Dr. Bhaisara Baraturam Bhagrati
Pediatrics
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Patient's Query
Hello doctor,
I have a 3-month-old daughter that I have breastfed since day one. Natural birth, no health issues we know of, puts on 8.93 or 10.71 oz per week. She gets at the maximum twice-a-week formula with the slowest flow possible because I went back to work for two to three hours a day. Usually, she gets what I pump the night before. After about three to four weeks, she stopped extremely frequently while I fed her, turned her head, and started violently screaming. This does not ever happen at night. Nor when she is bottle-fed (maybe it happened twice). First thing in the morning, she does it again. Tried cleaning her nose, and I thought maybe she could not breathe well. No change. We suspect she is annoyed by the flow. When I pump, I get out about 100 mL in about 20 minutes. When she swallows very frequently while feeding, she does not stop to scream, and she seems to enjoy the fast flow and gets annoyed by the slower flow. It is getting very annoying because she does it 10 to 15 times at one feeding. What could the issue be?
Hi,
Welcome to icliniq.com.
I understand your concern.
1. Baby gets irritated for the following reasons:
a) Nipple confusion, when there is mixed feeding (breastfeeding and formula feeding) baby gets confused. I will suggest prioritizing breastfeeding over formula feed.
b) When a baby gets adopted to formula feed, where there is no effort to suck, breastfeeding after this can be challenging as the baby is not interested in sucking the breast now. It shows tantrums and agitation.
2. I suggest continuing breastfeeding as much as possible.
3. Keep the formula only for the night.
4. Sucking at the breast is important to have increased breast milk production which may get affected by expressed milk.
5. When there is formula feed, there are two things we should be careful of:
a) There is an increased chance of colic (evening colic), which can be a reason for excessive screaming.
b) Some baby does not be able to tolerate formula feed which also presents with excessive crying.
6. Sometimes, gaseous distention can cause discomfort, do proper burping after a feed.
7. Avoid overfeeding, which can also cause discomfort in the baby.
8. If you address these issues, things will work better.
Feel free to connect me if any concerns.
Happy to serve you.
Kind regards.
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Pediatrics
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