Infant Feeding Issues: Teething, Crying, and Gastrointestinal Concerns

Is there a problem with the gastrointestinal tract?

Hello Dr.
Cheng,
I have a few questions I would like to ask you:
1.
My baby is already 3 and a half months old, but he only consumes about 120cc of milk per feeding (approximately every 3 to 3.5 hours).
Recently, he has been taking longer between feedings, sometimes going 4 to 5 hours without wanting to eat.
It seems he may be showing signs of teething, and the older family members say that this could be why he is less interested in feeding, leading to a decrease in milk intake.
Is there really a direct relationship between teething and milk consumption?
2.
He often wakes up suddenly in the middle of his sleep, crying intensely, and sometimes it takes over 10 minutes to calm him down.
Could this indicate that he is uncomfortable (as his hands feel cold and sweaty)? Is it possible that there is a gastrointestinal issue that we haven't noticed?
3.
If I feel it is necessary to take him to the hospital for an examination, would going to a general clinic be too casual?
Thank you for taking the time to respond to my questions.

ady, 20~29 year old female. Ask Date: 2003/10/14

Dr. Zheng Peian reply Pediatrics

Infants aged 3 to 6 months often extend their feeding times due to their curiosity about the world around them, which is not directly related to teething.
As long as their height, weight, and overall growth and development are normal, there is no need for excessive concern.
If there are any issues, it is advisable to visit a nearby pediatric clinic or hospital.

Reply Date: 2003/10/14

More Info

When it comes to infant feeding issues, particularly in the context of teething, crying, and gastrointestinal concerns, it’s essential to understand the various factors that can influence a baby's feeding patterns and overall comfort.
1. Teething and Feeding Patterns: Teething can indeed affect a baby's feeding habits. As your baby approaches the teething phase, they may experience discomfort in their gums, which can lead to a decreased interest in feeding. This is because sucking can exacerbate the pain associated with teething. While some babies may continue to feed normally, others might refuse to eat or drink as much as they typically would. If your baby is showing signs of teething, such as increased drooling, chewing on objects, or irritability, it is reasonable to consider that this could be impacting their desire to feed. However, it’s important to ensure that they are still receiving adequate nutrition. If the feeding intervals are extending to four or five hours, monitor their overall intake to ensure they are getting enough calories throughout the day.

2. Crying During Sleep: Sudden crying during sleep can be concerning for parents. This behavior can be attributed to several factors, including discomfort from teething, gastrointestinal issues, or even normal sleep cycles. If your baby is waking up and crying, it could be due to discomfort from gas or a full stomach, especially if they are experiencing gastrointestinal distress. The fact that they are sweating could indicate discomfort or a reaction to their environment (like being too warm). If this crying persists and is accompanied by other symptoms such as changes in bowel movements, refusal to feed, or signs of distress, it may warrant further investigation.

3. Seeking Medical Advice: If you are considering taking your baby to the doctor, it is always better to err on the side of caution. While general pediatricians can address many common issues, if you feel that your baby’s symptoms are complex or concerning, seeking a consultation with a pediatric gastroenterologist may provide more specialized insight. They can evaluate your baby’s gastrointestinal health more thoroughly, especially if there are signs of persistent discomfort or abnormal bowel movements.

In summary, teething can influence feeding habits, and crying during sleep may indicate discomfort that could be related to gastrointestinal issues. If you have concerns about your baby's health or feeding patterns, don't hesitate to consult with a healthcare professional. It’s crucial to ensure that your baby is comfortable and receiving the necessary nutrition for healthy growth and development. Always trust your instincts as a parent; if something feels off, seeking medical advice is a prudent step.

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