The Star Malaysia - Star2

Soothing discomfort­s

Babies’ feeding troubles could be due to various underlying problems.

- By DATUK DR NKS THARMASEEL­AN

IF your baby has trouble eating, chances are he could be having stomach problems. Often, these troubles will manifest into symptoms of intoleranc­e such as excessive crying, fussiness, gassiness, spit-ups and diarrhea. Read on to find out what might be making your baby uncomforta­ble, and ways you can make your baby feel better. tem: The enzymes in your baby’s digestive system help to break down the foods that he consumes. Some babies are intolerant towards milk because their digestive systems are immature or are not fully functional. The enzymes that are required to properly digest lactose and proteins are not fully activated yet.

If lactose and protein are not properly digested in the small intestine, then they pass into the large intestine and are fermented by “bad bacteria”. This can cause infant gas.

Burping may help alleviate some of these symptoms.

3. My baby tends to spit up right after feeding. Is this normal?

Spit-ups are normal. About half of all babies experience spit-ups during their first three months as their stomach capacity is extremely small. A day old’s stomach is only the size of a small glass marble or a hazelnut, and by day 10 the size of a walnut or a golf ball. Due to its small capacity, your baby’s stomach is easily overfilled. They tend to spit up when this occurs. Gradually increase the baby’s food as he grows. Spit-ups will usually stop by the time your baby is a year old.

Spitting up usually does not interfere with normal growth. But if your child isn’t gaining weight or spits up green or yellow fluid, or blood, contact the doctor immediatel­y.

4. My baby’s stools have been more watery than usual. Does he have diarrhoea? What usually causes this condition?

Loose and watery stools are usually signs of diarrhoea. Your little ones could pick up these viruses or bacteria through contact with contaminat­ed food, water or surfaces and then putting their hands into their mouths.

Food allergies, sensitivit­y to medicines, intoleranc­e to lactose and/or protein can also result in diarrhoea. A sudden change in a breastfeed­ing mother’s diet can also cause her baby’s tummy to get upset.

Maintain good hygiene. Always wash your hands with warm water and soap every time you change your baby’s diaper to keep virus or bacteria from spreading.

Keep the diaper-changing area clean and disinfecte­d.

If your baby experience­s six or more episodes of diarrhoea in 24 hours, take him to a doctor.

These symptoms are relatively common in babies, especially during the first few months.

Here are tips to make your baby feel better:

Make feeding as relaxing as possible for baby.

Keep your baby in an upright position during feeding.

Make sure your baby is wellsuppor­ted in a comfortabl­e position.

A baby’s stomach capacity is small, so feed him in small amounts.

Burp your baby during and after feeding to prevent air from building up in his digestive tract.

Avoid bouncing and playing with your baby during and after feeding.

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Avoid disruption­s such as bright lights or unusual noises during feeding.

If your baby is crying from hunger, calm him before feeding. That might prevent him from gulping air.

Make sure you pick a bottle nipple that is of the right size. When you turn the bottle upside down, the milk should drip and not gush out. Then the dripping should stop.

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These conditions may not necessaril­y be due to the infant formula, although it could be a contributi­ng factor. There are infant formulas with partially hydrolysed protein and low lactose that are designed to relieve symptoms of discomfort in babies. Lactose can sometimes cause mild symptoms of intoleranc­e in babies.

However, parents should not eliminate lactose from their baby’s diet as it is a source of carbohydra­tes. Low-lactose, lactose-free or soy-based infant formula may help relieve some symptoms of intoleranc­e. Added rice starch formulas are normally indicated to only reduce spitting-up and regurgitat­ion in infants. Parents should always consult a paediatric­ian or healthcare provider before they start their baby on any new formula or treatment options.

While there are no hard and fast rules when it comes to nurturing your baby, ensuring that he is happy, healthy, and comfortabl­e will start him on the path to a bright and secure future.

This article is courtesy of BrightStar­t4Life, an expert-driven educationa­l programme on infant and child nutrition initiated by Nutrition Society of Malaysia, the Malaysian Paediatric­s Associatio­n, and the Malaysian Medical Associatio­n, supported by the National Population & Family Developmen­t Board (LPPKN). For more informatio­n, call 03-5632 3301.

Datuk Dr NKS Tharmaseel­an is the Malaysian Medical Associatio­n President.

 ??  ?? Cry for help: a baby’s cries of distress is usually because of discomfort such as hunger, tiredness or sickness.
Cry for help: a baby’s cries of distress is usually because of discomfort such as hunger, tiredness or sickness.

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