Dr. Payas Joshi
Pediatrics
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Patient's Query
Hello doctor,
We have noticed that she frequently coughs up milk every day due to reflux and gas concerns. She appears to need around an hour after feeding to discharge gas and calm down, even after burping. Her temperature is normal. Her urinary and bowel motions seem to be regular, showing no discoloration. Currently, Infacol is being given to her on a feed-yes, feed-no basis. Her weight right now is almost 6.61 pounds. Despite not being hungry, she occasionally eats and then coughs up some milk. We would appreciate your advice on how to handle these problems.
Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
All of these problems appear to be physiological. Let us go through each one individually. This appears typical for a baby that is one month old. Evening colic may be a factor in nighttime crying. Colicaid (Simethicone) can be administered in five droplets. During the night, she could be experiencing discomfort due to a shortage of room because her movements would have become more frequent. Babies always feel more comfortable sleeping on their mothers, which is good, and the crying problem may once again be connected to evening colic. Feed on demand is fine. Attempt to carry the infant for an extended period while massaging her back to induce burping. Vital signs are normal, and six to eight urine samples per day are typical. Good weight, great medications. You should not be concerned about these, in my opinion; everything appears physiological.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you very much for your reply. I will keep you updated.
Thank you.
Hello,
Welcome back to icliniq.com.
This seems to be physiological regurgitation only. Is the baby gaining weight adequately? Is she passing urine five to six times a day? If so, there is no need to worry. Are you giving bottle feed also? if yes, are you using anti-peristaltic nipples?
I hope this information helps provide some insight into your symptoms.
Please do not hesitate to reach out if you have any further questions or concerns.
Thank you
Patient's Query
Hi doctor,
Thanks for the reply!
She passes urine more than five to six times a day, for sure. My wife is only formula feeding at the moment, reason being that we were advised not to breastfeed as my wife consumes dairy products, which were causing a problem for the baby. She was not able to break down the milk proteins.
Thank you.
Hello,
Welcome back to icliniq.com.
The baby is perfectly fine, and gaining weight adequately. You will have to work more on getting the baby to burp after feeds. Try to feed a little frequently, maybe when the baby is not too hungry. Babies tend to feed faster when they are too hungry, and along with that, they take air in too, which may exacerbate regurgitation problems.
I hope this information helps provide some insight into your symptoms.
Please do not hesitate to reach out if you have any further questions or concerns.
Thank you.
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Pediatrics
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