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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Suggest remedies for vomiting in an infant

Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3805 Questions

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Posted on Thu, 9 Nov 2017 in Child Health
Question: hello, my daughter is 1month old. she vomited inthe morning. i have given her colicad syrup after that she sleeps a lot from morning. she just had 10mins of breastmilk from 11am. tried waking her up but no luck. tried twice to breastfeed her she hsrdly had. from morning she had 3 wet cotton nappies. please suggest is this normal or not
doctor
Answered by Dr. Diptanshu Das 11 minutes later
Brief Answer:
Seems fine if the urine output is fine.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. Let me assure you that it is normal for a baby of this age to sleep 20 hours a day. Let me first ask whether the baby is exclusively breast fed or whether formula feeds are being given. Babies often get colics especially when on formula feeds. In such a case switching back to breast milk should provide relief. You should burp the baby for at least 15-20 mins after each feed. All you need to do is to hold the baby head end elevated for this duration. The extra air taken causes distention and hence colics. Proper burping will ensure its escape and the milk will not regurgitate back from the stomach to the food pipe, thus providing relief. You can otherwise continue to give Coliaid when needed.

You need to monitor the urine output. If the frequency is more than 6 times in 24 hours, you would know that the amount of feeding is adequate. If not, you need to try feeding the baby more often. If the amount of passage of urine is less or if the child is lethargic you would need to take the child to a doctor without delay.

Let me know if you have further queries.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Diptanshu Das 25 minutes later
thanks for the suggestions. baby is not exclusive breastfeed. we are feeding her formula aswell after my feed for 20mins as breastmilk is not sufficient and baby is not satisfied and cries with hunger.
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
Breast milk is produced on the demand of the baby

Detailed Answer:
Let me emphasize on the fact that breast milk is the best possible milk for a baby and there can be no alternatives for the same. Most formula milks are cow milk based and hence difficult to digest. That could be the reason for the baby crying. Moreover they make the child more prone to complications and infections. Mother's breast milk is produced on the demand of the baby. Hungrier the baby, more vigorous is the suck. More is the suck, more is the amount of breast milk produced. Giving formula automatically reduces the demand of the baby and thereby the production of breast milk. All you need to do is to switch back to exclusive breast feeding and the production will increase automatically. All you need to do is to monitor the urine output.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Diptanshu Das 52 minutes later
thank you doctor for the reply. in the morning i am trying exclusively breastfeed her in the day by waking her up for every 2 hours. but he hardly sucks for 5 minutes and sleeps again. iam not sure if gets enough milk in 5 minutes. where in the nights she tries for more than hour and cries . then i topup with formula milk then she sleeps. so my milk doesn't seem to be sufficient. in nights she demands for more milk. how to handle it and what you suggest please...
doctor
Answered by Dr. Diptanshu Das 6 minutes later
Brief Answer:
Try to eliminate the top ups

Detailed Answer:
You need not bother about whether the child is getting 'enough'. You need to monitor the urine output. If the frequency is more than 6 times in 24 hours, you would know that the amount of feeding is adequate aka enough. Please try to abstain from giving the top ups.

It is normal for babies to demand more at night. It is not necessarily due to hunger. It could be due to insecurity.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Diptanshu Das 12 minutes later
ok thank you sir.. i will follow your instructions.. as she sucks for more than an hour please suggest how long i can allow her to do so...
doctor
Answered by Dr. Diptanshu Das 7 minutes later
Brief Answer:
Do not let her suck so long

Detailed Answer:
At any point of time do not let the baby suck for more than 20 mins. The breast does not contain XXXXXXX amount of milk. So, sucking any more than that will be dry suck and therefore in vain.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Diptanshu Das 9 hours later
last night tried not feeding her with formula, she woke up at 2am and keep on crying . i fed her for 30mins and she played for 30mins
later she didnt sleep at all till 8am. tried feeding her with formula at around 5am as she keeps on crying and she had around 30ml and slept for 30mjns. again she demands and again i fed her for 20mins and with 30ml of formula. while burping she vomited. she didnt sleep from 2 am to 9am keepa on crying. not sure is rhis with hunger or something else. she is not showing interest to have formula. 9am after feeding her with formula she slept. pleasr suggest.
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
Sleep cycle of babies is different from ours

Detailed Answer:
I have gone through the details. It is typical of babies. I do not see any abnormality although it may definitely make it hard for the parents to deal. It is not due to hunger. It is just because the sleep cycle of babies does not match ours. Once again I would insist you to try and avoid formula feeds.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Diptanshu Das 8 hours later
sure will try that. how often do i need tk feed her in day and night. how do i know am having enough milk as i tried to express with hand and breastpump and it is only 10 to 20ml.
doctor
Answered by Dr. Diptanshu Das 22 minutes later
Brief Answer:
The adequacy of breast milk is measured by the number of times urine passed

Detailed Answer:
You need to feed her on demand. Usually it is at 2-3 hours interval.
The very fact that she is passing urine much more than 6 times indicates that the breast milk supply is more than adequate. You need not express it. Your child can suck it for herself.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Diptanshu Das 43 minutes later
okay... what if she cries after 20mins of feed. licking her hands and showing interest to breast feed so long. first time mother unable to understand.
doctor
Answered by Dr. Diptanshu Das 4 hours later
Brief Answer:
Not due to hunger. Seeking maternal touch.

Detailed Answer:
If she cries after 20 mins it is not due to hunger, it is due to habituation and eagerness to receive maternal care. Try interacting with and playing with the baby. Caress the baby but I do not suppose that you need to feed the baby.

Feel free to bother me with any queries you have. I would be there to help you.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Diptanshu Das 2 days later
how should I know my breasts producing adequate milk apart from baby's urine count as I don't feel my breasts are heavy and no leakage aswell very soft asusual.
doctor
Answered by Dr. Diptanshu Das 2 hours later
Brief Answer:
Breast milk is produced on demand

Detailed Answer:
Apart from the urine output there is no reason for you to bother about how much milk you are producing and whether it is adequate. Let the child bother about it. If the baby thinks the milk supply to be inadequate, it will suck more, and automatically the milk supply will increase. It is a self-regulatory mechanism.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Diptanshu Das 58 minutes later
okay.. as you said i can allow baby to suck only for 20mins..is baby able to achieve it in 20mins
doctor
Answered by Dr. Diptanshu Das 49 minutes later
Brief Answer:
Yes

Detailed Answer:
Yes, the child will be able to get the requisite amount in 20 mins. Sucking for more than 30 mins would simply lead to dry suck as the breast stores will have run empty by then.

Also make sure to feed from one breast only, using the alternate breast for every alternate feed. In other words, you let each breast fill for 4-5 hours.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Diptanshu Das 1 hour later
how much time gap i can give for each feed
doctor
Answered by Dr. Diptanshu Das 2 hours later
Brief Answer:
Feed on demand. Do not wait for more than 3-3.5 hours

Detailed Answer:
Hi again,

Do not wait for more than 3-3.5 hours

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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