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Infant Cries And Is Not Satisfied With His Feeds But He Doesn T Finish His Feeds Either.Recommendations?
Good day, I have a 5 week old baby boy who was drinking nan 1 from birth but would still be hungry after each feed. I have only recently changed his formula to lactogen and this is his 2nd day on it. I have noticed that lifts his knees towards his stomach and cries during feeding. On the nan formula he was drinking 150ml and would still be hungry. On the lactogen formula he does not finish the 150ml and only drinks 120ml and spits the bottle out. As soon as I have winded him and I put him down he doses off a bit and then all of a sudden starts crying. I put the dummy in his mouth and he sucks the dummy as if he is still hungry and wines for at least 20min. I have to keep putting the dummy in his mouth. During the day he wakes up every 3 hours but I always seem to have a problem with him at one feed at night around 9 or 10pm where I battle to put him down. I even tried moving his bath time from 5pm to 6pm & then feed him. He starts losing his eyes but as soon as I put him down he wakes up. Then it is 3 or 4 hours later & then hs hungry again but as not slept. Then I feed him again and try and put him down and then eventually he goes to sleep. He also does this to me every now and then during a day feed. He weighs 4.3kgs now. Was 3.27 at birth. 6 bottles at 150 ml or sometimes he only finishes 120 ml in the day and seems hungrier at night. Must I make him finish the same amount at each feed? I see with the lactogen formula his on for the second day his stools seem a bit more solid and not as soft when he was on nan. I noticed that with lactogen he has a milk residue in his mouth and his tongue seems like it has or looks like a milk stain on it. Could he have thrush and not finishing his bottle because his tongue is sore? If he has thrush what can I give him? Some feeds he seems full and can be put down without a dummy.. And at the night feeds he seems hungry and I have to put the dummy in his mouth. Over feeding will cause him to spit up which he is doing. If he drinks not more than 100ml to 120ml then no spit up. More then that and he spits up and seems to be cramping. Please help if you can solve any of the above or give me advice as to what to do. I am scared to lower his milk quantities and feed every 2 hours as I would like to have him in a routine where he eventually sleeps through the night for at least 6 hours or more. In the day I open his curtains and at night I feed him with a very dim light and keep his night feedings a bit quieter. I just don't know what to do when his niggly at some feeds and wants more and does not want to sleep because his hungry and at other feeds I put him down with no hassle. Please help, much appreciated. First time mom
Thu, 23 May 2013
Dear FTM,
Thank you for the query. Not many doctors might have the patience to read so much detail, but, in fact, your detail has helped me to reach some conclusions:
a) You are right about him having oral thrush. To confirm this, try and see if you can wipe away the white stains easily with a piece of soft flannel or linen. If you can, it is milk; if you can't, or if there are pin-point bleeds at the sites where you wiped, it is thrush. You may need to apply nystatin solution for this inside the mouth and over his tongue thrice a day with cotton to resolve the problem.
b) the thrush may be secondary to the use of the dummy - perhaps it isn't kept clean enough or is inserted in desperation from wherever it was when you needed it. So, try and disinfect the dummy every time before you put it inside his mouth. Best option: don't use the dummy at all. Carry your son as long as needed, as you are the best pacifier for him.
c) You might be overfeeding him already, so there is no need to "stubbornly" try and complete 150 ml per feed. Just let him take what he wants and stop being aggressive with the feeds.
d) Both Nan and Lactogen are almost equal in composition except for some special ingredients in Nan. Hence, I don't think either one of the two are better than the other. If one doesn't agree with his gut, the other won't either, and it may be better to switch over to a new company's product.
- Dr. Taher
Thank you for the query. Not many doctors might have the patience to read so much detail, but, in fact, your detail has helped me to reach some conclusions:
a) You are right about him having oral thrush. To confirm this, try and see if you can wipe away the white stains easily with a piece of soft flannel or linen. If you can, it is milk; if you can't, or if there are pin-point bleeds at the sites where you wiped, it is thrush. You may need to apply nystatin solution for this inside the mouth and over his tongue thrice a day with cotton to resolve the problem.
b) the thrush may be secondary to the use of the dummy - perhaps it isn't kept clean enough or is inserted in desperation from wherever it was when you needed it. So, try and disinfect the dummy every time before you put it inside his mouth. Best option: don't use the dummy at all. Carry your son as long as needed, as you are the best pacifier for him.
c) You might be overfeeding him already, so there is no need to "stubbornly" try and complete 150 ml per feed. Just let him take what he wants and stop being aggressive with the feeds.
d) Both Nan and Lactogen are almost equal in composition except for some special ingredients in Nan. Hence, I don't think either one of the two are better than the other. If one doesn't agree with his gut, the other won't either, and it may be better to switch over to a new company's product.
- Dr. Taher
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