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Hi Doc, My 3 Month Old Daughter Is On Formula

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Posted on Wed, 3 Mar 2021
Question: Hi Doc,
My 3 month old daughter is on formula due to inadequate breast milk formation (approx. 80% of feed is formula based). She passes gas after every meal and also shows sign of irritation at times. Sometimes she also pukes curdy milk from mouth (couple of occasions she had milk coming out her nose too). She is on Nestle Nan Pro-1 for feed.

Should I be concerned about this or is this normal?

Regards,
Vivek
doctor
Answered by Dr. Muhammed Aslam TK (38 minutes later)
Brief Answer:
Nothing to worry

Detailed Answer:
Hi XXXXXXX
Welcome to Ask A Doctor service
I have gone through your query and understand your concern

But there is nothing to worry here.

It is common for babies to pass gas/stools after each feeds- this is from physiological gastro-colic reflex, and can be taken as normal.

Occasional vomiting of feeds is also normal(curdy appearance is because it is partially digested milk). This is called physiological gastro-esophageal reflex, and is from immaturity of the lower esophageal sphincter. As the babies grows older(by 6-8 months of age), the sphincter will get tight and vomiting will stop.

Until then, few measures can offer some relief- always feed in sitting position, burp on the back of baby for 15 minutes after each feeds, and avoid laying down the baby soon after the feed. This reduces frequency of vomiting.

Also, always give breast milk before formula to completely empty both breasts- this will gradually improve milk output. Use formula only as a top-up after both breasts are empty.

I hope this answer will help
Let me know if I can assist you further
Dr Muhammed Aslam, Paediatrician

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Muhammed Aslam TK

Pediatrician

Practicing since :2012

Answered : 2029 Questions

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Hi Doc, My 3 Month Old Daughter Is On Formula

Brief Answer: Nothing to worry Detailed Answer: Hi XXXXXXX Welcome to Ask A Doctor service I have gone through your query and understand your concern But there is nothing to worry here. It is common for babies to pass gas/stools after each feeds- this is from physiological gastro-colic reflex, and can be taken as normal. Occasional vomiting of feeds is also normal(curdy appearance is because it is partially digested milk). This is called physiological gastro-esophageal reflex, and is from immaturity of the lower esophageal sphincter. As the babies grows older(by 6-8 months of age), the sphincter will get tight and vomiting will stop. Until then, few measures can offer some relief- always feed in sitting position, burp on the back of baby for 15 minutes after each feeds, and avoid laying down the baby soon after the feed. This reduces frequency of vomiting. Also, always give breast milk before formula to completely empty both breasts- this will gradually improve milk output. Use formula only as a top-up after both breasts are empty. I hope this answer will help Let me know if I can assist you further Dr Muhammed Aslam, Paediatrician