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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vomiting In A Child After Feeding On Milk Substitute?

Hi, My grand daughter was born 1.92 kgs,on 4th april 2014, premature by 3 weeks. However all her vitals were stable. She was a C Section Baby. The Pediatrician has told her mother to feed her breast milk as and when she requires. My daughter in law has been doing the same. However she does not have a good flow of milk and hence the doctor had recommended Pre Nan to the baby.The baby is not able to digest this milk. Every time she is fed pre Nan - she brings it out through her mouth and nose. The baby has grown and now weight 3 kgs. We were wondering if the baby is allergic or cannot digest Pre Nan and should be given some other substitute. Can you please guide.Thanks & Regards Meena
Fri, 23 Jan 2015
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Pediatrician, Pulmonology 's  Response
HI...I do not think this related to preterm issues. I feel that your baby is having cow's milk protein allergy. Unusually babies grow out of this sort of allergy by 1 year of age.
My suggestions for you -
1. Mother should go off cow's milk protein completely. This means that you should avoid consumption of anything and everything related to cow's milk - like - milk/ curds/ ghee/ butter milk/ chocolates/ biscuits/ ice creams etc. Even while buying commercial food products, you need to see the ingredients and if they contain milk - do not consume them.
2. Feed you baby only exclusive breast feeds till 6 months of age and then start rice based feeds.
3. If this is followed scrupulously - the baby will stop having diarrhoea in another 3-4 days and then start gaining weight too.
4. If you feel your feeds alone are inadequate for the baby, then Zerolac is the only option.
I request you to keep me posted about the recovery of the baby and follow of the case.

If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below -
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards – Dr. Sumanth
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What Causes Vomiting In A Child After Feeding On Milk Substitute?

HI...I do not think this related to preterm issues. I feel that your baby is having cow s milk protein allergy. Unusually babies grow out of this sort of allergy by 1 year of age. My suggestions for you - 1. Mother should go off cow s milk protein completely. This means that you should avoid consumption of anything and everything related to cow s milk - like - milk/ curds/ ghee/ butter milk/ chocolates/ biscuits/ ice creams etc. Even while buying commercial food products, you need to see the ingredients and if they contain milk - do not consume them. 2. Feed you baby only exclusive breast feeds till 6 months of age and then start rice based feeds. 3. If this is followed scrupulously - the baby will stop having diarrhoea in another 3-4 days and then start gaining weight too. 4. If you feel your feeds alone are inadequate for the baby, then Zerolac is the only option. I request you to keep me posted about the recovery of the baby and follow of the case. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696 Regards – Dr. Sumanth