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What causes frequent vomits after feed in an infant with troubling gas and colic since birth?

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Posted on Tue, 21 Aug 2018
Question: Hello doctor,

My 8 months old son has troubling gas and colic since birth. Although the colic part has reduced greatly since last 2 months but the gas is still pathetic. He still wakes up almost every hour in the night to pass the gas. Even during the day as well, he does not nap more than an hour because of gas.
He was exclusively breastfed until 6 months. And now we are supplementing him with formula & solids like Upma, Ceralac, Boiled apple. Because of his gas , we have tried formulas like Similac advance, Nan Lo lac, Dexolac Nusobee Soy but nothing helped. Infact Soy one made him super gassy. Currently he is on Nan Pro which is a little better but still he just keeps on farting & when unable to do so he keeps on crying.
Around three weeks back, he was down with fever & cold. Fever went away in 2 days but he still has runny nose & cough sometimes. But the main problem is that he has started vommiting after his feeds be it solid or formula. He vomits out the stuff with a force & mostly while feeding itself. Its more than 15 days now since he has started this spit up (atleast twice a day). We initially thought that it is because of cough that he is unable to swallow the food completely but now it seems more because of gas as the vomit comes out with a force.
We took him to his doc but he could not figure out anything by his examination. His weight is 8 Kgs (birth weight 2.68 Kgs) . He is yet to get his teeth but we can feel them coming out when we touch the gums.
He rarely spitted milk before his fever but never the solids. What could be the reason of his frequent vomits now ? Please let me know if you need any other details from my end.

Thanks
doctor
Answered by Dr. Diptanshu Das (39 minutes later)
Brief Answer:
Proper burping is important

Detailed Answer:
Hello and Welcome to ‘Ask A Doctor’ service.

I have gone through your query and understand your concerns.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 give Coliaid when needed.

Most often such symptoms like running nose and cough are due to an allergic component associated with a viral infections. Since such infections are usually associated with an allergic component and giving Atarax Drops (hydroxizine, prescription medicine) should help. Cetirizine is an over the counter alternative that can also be given instead.

If your child is otherwise active and playful, I would not be concerned. If not, it would be a good idea to visit a doctor and to get the child evaluated. If the respiratory rate is greater than or equal to 50 breaths/min you would need to take her to a doctor for the possibility of underlying pneumonia. If the rate is lesser, you need not worry.

You need to give steam inhalation to your child. It helps in reducing the congestion and thereby the cough. Just sit with the child on your lap and place the source of steam before you. The water vapor will be in the air and automatically the child will breathe it in. Water vapor will reach deep inside and would help in diluting the cough and thus would provide relief.

The weight gain is proper.

Hope I have answered your query.
Take care,
Dr. Diptanshu Das
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Diptanshu Das

Pediatric Neurologist

Practicing since :2005

Answered : 3871 Questions

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What causes frequent vomits after feed in an infant with troubling gas and colic since birth?

Brief Answer: Proper burping is important Detailed Answer: Hello and Welcome to ‘Ask A Doctor’ service. I have gone through your query and understand your concerns.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 give Coliaid when needed. Most often such symptoms like running nose and cough are due to an allergic component associated with a viral infections. Since such infections are usually associated with an allergic component and giving Atarax Drops (hydroxizine, prescription medicine) should help. Cetirizine is an over the counter alternative that can also be given instead. If your child is otherwise active and playful, I would not be concerned. If not, it would be a good idea to visit a doctor and to get the child evaluated. If the respiratory rate is greater than or equal to 50 breaths/min you would need to take her to a doctor for the possibility of underlying pneumonia. If the rate is lesser, you need not worry. You need to give steam inhalation to your child. It helps in reducing the congestion and thereby the cough. Just sit with the child on your lap and place the source of steam before you. The water vapor will be in the air and automatically the child will breathe it in. Water vapor will reach deep inside and would help in diluting the cough and thus would provide relief. The weight gain is proper. Hope I have answered your query. Take care, Dr. Diptanshu Das