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Child suffering with constipation. after breast feeding and burping. Is it a common? - Online Doctor Chats

Date : 04-Jun-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User:Hello Doctor.
Doctor:How can I help you?
User:Hi Doctor,
User:My nephew is of 45 days old.
User:I have a query with regards to his health
Doctor:Can you elaborate?
User:He is suffering with constipation. after feeding(breest feeding) he will burp in a few seconds. is it a common problem at this age? I am using XYMEX droops with my docter concern since a week but there is no result.
Doctor:Burping after feeding is very common after feeds.
Doctor:It occurs as baby swallow air with every feed.
Doctor:The swallowed air is regurgitated with feeds.
User:Any suggestions with regards to Constipation ?
Doctor:Infants usually have more than 3 stools in a day.
Doctor:They may go without passing stool for a few days, which is not a concern though if he is feeding well and is active and there is no abdominal distension.
Doctor:Since use of laxatives is contraindicated in infants, watch the progress of his symptoms for few days.
Doctor:If he goes without passing stools for more than 3 days and if he has associated abdominal distension we can use rectal supposities
Doctor:to induce motions.
Doctor:This can be done under the care of his pediatrician.
User:rectal supposities means?
Doctor:I would be worried if he is not feeding well, remains inactive most of the time or if there is abdominal distension (they indicate an underlying problem)
User:a kind of vacination ?
User:yeah. Now a days, he is not feeding/taking the milk
Doctor:Suppository is a local applicant that is inserted into the anal cavity. They act by various means to induce stools.
Doctor:if he is not feeding well when compared to what he was initially, then that could be the reason for reduced stool output.
Doctor:So it is good to get a physical check up done.
Doctor:Sometimes an underlying infection, anemia, worm infestation etc., may be the cause.
User:yeah. we have done this check up and as doctor suggested we are using XYMEX drops
Doctor:Xymex is a digestion improving supplement.
Doctor:Continue its use as suggested by his doctor and see if there is improvement.
Doctor:if there is no much improvement after a week or two a review is warranted to rule out other causes.
Doctor:Have you followed what I suggested?
User:but it seems his constipation problem was not resolved.
Doctor:Constipation is most like the effect of his reduced feeding.
Doctor:As his feeding improves, I expect him to pass more frequent stool.
Doctor:So the target is to take measures to improve feeding.
User:okie. as of now we are using this xymex drops from last 1 week.
Doctor:Continue them as suggested for few more days and watch his feeds.
Doctor:If he is not feeding well, then you need to report back to his pediatrician.
User:can we make use of rectal supposities?
Doctor:They can assess if there is anything else causing reduced feed.
Doctor:From the details provided, it is clear that constipation is due to reduced feed. In such case, suppositories may not be useful.
User:okay. First we will concern our pediatrician.
User:okay fine.
Doctor:As his feeds improve, the constipation will also improve.
Doctor:So do consult his pediatrician to improve feeding.
Doctor:Hope you are convinced.
Doctor:Do you have any other query?
User:yeah.. as of now.
User:yep. i have one more quesy
User:at the back.. below neck
User:a form of prickle heats are forming
User:and also on cheeks, chin & forehead
User:is there any solution for this problem.
User:as he is 45 days old
Doctor:can you explain what you meant by form of prickle heat? - do you mean there are rashes? And since when have you noticed that?
User:yes. a kind of rashes
User:we noticed around 20 days back
User:are there any soaps / powder to use for this problem ?
Doctor:Can you elaborate how did it start - was it gradual or sudden? is it progressing or improving?
Doctor:Is there any fever?
User:there is no fever..
Doctor:Can you elaborate how did it start - was it gradual or sudden? is it progressing or improving?
User:it's looks like a kind of mosquito bites.
User:and it was not sudden..
Doctor:Has the doctor examined those rashes?
User:yeah. my doctor has had a look at them.
Doctor:May I know what did diagnose those rashes as?
User:but he didn't suggested any medicine for this.
User:i am not sure..
Doctor:Rashes in an infant are hard to diagnose especially when the history is acute and there are no accompanying features.
User:oh! okay.
Doctor:The cause of these rashes can range from any allergies, insect bites, dermatitis and others.
Doctor:Without a physical examination it would be extremely difficult for me to determine what these rashes could be.
Doctor:However if these rashes are settling in and not worsening, we generally do not treat them.
Doctor:So watch over these rashes. If these rashes are increasing in size and number, it needs to be evaluated by a dermatologist.
Doctor:The usual cause of such rashes persistent / progressing rashes would be seborrheic dermatitis or insect bite reactions.
Doctor:Any way lets wait and watch.
Doctor:Consult a dermatologist based on how they respond in the next few days.
Doctor:Have you followed what I suggested?
Doctor:Do you have any other query?
User:I would come back to u in feature, after consulting dermatologist.
User:No other quesries.
Doctor:You are welcome to contact us any time.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:Thank you Mr. XXXXXXX
User:Thanks for ur valuable suggestions
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