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What Causes Constipation And Uneasiness In A Breast Feeding Child?

Posted on Sat, 18 Oct 2014

Question: I have a daughter 29 days old she is vomitting milk from last 10 days but she is feeling uneasy whole day she sleep ocasionally also sometimes she is having constipation to pass stool twice a day she is A normal kid so please she is only on bfeed no extra so i m puzzled milk she is vomitting is like curd most of the times and potty is not green so please suggest

Answered by Dr. Deepak Kishore Kaltari (18 minutes later)

Brief Answer:
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

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Deepak Kishore Kaltari (9 hours later)

She vomit forcefully
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.

Answered by Dr. Deepak Kishore Kaltari (26 minutes later)

Brief Answer:
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

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Deepak Kishore Kaltari (4 minutes later)

What will be dosage of drug suggested

Answered by Dr. Deepak Kishore Kaltari (8 hours later)

Brief Answer:
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

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