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Hi Doctor, My 6 Months Baby Is Waking Often In

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Posted on Sun, 6 Sep 2020
Question: Hi Doctor,
My 6 months baby is waking often in night for feeding and he is having very disturbed sleep. He is passing motion after each feed. He is irritable. He is passing stool in the mid night too with some stomach cramps. Please advise.
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Follow up: Dr. Muhammed Aslam TK (0 minute later)
Hi Doctor,
My 6 months baby is waking often in night for feeding and he is having very disturbed sleep. He is passing motion after each feed. He is irritable. He is passing stool in the mid night too with some stomach cramps. Please advise.
doctor
Answered by Dr. Muhammed Aslam TK (53 minutes later)
Brief Answer:
Kindly give few more details

Detailed Answer:
Hi XXXXXXX
I understand your concern
From what you said, your main concerns are: 1. Disturbed sleep at night 2. Passing motion after each feeds 3. Stomach cramps and irritability.

It is common for infants to be somewhat awake at night and sleep more during daytime. Motion after feeds also is normal for them.

But there are few conditions that make the sleep more disturbed than usual. So, in order to have a more clear idea of the situation, I would like to get a few more details:

1. When did this problem start?
2. Why you feels he is irritable- Is he crying excessively at night? Does feeding make him comfortable and he sleeps quietly after each feeds?
3. Usually, how often you feeds him during night hours?
4. Why do you feels he is having stomach cramps- due to excessive crying, or due to gurgling sounds heard from abdomen?
5. Is there any diaper rash(redness or rash over diaper area), oral thrush(white curd like lesions inside mouth/tongue) or nasal block?
6. Also, please mention his birth weight and present weight.

Kindly get back with details, so that I can guide you better
Regards, Dr Aslam
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Muhammed Aslam TK (0 minute later)
Brief Answer:
Kindly give few more details

Detailed Answer:
Hi XXXXXXX
I understand your concern
From what you said, your main concerns are: 1. Disturbed sleep at night 2. Passing motion after each feeds 3. Stomach cramps and irritability.

It is common for infants to be somewhat awake at night and sleep more during daytime. Motion after feeds also is normal for them.

But there are few conditions that make the sleep more disturbed than usual. So, in order to have a more clear idea of the situation, I would like to get a few more details:

1. When did this problem start?
2. Why you feels he is irritable- Is he crying excessively at night? Does feeding make him comfortable and he sleeps quietly after each feeds?
3. Usually, how often you feeds him during night hours?
4. Why do you feels he is having stomach cramps- due to excessive crying, or due to gurgling sounds heard from abdomen?
5. Is there any diaper rash(redness or rash over diaper area), oral thrush(white curd like lesions inside mouth/tongue) or nasal block?
6. Also, please mention his birth weight and present weight.

Kindly get back with details, so that I can guide you better
Regards, Dr Aslam
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Muhammed Aslam TK (48 minutes later)
Thank you doctor.
1. He slept well in the night till 5 months. For past three weeks, he is waking 1 hr or 2 hr once. Also waking 30 mins once in day time nap.
2. He cried for feeding. He feels comfortable, after feed and sleeps well. I am worried is that okay to feed 1 or 2 hr once in night.
3. Before three weeks, he takes feed before sleep and wakes 4 or 5 hrs after to take feed. But now a days he is taking feed 1 or 2 hrs once. If I refuse to feed and try to rock him, he screams.
4. He cries and pushing the abdomen to pass stool.
5. No diaper rash or thrush. But looks like teething. He bites everything and tries to suck his fingers. Runny nose from yesterday.
6. He born on 35 weeks late pre term with birth weight of 2.3kg. Now 7.3 kgs at 6 months and 2 weeks(feb 11 2020)
default
Follow up: Dr. Muhammed Aslam TK (0 minute later)
Thank you doctor.
1. He slept well in the night till 5 months. For past three weeks, he is waking 1 hr or 2 hr once. Also waking 30 mins once in day time nap.
2. He cried for feeding. He feels comfortable, after feed and sleeps well. I am worried is that okay to feed 1 or 2 hr once in night.
3. Before three weeks, he takes feed before sleep and wakes 4 or 5 hrs after to take feed. But now a days he is taking feed 1 or 2 hrs once. If I refuse to feed and try to rock him, he screams.
4. He cries and pushing the abdomen to pass stool.
5. No diaper rash or thrush. But looks like teething. He bites everything and tries to suck his fingers. Runny nose from yesterday.
6. He born on 35 weeks late pre term with birth weight of 2.3kg. Now 7.3 kgs at 6 months and 2 weeks(feb 11 2020)
doctor
Answered by Dr. Muhammed Aslam TK (5 hours later)
Brief Answer:
Nothing to worry

Detailed Answer:
Hi XXXXXXX
Thank you for the detailed information given. Going through the details, I am relieved now- there is nothing to worry. I will explain one by one:

1. Frequency of feeding, irritability and disturbed sleep at night:

During initial 3 months of life, babies are to be fed every 2-3 hours day and night. After 3 months, feeding can be given on a demand basis- when baby feels hungry, feed him. There is no limit in frequency- you can give every few hours(1-4), adjusting to baby's comfort.

Babies usually become irritable when they feel hungry. A decrease in your milk output can make him hungry early. Also, feeding breast should be emptied completely before changing to the other side(it is the hind milk/last coming milk that relieves appetite best). So ensure that milk output is good and completely empty it. Tips to improve milk out put are- you should get adequate sleep, have a healthy protein rich diet, drink plenty of fluids, ensure night feeds every 3 hours at least, be always happy, treat any pain over breast or elsewhere without delay, and feed baby in a very calm and quite area in a fully relaxed state.

2. Passing motion after each feeds.

This is a normal physiological phenomenon. This occur from gastro-colic reflex(feed entering in stomach stimulates peristalsis and triggers bowel movement). This reflex is very strong in infants. There is nothing to worry in this.

3. Stomach cramps:

It is common for babies to strain and cry at the start/onset of bowel or bladder emptying. The crying is a reflex(helps to get attention from caretakers) and straining helps to push out things out of abdomen by increasing intra abdominal pressure. Nothing to worry. We also does this unknowingly.

In short, there is nothing to worry as of now. His present weight also is pretty good. The nasal discharge and cold may cause disturbance for 3-5 days. If there is blockage, instil saline nasal drops as needed before feeding/sleeping. Let me know if he develops fever or cough.

Hope I have answered your query
If you need further clarification, I will be happy to help; otherwise you can close the discussion and kindly rate the answer.
Regards, Dr Aslam
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Muhammed Aslam TK (0 minute later)
Brief Answer:
Nothing to worry

Detailed Answer:
Hi XXXXXXX
Thank you for the detailed information given. Going through the details, I am relieved now- there is nothing to worry. I will explain one by one:

1. Frequency of feeding, irritability and disturbed sleep at night:

During initial 3 months of life, babies are to be fed every 2-3 hours day and night. After 3 months, feeding can be given on a demand basis- when baby feels hungry, feed him. There is no limit in frequency- you can give every few hours(1-4), adjusting to baby's comfort.

Babies usually become irritable when they feel hungry. A decrease in your milk output can make him hungry early. Also, feeding breast should be emptied completely before changing to the other side(it is the hind milk/last coming milk that relieves appetite best). So ensure that milk output is good and completely empty it. Tips to improve milk out put are- you should get adequate sleep, have a healthy protein rich diet, drink plenty of fluids, ensure night feeds every 3 hours at least, be always happy, treat any pain over breast or elsewhere without delay, and feed baby in a very calm and quite area in a fully relaxed state.

2. Passing motion after each feeds.

This is a normal physiological phenomenon. This occur from gastro-colic reflex(feed entering in stomach stimulates peristalsis and triggers bowel movement). This reflex is very strong in infants. There is nothing to worry in this.

3. Stomach cramps:

It is common for babies to strain and cry at the start/onset of bowel or bladder emptying. The crying is a reflex(helps to get attention from caretakers) and straining helps to push out things out of abdomen by increasing intra abdominal pressure. Nothing to worry. We also does this unknowingly.

In short, there is nothing to worry as of now. His present weight also is pretty good. The nasal discharge and cold may cause disturbance for 3-5 days. If there is blockage, instil saline nasal drops as needed before feeding/sleeping. Let me know if he develops fever or cough.

Hope I have answered your query
If you need further clarification, I will be happy to help; otherwise you can close the discussion and kindly rate the answer.
Regards, Dr Aslam
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. Yogesh D
doctor
Answered by
Dr.
Dr. Muhammed Aslam TK

Pediatrician

Practicing since :2012

Answered : 2029 Questions

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Hi Doctor, My 6 Months Baby Is Waking Often In

Hi Doctor, My 6 months baby is waking often in night for feeding and he is having very disturbed sleep. He is passing motion after each feed. He is irritable. He is passing stool in the mid night too with some stomach cramps. Please advise.