
What Causes Constipation And Uneasiness In A Breast Feeding Child?

Burping very important
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Mr XXXXXX,
Babies on exclusive breast feeding do not usually have green stools. They have yellow stools with white granules over it also known as milk stools. Babies have their own stools frewuency, they may pass stools once a day, twice a day or even once in every days. If they are accepting feeds well, no redness in the anus region there is no cause for concern.
If you XXXXXXX is vomiting only little quantity of feeds , it is likely to be due to improper Burping.
These could be cause of vomiting
1. Improper Burping: This is the most commonest cause, usually babies only regurgitate small percentage of feeds consumed
2. Gastro-oesophageal reflux: Very much likely if they passively regurgitate their feed
3. Other Causes
I would suggest you the following
1. Continue exclusive breastfeeding
2. Proper Burping
Do get back to me if the symptoms still persists
Take Care
Best Regards
Dr Deepak Kishore
Consultant Pediatric Surgeon


She does not ask for feed after vomit
She does urine many time when she is awake
Some time she takes burping
Even after burping she vomits
No external thing is given to baby so please suggest.
Burping after every feeds important
Detailed Answer:
Hi
Dear XXXXXXXX,
Baby has to be thoroughly burped everytime after feeds ( till you hear the burping sound). Good technique and supervision is very important. Many of the mothers do not burp effectively due to several reasons like
1. They do not know the right technique
2. Short time for burping
3. Making baby sleep immediately after feeds
4. Too tired to burp the baby especially during night
Adequate urine output and exclusive breast feeding are very reassuring
I would advise the following
1. Adequate burping by right technique for right duration (10 minutes) after evry feeds
2. Gastric motility increasing drug like Domperidone will be helpful
If the problem still persists then consultation with Pediatric Surgeon will be required to rule out Infantile Hypertrophic Pyloric Stenosis(IHPS).
Do keep me updated.
Take Care
Best Regards
Dr Deepak


Dosage mentioned
Detailed Answer:
Hi
Dear Mr XXXXXXX
The dosage of Domperidone is 0.25 mg / kg body weight of baby / dose to be given upto twice a day.
Take Care
Regards
Dr Deepak

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