Is My Baby Experiencing Milk Aversion? Feeding Challenges

Q: Is My Baby Experiencing Milk Aversion? Feeding Challenges

Hello： The period of milk aversion often occurs between 2 to 6 months of age. <br>This may be due to external environmental distractions or the introduction of complementary foods, leading to decreased interest in formula milk. <br>The characteristics include reduced intake, but

Lactose intolerance?

Hello, doctor! My baby is currently 2 and a half months old.
When it's time to feed (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 even that, taking only a few sips before stopping.
However, she continues to ask for milk.
Is this a sign 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.
When I try to give her milk, she cries loudly and only accepts a diluted formula.
This has been going on for over a month.
Her activity level seems acceptable, but if this continues, should I consider giving her medication?

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

Dr. Pei Rensheng reply Pediatrics

Hello: The period of milk aversion often occurs between 2 to 6 months of age.
This may be due to external environmental distractions or the introduction of complementary foods, leading to decreased interest in formula milk.
The characteristics include reduced intake, but activity levels remain relatively good, and this phase may 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).
Minimize external stimuli and change the feeding method (for example, from bottle feeding to breastfeeding).
If these methods do not yield results, or if there is weight loss and decreased vitality, it may be advisable to consult a pediatrician.
Wishing you safety, health, and happiness!
Sincerely,
Dr.
Pei Ren-Sheng, Attending Physician, Pediatrics, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2020/09/08

More Info

It sounds like you are experiencing a challenging situation with your 2.5-month-old baby, who seems to be exhibiting signs of milk aversion. This can be a distressing experience for both you and your baby, and it's important to understand the potential reasons behind this behavior and how to address it.

First, it's essential to clarify what milk aversion is. Milk aversion, or feeding aversion, typically occurs when a baby refuses to drink milk or formula, even when they show signs of hunger. This can manifest as pushing away the bottle, crying when the bottle is presented, or only wanting to suck on a pacifier instead of feeding. In your case, your baby is showing signs of hunger but is refusing to drink from the bottle or breast, which can be concerning.

There are several potential reasons for this behavior:
1. Developmental Changes: Babies go through various developmental stages, and around 2-3 months, they may become more aware of their surroundings. This increased awareness can lead to distractions during feeding times, making them less interested in feeding. They may also be more curious about their environment and prefer to explore rather than eat.

2. Nipple Preference: If your baby has developed a preference for breastfeeding, they may refuse the bottle, especially if they find it less satisfying. This can happen if the flow of milk from the bottle is too slow or too fast compared to breastfeeding. Experimenting with different nipple shapes and flow rates may help.

3. Teething or Discomfort: At this age, some babies may start teething, which can cause discomfort and lead to a reluctance to suck. If your baby seems to be in pain or discomfort, it may be worth consulting with a pediatrician to rule out any underlying issues.

4. Feeding Environment: The feeding environment plays a crucial role in a baby's willingness to eat. If there are too many distractions or if the baby feels uncomfortable, they may refuse to feed. Creating a calm and quiet environment during feeding times can help.

5. Milk Aversion: While it is less common, some babies can develop a temporary aversion to milk due to a negative experience associated with feeding, such as choking or reflux. If your baby has had a painful feeding experience, they may associate feeding with discomfort.

Given that your baby is still showing signs of hunger but refusing to feed, it is crucial to monitor their overall health and development. Here are some steps you can take:
- Consult a Pediatrician: Since this behavior has persisted for over a month, it is advisable to consult with your pediatrician. They can assess your baby's growth, hydration status, and overall health to rule out any medical issues.

- Experiment with Feeding Techniques: Try different feeding positions, nipple types, and environments to see if any changes improve your baby's willingness to feed. Sometimes, a different approach can make a significant difference.

- Monitor Hydration: Ensure that your baby is staying hydrated. If they are not feeding well, watch for signs of dehydration, such as fewer wet diapers or dry mouth. If you notice these signs, seek medical advice promptly.

- Avoid Force Feeding: While it can be frustrating, avoid forcing your baby to feed, as this can create negative associations with feeding. Instead, try to offer the bottle or breast when your baby seems calm and relaxed.

- Consider Pacifiers: If your baby is comforted by sucking, offering a pacifier may help satisfy their need to suck without the pressure of feeding.

In conclusion, while it is possible that your baby is experiencing milk aversion, it is essential to approach the situation with patience and understanding. Consulting with a pediatrician will provide you with the best guidance tailored to your baby's specific needs. Remember, every baby is unique, and with time and the right support, feeding challenges can often be resolved.

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