In some instances, constipation (and indeed some reflux symptoms) can be caused by low abdominal muscle tone. ie if muscles are a bit floppy around the tummy, its not a long stretch to think they might be a bit floppy and not doing their job properly lower down either.
When babies swallow, their food goes from their mouth and into a tube called the esophagus. This tube carries the food into the stomach. A pressure zone called the lower esophageal sphincter at the bottom of the esophagus keeps food in the stomach from going back up into the esophagus.
My first suggestion would be to defer the usual booster vaccinations given at that visit until your daughter is settled and her gut symptoms are resolved. There is no magic about giving more vaccine doses at four months; itâ€™s an arbitrary schedule, and if she had her two month doses, she is covered for now. Your pediatrician may not agree, so prepare for that as you like (you can learn about your right to this choice here) – but vaccines can disrupt the immune – gut interface in such a young infant. Your daughter is also more vulnerable now that she is so far regressed for her growth pattern, so prioritizing her gain is key.
CMPA is more common in formula-fed babies than breastfed babies (Breastfeeding Network 2017) . If your baby is formula-fed, ask your doctor about giving him a hypoallergenic formula for a couple of weeks to see if it helps (Rosen et al 2018) .
As for the formula, those youâ€™ve mentioned are based on skim milk protein and whey which can be tough on some babies, especially after gut balance is disrupted by a vaccine or antibiotic course. Your baby will probably feel better by resolving unwanted effects of the hepatitis B vaccine, balancing gut biome with probiotics or direct treatment for infections (yeast) if needed, and a formula that is easier to digest.
- I visited a local chemist and they advised me to get that formula on prescription but the doctors refused and put my baby on gaviscone.
- Possibilities that trigger this can include milk protein intolerance (even to your milk or something in your diet), poor tolerance of vaccinations, or exposures to antibiotics either for you while pregnant, during delivery, for you while breastfeeding, or directly for the baby.
- Your daughter is also more vulnerable now that she is so far regressed for her growth pattern, so prioritizing her gain is key.
- This review assesses the role of food allergy in the pathophysiology of gastroesophageal reflux disease, colic and constipation in infancy.
- Gastroesophogeal reflux is different from vomiting because usually it is not associated with a violent ejection.
Spitting Up, Reflux, and Vomiting
Eventually, the LES will open only when your baby swallows and will remain tightly closed at other times, keeping stomach contents where they belong. Infant reflux generally isn’t a cause for concern. It’s very unusual for the stomach contents to have enough acid to irritate the throat or esophagus and to cause signs and symptoms. If the muscle between the esophagus and the stomach (lower esophageal sphincter) relaxes at the wrong time, stomach contents might flow up the baby’s esophagus.
GER (gastroesophageal reflux), GERD (gastroesophageal reflux disease) definitions and facts
Carbonated or caffeinated beverages may be associated with GERD. In some cases, medications may be indicated. Gastric emptying study. Your child drinks milk or eats food mixed with a radioactive chemical, and a special camera follows it through his digestive tract. It will show if his reflux happens because his stomach empties too slowly.
what should I do now. Doctor said you have done all you could now wait and see. Check with your doctor as always – this sounds like colic, and the most common cause of this is milk protein intolerance.