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Dr. Andrew Rynne

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How To Treat Bloating In Stomach Of An Infant?

hi i have a newborn she is 3 weeks old. she is breastfed and feeds often with many wet nappies per day. she poos on average only every 2nd day. a few days ago her weight confirmed she has put on almost 500gms in 1 week. Howover the last 24 hours she has been very unsettled, with a bloated tummy which has been making alot of loud gurgling noises all day, accompanied by 3 soiled nappies but only lightly soiled with very watery yellow poo. she keeps wanting to feed but it seems only for comfort as her tummy seems very full and hard. she sounds like she is constantly straining which makes her bring up small amounts of milk even as long as 40mins after a feed. what do you think is wrong with her and what should i do to settle her if she is already full?
Thu, 15 Nov 2018
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Pediatrician, Pulmonology 's  Response
Hi,

This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually, I don't advice any medicines for this as they give only temporary relief.

The two best ways to relieve this distress is -
1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.
2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sumanth Amperayani,
Pediatrician, Pulmonology
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How To Treat Bloating In Stomach Of An Infant?

Hi, This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually, I don t advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air. 2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology