Infant Feeding Issues: When Your Baby Refuses Formula - Pediatrics

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The baby is not drinking milk?


Hello, doctor; my baby is currently 2 and a half months old.
He has been constipated since 12 days after birth.
We have tried 5 or 6 different formulas without success.
The doctor recommended Similac Advance, which worked well for the first two days, but then he started having hard stools again.
Recently, we added probiotics, and while it was okay for the first two days, the situation has been inconsistent.
Also, his stool has changed to a light yellow and light green color; is that normal? My baby is currently drinking 120cc, 4 to 5 times a day; is that sufficient? His weight is currently 6 kilograms.

Lan Ma, 0~9 year old female. Ask Date: 2006/08/14

Dr. Pei Rensheng reply Pediatrics


Hello,
Your baby is 2.5 months old and weighs 6 kg, which is in the 75th percentile for girls, so that seems fine.
The standard feeding amount is 100-150 cc per kilogram of body weight per day, and currently, she is receiving 120 cc.
She is drinking 4-5 times a day, which amounts to about 80-100 cc per kilogram of body weight daily, indicating there is room to increase her intake.
However, her weight is good, so there’s no need to worry too much!
The color of her stool being yellow or green is normal.
In my experience, formula brands like Wei Chuan from Taiwan, and Snow Brand, Meiji, and Morinaga from Japan are less likely to cause constipation.
You might consider trying one of these.
If constipation persists, you can consult a pediatric gastroenterologist for assistance.
Best regards,
Pei Ren-Sheng

Reply Date: 2006/08/14

More Info


When it comes to infant feeding issues, particularly when a baby refuses formula, it can be a source of concern for many parents. Your baby, at 2.5 months old, has already experienced some challenges, including constipation and changes in stool color. Let's address your questions and provide some insights into infant feeding and nutrition.

1. Constipation and Formula Changes: It's not uncommon for infants to experience constipation, especially when transitioning between different formulas. Each formula has a unique composition, and some may be more difficult for your baby to digest than others. If your baby has been switched to several different formulas, this could contribute to digestive issues. It's essential to consult your pediatrician about the best formula for your baby, especially if you notice persistent constipation or discomfort.

2. Stool Color and Consistency: The color of your baby's stool can vary based on their diet and digestive health. Yellow and green stools can be normal, especially if your baby is consuming formula. However, if the stools are hard and your baby is straining, this could indicate constipation. It's crucial to monitor your baby's bowel movements and discuss any concerns with your pediatrician. They may recommend dietary adjustments or specific formulas designed to alleviate constipation.

3. Feeding Amounts: At 2.5 months, your baby drinking 120cc (about 4 ounces) per feeding is within the normal range, especially if they are feeding 4 to 5 times a day. The general guideline is that infants typically consume about 2.5 ounces of formula per pound of body weight per day. Since your baby weighs 6 kg (approximately 13.2 pounds), they should be consuming around 33 ounces daily, which translates to about 4-5 feedings of 120cc each. However, every baby is different, and it's essential to pay attention to their hunger cues and growth patterns.

4. Weight Gain: Your baby's weight of 6 kg at 2.5 months is a good sign of healthy growth. Regular weight checks at pediatric appointments will help ensure that your baby is gaining weight appropriately. If there are any concerns about weight gain or feeding, your pediatrician can provide tailored advice.

5. Probiotics: Introducing probiotics can sometimes help with digestive issues, including constipation. However, it's essential to consult your pediatrician before starting any new supplements to ensure they are appropriate for your baby's age and health status.

6. Feeding Techniques: If your baby is refusing formula, consider experimenting with different feeding techniques. Sometimes, changing the bottle's nipple size or shape can make a difference. Additionally, ensure that your baby is in a comfortable position while feeding. If they prefer breastfeeding, you might consider pumping and offering breast milk in a bottle, as this can sometimes encourage them to accept the bottle.

7. Hydration: If your baby is constipated, ensuring they are adequately hydrated is crucial. While formula provides hydration, some pediatricians may recommend small amounts of water for older infants, but this should only be done under medical advice.

8. Monitoring and Consultation: Keep a close eye on your baby's feeding patterns, stool consistency, and overall behavior. If you notice any significant changes or if your baby seems uncomfortable, it's essential to consult your pediatrician. They can provide specific recommendations based on your baby's health history and current condition.

In summary, while it can be concerning when a baby refuses formula or experiences digestive issues, many factors can contribute to these challenges. Regular communication with your pediatrician, monitoring your baby's growth and development, and being attentive to their feeding cues will help ensure they receive the nutrition they need to thrive.

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