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Problems about feeding breast milk - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, I have a query on breastfeeding
Doctor :   Hi
Doctor :   Please proceed with your query.
User :   our first kid is now close to completing 9 months
User :   he has been feeding on his mother's milk regularly till now
User :   in the last month or so, he has developed 4 teeth
Doctor :   Ok
User :   he tends to bite his mother's nipples now
Doctor :   Ok
User :   its very painful
Doctor :   Ok
User :   he has also developed this habit of going to sleep only by sucking milk
User :   so, if she withdraws, he creates havoc by crying
Doctor :   Ok
User :   and not sleeping
Doctor :   Is he started on oral feeding?
User :   we want to know as to how long he should feed on his mothers milk
Doctor :   Is he started on oral feeding?
User :   no
User :   our paediatrician has said, no milk other than mothers milk
User :   he is however eating a few solids
User :   as per the paediatrician's advice
Doctor :   Ok
Doctor :   Let me brief you.
User :   so, during the day, he eats solids, in the night, he is on mothers milk
User :   and every 2-3 hours once, he gets up and sucks the milk and sleeps
User :   it is becoming a problem as the mother is getting disturbed sleep and body pain due to this
Doctor :   Its absolutely necessary that you don't feed any thing more than breast feeds till the age of 6months.
User :   ok
Doctor :   And diet orally has to slowly take over after this.
Doctor :   Since immediately stopping breast milk and starting oral diet can cause problems, one has to slowly start them and increase the quantities as the day goes.
Doctor :   As the baby grows every day, only breast milk alone cannot satisfy the growth requirements.
User :   ok, he seems have a psychology that he needs to suck milk to sleep in the night
User :   how do we change this and put him to sleep without necessarily feeding him with mothers milk
Doctor :   Its probably habits and insufficient nutrition during the day that is causing him to wake up in the night.
Doctor :   Hence I shall suggest you the following measures.
User :   please
Doctor :   1. Reduce the amount and frequency of breast feeding.
Doctor :   2. Use pacifiers as an alternative solution.
Doctor :   Which too has to be reduced over a period of time.
Doctor :   3. Increase the frequency and quantity of solid food, add good quantity of vegetables, cereals, egg,
Doctor :   if you are a non vegetarian, you can add few quantities of meat.
User :   what are pacifiers?
Doctor :   4. Make the solid food the main source of diet over a period of time.
Doctor :   The simplest form of pacifier are the nipples of the feeding bottle.
User :   currently, the solid food is being fed 3 times a day of about 1 cup each with vegetables, cereals etc, 2-3 fruits a day
User :   this feeding happens between 9 am to 9 pm in the night
Doctor :   5. You can add other milk like cow's milk and feed via the feeding bottle.
User :   after 9 pm, he is only on milk till morning
Doctor :   The general principle is to slowly decrease the breast milk and add normal diet to his dietary shedule.
Doctor :   Breast feeding can be continued till his age of one and half years,
User :   are u suggesting that we start feeding him the pasteurised milk available from the dairy
Doctor :   In the mean time, his mother has watch out for injuries, as it can lead to complications.
Doctor :   Yes, he is fit to start on pasteurised milk, if there are no lactose intolerance issues.
Doctor :   Have you followed what I have suggested?
User :   yes i did
User :   so, in the night, can we feed him with the pasteurised milk when he goes to bed and also whenever he wakes up?
User :   and you are also suggesting that we increase his intake of solid food in the day and the frequencies??
Doctor :   If its the first time, that you are feeding with pasteurised milk, I would suggest you to start of in small amounts,
User :   is my understanding right?
User :   which milk is better - NAN 2 milk or the pasteurised milk?
Doctor :   if he tolerating well, and there are no diarrhea or vomiting issues, you can continue with them.
User :   NAN 2 is the nestle product which is milk powder mixed in hot water
Doctor :   Pasteurised milk would be better than milk products.
Doctor :   If you notice any new symptoms such as diarrhea or vomiting, you will have to report to your doctor.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yes
User :   i followed
User :   thats it for now
User :   thanks
Doctor :   Do you have any other query?
User :   no
User :   thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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