 ml as recommended by the manufacturer.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (6 hours later)

Will hypothyroidism affect milk production will ot cause low milk production is there any ways to increase it? I am on eltroxin 100 micrograms

Answered by Dr. Arun (32 minutes later)

Brief Answer:
not really

Detailed Answer:
Usually on eltroxin if hypothyroidism is well controlled it shouldn't affect milk production.
You can test your thyroid profile to make sure that it it is well
controlled.
To increase milk output
1. Drink plenty of milk and liquids.
2. Try perinorm tablet thrice daily for 5 days only.
3. Feed in calm and relaxed environment.
4. Latching - Baby's mouth should engulf nipple and areola together atleast half the areola should be inside baby's mouth. This ensures proper sucking. Sucking only at nipple will not release much milk.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (1 hour later)

My daughter today had a curdled milk in her mouth after waking from sleep is it common ? Is it because I include curds in my diet or is it due combining feeds first giving breast milk followed by lactogen what is the reason and how to avoid doctor is it indication of some problem in stomach

Answered by Dr. Arun (17 minutes later)

Brief Answer:
no problem

Detailed Answer:
That is normal. Most of the babies do that.
It is not related to formula.
Don't worry.
It is not due to your diet also.
No treatment is required.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (21 hours later)

What is the total volume of lactogen that can be given in a day for an 4 week old infant she is hungry and my milk is very less to satisfy her so she cries excessively is there a feeding table for formula feed like timings etc during let down reflex will be there be pain in breasts? If we express and give is there chance of engorgement ?When she sucks there is pain in breast is it common? What are signs of engorgement?

Answered by Dr. Arun (1 hour later)

Brief Answer:
Mild pain should settle.with feeding, if not settling needs examination

Detailed Answer:
Hi
At this age 120 ml each feed for lactogen maximum 6 times, which would come to 720ml per day.
Mild engorgement is common, it is fine to express and feed.
Expression of milk will not cause engorgement.
Mild pain during let down reflex is common.
It should settle as milk starts flowing.
However if pain persists you need to get examined.
Engorged breast will be warm tender sometimes with fever.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (18 hours later)

What is colimex suspension given for are there any side effects is it an antibiotic and is it safe for giving for my 4 week old daughter as she cries excessively

Answered by Dr. Arun (23 minutes later)

Brief Answer:
it is antispasmodic

Detailed Answer:
It is antispasmodic which decreases intestinal spasm and thus decreasing pain.
Absolutely safe for your baby.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (37 minutes later)

Shd it be given before or after feed how times u recommend and for how many days wht is difference between colimex and colicaid

Answered by Dr. Arun (26 minutes later)

Brief Answer:
before feeds upto 4 doses per day

Detailed Answer:
Colimex has antispasmodic action because of dicyclomine.
Colicaid has fennel oil and dill oil which have anti gas properties.
Both help in relieving colic pain.
Colimex will help more if the pain is severe.
For mild pain and gas issues colicaid is enough.
I usually give colicaid drops 0.3 ml four times a day before feed for my patients.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (32 hours later)

Does bcg vaccine cause fever which other vaccine causes fever how to handle how many days does it take to recover for my 4 week old daughter she had bcg vaccine 3 weeks back today she is warm fully any problem or is it normal

Answered by Dr. Arun (34 minutes later)

Brief Answer:
unlikely to be related to bcg

Detailed Answer:
Bcg vaccine can cause fever upto few days after vaccination not at 3 weeks.
Generally most Vaccines can cause mild fever for one or two days after vaccination.
Some live Vaccines like measles, chickenpox, mmr can cause slightly more fever.
All you need to do is give paracetamol drops. I usually prescribe around 0.5 ml thrice daily at this age.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (44 hours later)

How many times a 4 week infant should urinate she usually urinates a lot especially at nyt is it compulsory after each feed she shd urinate if she is formula feed after each feed is it she shd urinate she usually does but today after one feed she didn't. Does climate play a role In her urination? Now since its summer?

Answered by Dr. Arun (54 minutes later)

Brief Answer:
yes of course

Detailed Answer:
Babies tend to urinate more when they feed more especially in the night.
With onset of summer there will be a decrease in the frequency of urination.
But no need to worry. It is not compulsory to urinate after each feed.
Six to eight times per day indicates adequate milk intake.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (2 days later)

Hai doc ur r ply was very helpful my daughter passes motion regularly these days at least sometimes alternate days but her stool is some what greenish to yellowish with some particles that looks like curdled ones is it related to formula milk lactogen and feeds on lactogen very often every hour at night as she goes hungry she is five week old is her tummy upset or is she allergic to something or intolerant to lactogen? I don't know what to do she takes 50 to 60 ml formula milk

Answered by Dr. Arun (19 minutes later)

Brief Answer:
no problem

Detailed Answer:
The greenish ti yellow colour with curdle like particles is normal variation of infant stools esp formula fed.
But no problem, nothing needs to be done.
No need to change anything.
I don't think that there is any allergy or intolerance here.
Regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Arun (38 hours later)

Hai doc my daughter 5 week old is both breast fed and formula fed she has colic and I give colic aid at 5 in the eveng but she turns very hungry at nyt she wants hourly feeding and my milk supply is low so I feed her lactogen 50 to 60 ml each hourly feed she passes urine 2 times after each feeding and from the past 2 days I observed at night after feeding 2 or 3 times she passes motion too is it ok? How to solve this cluster feeding pattern and day time she feeds 2 to 3 hourly.she constantly cries at nyt and doesn't sleep at all

Answered by Dr. Arun (7 hours later)

Brief Answer:
it will take one or two more months

Detailed Answer:
Hi
Colic pain may take a few more months to settle
If crying a lot you can give colic aid as and when required.
Babies tend to be more active and hungry at night. Don't worry.
Passing stools too is fine.
Try increasing lactogen to 70 ml to 80 ml.
That might decrease frequent feeding.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (4 minutes later)

What are the symptoms of lactogen is not digesting she has curdled like stools and she has curdled thing in her mouth after feeding her is it because lactogen is not digesting or is it acid reflux how to solve it

Answered by Dr. Arun (20 minutes later)

Brief Answer:
curdled stools is normal

Detailed Answer:
Curdled stools are normal with lactogen.
But curdled thing in mouth after feed could indicate Reflux
I usually prescribe domstal drops 4 drops twice daily for a week for such babies to decrease Reflux.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (35 hours later)

My daughter has been constantly crying becoz of heat her body is warm and she is having difficulty passing urine as she cries prior to passing urine this is happening from yesterday she is 5 week old doc what can be done she passes no of times but I believe it hurts her

Answered by Dr. Arun (1 hour later)

Brief Answer:
could be urinary tract infection

Detailed Answer:
Hi
If your baby is crying before passing urine it could indicate urinary tract infection. It could also be due to heat and less intake.
I suggest that you feed frequently and get urine tested
I usually prescribe urine routine and culture test after cleaning the area well with mild soap and water.
If the reports indicate infection she may require antibiotics.
Otherwise it will settle with more frequent feed.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (13 days later)

I have feeding my daughter lactogen who is 6 weeks old 60 ml 2nd hourly lately she is very hunger by day and nyt my breast milk has reduced as my menstrual cycle resumed I am still trying to feed her but she passes 2 times urine after each feed within one hour and she is hungry again what to do how to get back my milk and if I keep feeding her allowing her to suck will my menses stop she is just 2 months I want to breast feed her for 6 months at least and wanted to supplement lactogen but now it is other way round what to do

Answered by Dr. Arun (28 minutes later)

Brief Answer:
may not stop your menses

Detailed Answer:
Breastfeeding may not stop menses.
You can still breastfeed even if your cycles have started.
Babies tend to get hungry. Frequent feeding breast and formula is necessary.
You cab try changing the formula to Similac advanced and see if that satisfies her hunger.
Do not lose hope. You can still breastfeed whatever amount of milk that is available.
Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar