36 answers

How to handle a gassy and fussy newborn while nursing

I have a 7 week old baby girl. She has been extremely gassy and fussy since she was born. She was 3 weeks early and since she wasn't breastfeeding strong, I had a hard time bringing my milk supply up so her pediatrician put her on formula as a supplement to get her weight up. She still is breastfeeding and supplementing with formula but I am having the hardest time trying to figure out which formula to keep her on. We took her off of regular similac advanced and switched her to similac sensitive but she is still very gassy and her gas is very smelly. He then switched her to similac alimentum for colicky babies but still the same except she started having diarrhea. I then switched her to similac isomil soy formula and no difference, still gassy and fussy and now constipated. I have cut everything out of my diet as well...no milk, eggs, no dairy. Somebody help me and my poor baby. I'm wondering if she is really sensitive to regular formula and maybe I should put her back on it but try enfamil gentle ease. She also spits up a lot. The Dr. prescribed Zantac for her but i'm hesitant to give it to her. I also thought about trying Enfamil lipil AR with thickening rice starch but i'm so afraid of upseting her little stomach even more. What should I do from here?

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Summary

Some moms suggested to keep the baby distracted, lots of movement, rocking, changing positions, walks outside, or massage to help the infant release gas. Try to breastfeed as much as possible as mother's milk is the most gentle milk for their infant. If the infant still having colic and spit up, check with your pediatrician.

So What Happened?™

I want to thank everyone for your caring advice. I really appreciate your response and it's nice knowing that I am not alone. I have been trying to get my milk supply up and see a lactation specialist every week. I breastfeed as much as possible and only give her formula when I know she's really hungry and not satisfied. I mostly feed her SNS with the tube in the side of her mouth and if I have any pumped milk I give that to her first. I only give her a bottle if were out and about and in a store or something. I also pump, massage, take "more milk" tincture drops and basically my whole life revolves around pumping and getting my milk supply up. It is quite difficult sometimes as my pediatrician has me at his office every other day doing weight checks and seeing the lactation specialist. Nothing is really helping to get my supply up and she is getting bigger and hungrier and my supply just can't keep up with her. I am thinking about seeing a different ped, he really likes chunky babies and has pushed the weight issue so much I don't think he's really listening to my other conserns, he just says to try this other formula, then this other one. He's quik to switch and give medication. I want to find out what the problem really is so I can fix it, you know?

I truly don't think that she is colicky. My second son was colicky and boy was that a nightmare. He started crying at 6pm sharp until about 8pm and there was no consoling him. She is just always fussy and has extreme gas all the time...all day all night and boy do they smell. If I hold her or put her to my breast she will stop crying. I am wondering if she has a gluten allergy or something like that. I can't quite figure it out but am trying desperately. I difinitely will stop changing her formula around and stick to one thing for a while. I am hoping to only be breastfeeding soon.

Again, Thank you all for your support and advice. I really appreciate it and will try to apply some of your suggestions.

T.

Featured Answers

Hi T.,

I sounds like she might be colic. I have some ideas that will help her if you are interested.

Have a great day.

N. Marie
____@____.com

Camden has a very sensitive stomach also! We use Bright Beginnings Gentle, it is like a cross between Good Start and Similac Sensitive. It has only 1/4 of the lactose, and it has the pre broken down whey protein. It really has helped with the spitting up and the stinky gas/ bowel movements. The only down side is that it can be harder to find, I get it at diapers.com for $19.99 a can.

Maybe it is the similac brand. Try something else. My daughter uses Earth's Best because it was the one that didn't make her constipated. And maybe it's the bottle you are using too. They have many out there in the market w/ venting systems. Good luck.

More Answers

Why don't you try boosting up your breast milk supply. There are a variety of techniques and even some perscriptions, ie: Domperidome, that can help. My son was a very sleepy feeder for the first month/ month and a half - that coupled with several other factors caused me to have a low milk supply. However, by the grace of God and a little help from a hospital grade breast pump, I was able to wean him off of formula. It is worth the effort and will be easier on her digestive system.

Lots of babies have heartburn. It is very common to give them Zantac to help ease their discomfort. Don't be afraid to give it to her. Our son used it for about 6 months and then he was fine.

Also, at 3 months, the digestive tract seems to start maturing, making things so much easier. We took our son to a digestive specialist at Lucille Packard Children's Hospital. They provided us with a very special formula that you can only get from a doctor. You might want to try that if you can.

Hope you find something that works for you...

Hi T.,

How is your milk supply? If it is up, I would say try transitioning completely out of formula - as it sounds like this is where the issue is likely coming from. Are you pumping when she is taking a bottle of formula? Just wondering - as that will help to increase your supply. Best of luck.

Camden has a very sensitive stomach also! We use Bright Beginnings Gentle, it is like a cross between Good Start and Similac Sensitive. It has only 1/4 of the lactose, and it has the pre broken down whey protein. It really has helped with the spitting up and the stinky gas/ bowel movements. The only down side is that it can be harder to find, I get it at diapers.com for $19.99 a can.

She may have a milk/soy allergy. I would seek out specialists. You should have her see an allergist and perhaps a Gastroenterologist! Our son had the same problem! He was put on Elecare formula (basically the last line if formula out there!!)

hope that helps!
Andrea

Hi T.,

Im going to throw some ideas around. Please consult your doctor about medical advice.

My recommendation is to stay far far away from Soy of any kind. It is estrogenic, and causes huge problems. You can look up "the dangers of soy" online. I used it for my baby 12 yrs ago by a doctor's suggestion. and now she has thryroid problems and arthritis. She is very sick, at 12!The web is covered with research (40 years worth)that scientists published about soy, yet it is STILL on suopermarket shelves and recommended today. Criminal.

I think you are very wise to not use the Zantac. Not only are most GERD drugs floridated (florine is a poison and it prohibits the pituitary gland from making TSH), but they cause severe vitamin deficiencies because they reduce stomach acid and stomach acid is there to help digest and uptake the vitamins in food. They cause lower growth, and digestion difficulties. Zantac is the most common GERD drug prescribed, but very few GERD drugs are approved by the FDA or have any research done on children. 'Off label' is the term that the doctors use when they prescribe a drug that is not FDA approved for the child. When people say they have not seen problems in their children after the drug, it doesn't mean that the drug hasn't caused problems that can manefest later in life. Although my daughter's first problems started out 7 years ago, they started small and I didn't link them to the soy until I did some research. of course her problems are huge now. Just because something is legal, commonly prescribed or available on a shelf doesn't mean it is good for you. In fact, drugs don't just have side effects, they have MAJOR effects on the body.

When doing my soy formula research, it said that most of us assume formula has some kind of 'standard' industry recipe on which it is based. It doesn't.They can put anything they want in it. Do you think you could try to increase your milk supply? Drinking more water can help with that. Water makes ALL the difference. If you body is dehydrated it cannot produce milk of any volume. Normal water intake is 8 oz a day for ever 25 pounds of your body weight. So lactation would increase that requirement even more.

Iron supplementation can cause GERD in infants. Children are born with enough iron to supply them for a year. Children cannot excrete Iron. It becomes toxic and even lethal as it builds up in the body. Most Iron overdoses occur in children under 1 yr old. So don't supplement with vitamins with IRON in them without a doctors advice, and if anemia is present. Don't choose formulas with Iron. Don't feed iron fortified cereals. Iron feeds bacterias.

The flip side of this is that low Iron can cause GERD symptoms as well- specifically not being able to swallow food and spitting it out perpetually because of esophegeal webs. Magnesium deficiency can occur in pregnant women easily. I have read MG deficiency can pass on to babies. Magnesium Plasma levels are only 1%. so it's not feasible to check MG deficiences with a blood test. BUT it is safe to administer transdermally daily by using magnesium oil and rubbing it on the skin and letting it dry. Mg def. can cause spasms in esophagus and choking on food, nausea, vomiting, lack of appetite, apathy, IBS and constipation, tantrums.

Another issue could be gluten intolerance. Many formulas have gluten in them. Gluten intolerance, or celiacs disease, can cause low weight, crying, vomiting and other symptoms. There are many reasons for celiacs but infection with yeast or bacteria is one reason. Again, since IRON makes pathogens grow, formula with gluten and iron should be avoided.

I want to leave you with another thought. I read a book many years ago, and I beleive it was called something along the lines of Colic No More. This doctor said that babies will cry for 3 main reasons. 1.Hunger, 2.the need for sleep, and 3. pain or extreme discomfort. He says entertainment and boredom are not crying triggers. Sleep is an often overlooked need, because people assume when a baby is screaming, (and already fed,) that it is in pain, or wants stimulation. Since babies can only relate their need with a cry, the need for sleep will start with crying. (indeed extreme exaustion is painful-a baby kept up for hours is equivalent to an adult being kept awake for days.) But if the need doesn't get filled, the baby will increase the intensity of the scream to get the attention of the parent. This is usually responded to with even more bouncing, walking, swinging, and the baby cries even more as he get's more fustrated, and more stimulated, exactly the opposite of what he needs.

Red face, pulled up legs, cenching fists, and more agressive crying will occur in an unmet need and a fustrated baby, but many people associate it with pain. Excessive air intake from crying can cause more gas.

Young infants should be sleeping almost all day, with the exception of the time for feeding, a diaper change, and maybe 10 more minutes after that. If your baby is awake for an hour after feeding - It's a good probability this could be at least part the problem. If it is indeed time to sleep, placing the child in a quite room/bed is needed. The child will continue to cry, but only because his nervous system need (shut down into sleep cycle) hasn't occured yet. let him cry a little bit and he will fall asleep. Ps...infants that have gotten into a frantic agitated state will take longer to fall asleep, or may not be able to. Sometimes they may need another ounce or two of formula (especially if they have been crying for a while and now are hungry and tired both).
What I did is I kept a log book of the time she woke, ate, and went to sleep. Quickly I started seeing her natural pattern, and i'd quickly see when I screwed it up. Sometimes I didnt figure out why she was crying, I'd go to my journal , only to find she had been up WAY longer than I thought. It seemed only a liitle bit and because I was busy, time flew. In reality it was way over her sleep schedule! Journaling was a godsend. I also journaled symptoms. I still journal medical symptoms to this day, and it has helped me see "issues" much faster than if i didn't. When you have ALL the symptoms written down and remembered, it helps the doctor diagnose conditions as well.

http://www.emsresponder.com/features/articles.jsp?=3688&a...
Good luck.
G.

Hi T.,
Oh boy, I remember how stressful those first few months are with a fussy unhappy-tummy baby! Sooooo hard. Keep you chin up!

My strong advice: get yourself to a lactation consultant a.s.a.p. Your baby might be gassy from a poor latch. This mgiht be the source of your troubles from the beginning. Breastmilk is the BEST food for your baby, without exception. If your supply is still down, you may be able to use a "lactation aid" which is a tiny tube that goes into baby's mouth as they breastfeed. As your supply goes up, you gradually stop using the lactation aid. Point is, baby is getting nourishment at the breast only. You would get much more detailed information about how to use this from a lactation consultant.
You mention that you've cut out a lot of potential allergens from your diet-- that's great! I would also add onions to the list. And it takes a while for these things to clear out of your system so if you just stopped eating these foods you shouldn't expect to see the effects for at least a week.

I had trouble with my daughter when she was very young too (spitting, up, crying, arching her back in pain after a meal), though I never had to supplement with formula. I gave her Zantac for a while and, honestly, I think it was the ALCOHOL in the liquid Zantac that "helped" her more than anything else. Of course she slept better after that! What did help was seeing a cranio-sacral therapist for just a few months. If your birth was difficult in any way she may have some residual trauma from the experience that is upsetting her whole system.

A great resource online, with lots of video you can watch about improving the latch:

http://www.drjacknewman.com/

Good luck!!! I hope you can ditch the formula soon and simplify your life!
Best,
A.

Both of my girls have had this problem and it seems to peak about 6 weeks and last a few months. One thing that may affect her tummy is switching formulas a lot. It takes a couple of weeks to get used to any formula. I tried Similac with my 1st daughter and it was horrible- fussy and gassy. I decided to switch her to the brand Nestles Soy (which my pediatrician said is easier on the stomache). Soy can be really constipating, but it worked well for my 1st child, but we had to give 2 ounces of pear juice to counter the constipation. My 2nd child I started with regular Nestles and it was fine. I used Gripe Water and Mylicon a lot for the first few months. You can also put Mylicon in the bottle and it will get rid of all the bubbles in the bottle. When I was nursing it seemed that everything bothered my 1st child, especially carbonated drinks, ice cream and most dairy, gassy vegetables, things with garlic or cinnamon in them. You can also try Nutramigen which is triple the cost of regular formula, but will work.

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