Infant Feeding Aversion: Causes and Solutions

Lactose intolerance?

Hello, doctor! My baby is currently 2 and a half months old.
When it's time for feeding (every 3-4 hours), she wakes up and asks for milk, but when I offer her the bottle, she pushes it away with her hands.
I thought she might prefer breastfeeding, so I tried that, but after a while, she refused to breastfeed as well.
She only takes a few sips and then stops, yet she continues to ask for milk.
Is this a case of milk aversion? I've heard that babies with milk aversion don't seem hungry, but she clearly appears hungry yet only wants to suck on a pacifier.
Whenever I try to give her milk, she cries loudly, and I can only feed her with a syringe.
This has been going on for over a month.
Her activity level seems acceptable.
Should I consider giving her medication if this continues?

Xiao Juzi Mami, 20~29 year old female. Ask Date: 2020/09/08

Dr. Pei Rensheng reply Pediatrics

Hello! The weaning phase often occurs between 2 to 6 months of age, possibly due to external environmental stimuli or the introduction of complementary foods, which may reduce interest in formula milk.
The characteristics include decreased intake, but activity levels remain good, and this phase can last for two weeks or even longer.

To address this, you can try reducing the feeding amount (a daily intake of 100 cc/kg is considered adequate), minimizing external stimuli, and changing the feeding method (for example, from bottle feeding to breastfeeding).
If these methods are ineffective, or if there is weight loss and decreased activity, it may be advisable to consult a pediatrician for a health check.

Best regards,
Ren Sheng

Reply Date: 2020/09/08

More Info

Understanding infant feeding aversion can be a complex issue, especially for parents who are concerned about their baby's nutrition and growth. Based on your description, it seems your baby is experiencing a feeding aversion, which is not uncommon in infants, particularly around the age of two to three months.

Causes of Feeding Aversion
1. Developmental Changes: At around two months, infants undergo significant developmental changes. They become more aware of their surroundings and may become distracted during feeding times. This can lead to a decreased interest in feeding, especially if they are more curious about their environment.

2. Taste Preferences: Infants may develop preferences for certain feeding methods. If your baby has had a positive experience with breastfeeding, they may prefer that over bottle feeding. If the bottle is not providing the same comfort or satisfaction, they may refuse it.

3. Physical Discomfort: Issues such as gas, reflux, or teething can cause discomfort during feeding. If your baby is experiencing any gastrointestinal discomfort, they may associate feeding with that discomfort, leading to a refusal to eat.

4. Feeding Technique: The way the milk is delivered can also impact feeding. If the flow is too fast or too slow, or if the nipple is not suitable for your baby, they may refuse to feed.
5. Feeding Aversion: This is a learned behavior where the baby may refuse to eat due to previous negative experiences associated with feeding. This can include choking, gagging, or even just a feeling of being overwhelmed during feeding.

Solutions to Feeding Aversion
1. Observe and Adapt: Pay attention to your baby's cues. If they seem more interested in their surroundings, try to create a calm and quiet environment during feeding times. Reducing distractions can help them focus on feeding.

2. Experiment with Feeding Methods: If your baby prefers breastfeeding, continue to offer that as much as possible. If you need to use a bottle, try different nipples or bottles that mimic breastfeeding more closely. Some babies prefer a slower flow, while others may need a faster flow.

3. Frequent, Smaller Feedings: Instead of waiting for the typical 3-4 hour intervals, try offering smaller amounts of milk more frequently. This can help prevent overwhelming your baby and may encourage them to feed more willingly.

4. Comfort and Positioning: Ensure that your baby is comfortable during feeding. Holding them in a position that mimics breastfeeding can provide comfort. Additionally, try to burp them frequently during feeds to alleviate any gas discomfort.

5. Consult a Pediatrician: If the aversion persists and you are concerned about your baby's intake and growth, consult your pediatrician. They can assess for any underlying issues such as reflux or allergies and may suggest interventions or therapies.

6. Avoid Force-Feeding: It’s essential not to force your baby to feed, as this can create negative associations with feeding. Instead, offer the bottle or breast when they show signs of hunger, but allow them to refuse if they are not interested.

Conclusion
Feeding aversion can be a challenging phase for both infants and parents. It’s important to remain patient and flexible while trying different strategies to encourage feeding. Monitoring your baby’s growth and development is crucial, and if you notice any concerning signs, such as significant weight loss or dehydration, seek medical advice promptly. Remember, this phase is often temporary, and with the right approach, your baby will likely return to a more regular feeding pattern.

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