Managing Gas and Eye Discharge in Infants: Expert Advice

Q: Managing Gas and Eye Discharge in Infants: Expert Advice

Hello： Neonatal abdominal distension is sometimes thought to be caused by the intake of air into the stomach during breastfeeding, leading to gastrointestinal bloating. <br>Recent literature indicates that it may be related to allergic gastrointestinal conditions in infants. <br>

Bloating and eye discharge?

Hello Dr.
Liang,
1.
My son is currently 20 days old and has issues with gas.
Besides applying medication, are there any other methods to help?
2.
My baby has a lot of eye discharge.
Is this a concern? How should I handle it?
I kindly ask for your response, thank you!

Xiao Ya, 20~29 year old female. Ask Date: 2004/08/06

Dr. Liang Hongjian reply Pediatrics

Hello: Neonatal abdominal distension is sometimes thought to be caused by the intake of air into the stomach during breastfeeding, leading to gastrointestinal bloating.
Recent literature indicates that it may be related to allergic gastrointestinal conditions in infants.
When addressing this issue, it is important to pay attention to the size of the small round hole in the nipple of the bottle.
If the suction is too strong, a cross-cut nipple may be used.
Additionally, burping the infant during feeding can help reduce the time air remains in the gastrointestinal tract.
If allergies are suspected, management should follow allergy prevention principles, minimizing exposure to allergens from an early age, primarily using low-allergenic formula for feeding.
Introducing solid foods should be delayed until the infant is six months old, starting with rice cereal.
Other solid foods should be introduced one at a time to ensure there are no allergic reactions.

Excessive eye discharge in newborns must rule out infections, especially in infants delivered via normal spontaneous delivery (NSD).
Common pathogens include Chlamydia trachomatis and Neisseria gonorrhoeae.
However, most cases of excessive eye discharge in newborns are not related to infections and are statistically associated with partial obstruction of the nasolacrimal duct.
It is advisable to consult your ophthalmologist for a differential diagnosis.
Wishing you health and happiness.

Miaoli Hospital, Pediatrics, Dr.
Liang Hong-Jian

Reply Date: 2004/08/06

More Info

Managing gas and eye discharge in infants can be a concern for many parents. Let’s address your questions one by one.

1. Managing Gas in Infants: It’s common for infants to experience gas, which can lead to discomfort and fussiness. While topical medications may provide some relief, there are several other strategies you can employ to help alleviate your baby's gas issues:
- Burping: Ensure that you burp your baby during and after feedings. This can help release any trapped air in their stomach. Try different positions, such as holding your baby upright against your shoulder or sitting them on your lap while supporting their chin.

- Tummy Time: Engaging your baby in tummy time can help relieve gas. This position can encourage the passage of gas and also strengthen their neck and shoulder muscles.

- Gentle Massage: A gentle tummy massage can help stimulate digestion and relieve gas. Use circular motions on your baby’s abdomen, moving clockwise.

- Bicycle Legs: While your baby is lying on their back, gently move their legs in a bicycle motion. This can help to relieve gas by encouraging movement in the intestines.

- Warm Compress: Applying a warm compress to your baby’s tummy can provide comfort and help relax their muscles, potentially easing gas pains.

- Feeding Position: Ensure that your baby is in a proper feeding position. Keeping them at an angle can help reduce the amount of air they swallow during feedings.

- Check Feeding Techniques: If you are breastfeeding, ensure that your baby is latching correctly. If bottle-feeding, consider using bottles designed to reduce air intake.

2. Managing Eye Discharge: Eye discharge in infants can be quite common and is often not a cause for concern. However, it’s essential to monitor the situation closely. Here are some steps you can take to manage eye discharge:
- Clean the Eye: Use a clean, damp cloth to gently wipe away any discharge. Always wipe from the inner corner of the eye outward to avoid spreading any potential infection.

- Monitor for Symptoms: Keep an eye on your baby’s eyes for any signs of redness, swelling, or persistent discharge. If the discharge is yellow or green, or if your baby seems to be in discomfort, it may indicate an infection that requires medical attention.

- Consult a Pediatrician: If the discharge persists or worsens, or if you notice any other concerning symptoms (like fever or excessive fussiness), it’s crucial to consult your pediatrician. They can determine if there’s an underlying issue, such as conjunctivitis (pink eye) or a blocked tear duct.

- Blocked Tear Duct: If your baby has a blocked tear duct, which is common in infants, you may notice excessive tearing and discharge. This usually resolves on its own, but your pediatrician may recommend specific massage techniques or other treatments.

In summary, while gas and eye discharge in infants can be concerning, there are effective management strategies available. Always consult with your pediatrician if you have any doubts or if your baby's symptoms persist or worsen. They can provide tailored advice and ensure your baby remains healthy and comfortable.

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