Infant Feeding Issues: Crying and Discomfort During Nursing

Milk consumption issues?

Hello Dr.
Hsiao, my baby is currently 36 days old.
Recently, he often cries while drinking milk, kicks his legs wildly, and seems to be straining his whole body, which makes me feel that he is uncomfortable.
I wonder why this is happening.
I suspect it might be a gas issue, but I usually massage his belly, and he does pass gas and has bowel movements.
I'm not sure what could be the problem.

Xiao Fang, 30~39 year old female. Ask Date: 2015/12/28

Dr. Xiao Kaiwen reply Pediatrics

It may be due to a heightened sensitivity of the gastrocolic reflex in newborns (the reflex that stimulates intestinal peristalsis when food enters the stomach).
Some infants may have a higher sensitivity, but this is not always the case.
It is recommended to consult a pediatrician for evaluation.

Reply Date: 2015/12/28

More Info

It sounds like you are experiencing a challenging situation with your 36-day-old baby, who is crying and showing signs of discomfort while nursing. This can be distressing for both you and your baby, and it's important to understand the potential causes and solutions.

First, it's essential to recognize that crying during feeding can stem from various issues. One common reason is gas or bloating, which can cause discomfort in infants. Even if you are already massaging your baby's belly and they are passing gas and having bowel movements, some babies are more sensitive to gas than others. The act of feeding can sometimes introduce air into their stomach, especially if they are gulping down milk too quickly or if the bottle nipple is too fast-flowing.

Here are some strategies you can consider to help alleviate your baby's discomfort during feeding:
1. Feeding Position: Ensure that your baby is in a comfortable position while feeding. Holding your baby in a more upright position can help reduce the amount of air swallowed during feeding. If you are bottle-feeding, try different bottle nipples to find one that allows for a slower flow, which can help your baby take in less air.

2. Burping: Frequent burping during and after feeds can help release any trapped air in your baby's stomach. Try burping your baby after every ounce or two of milk, or whenever you notice them becoming fussy.

3. Paced Bottle Feeding: If you are bottle-feeding, consider using paced bottle feeding techniques. This involves holding the bottle horizontally and allowing your baby to suck and swallow at their own pace, mimicking breastfeeding. This can help reduce the intake of air and allow your baby to have better control over their feeding.

4. Check for Allergies or Sensitivities: Sometimes, babies may react to certain proteins in formula or even in breast milk if the mother consumes dairy or other allergens. If you suspect this might be the case, consult with your pediatrician about the possibility of trying a hypoallergenic formula or adjusting your diet if you are breastfeeding.

5. Comfort Measures: In addition to feeding adjustments, consider other comfort measures. Swaddling your baby can provide a sense of security, and gentle rocking or using a pacifier may help soothe them during feeding times.

6. Observe for Other Symptoms: Keep an eye on your baby's overall behavior and health. If the crying persists and is accompanied by other symptoms such as vomiting, diarrhea, or signs of severe discomfort, it is crucial to consult your pediatrician. They can assess for conditions like reflux or other gastrointestinal issues that may require medical attention.

7. Routine and Environment: Establishing a calm feeding environment can also help. Dim the lights, reduce noise, and create a soothing atmosphere to help your baby feel more relaxed during feeding times.

8. Consult a Pediatrician: If you have tried these strategies and your baby continues to cry during feeds, it may be beneficial to consult your pediatrician. They can provide further evaluation and guidance tailored to your baby's specific needs.

In summary, while it can be concerning to see your baby cry during feeding, there are several potential causes and solutions to explore. By adjusting feeding techniques, ensuring comfort, and monitoring for any concerning symptoms, you can help your baby feel more at ease during nursing. Remember, every baby is different, and finding the right approach may take some time and patience.

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