What's wrong with the baby's tummy? Appreciate and help!

What's wrong with the baby's tummy? Appreciate and help!

24.05.2022 0 By admin

In the first six months, the baby is often worried about all sorts of problems with the tummy. It is good if parents will:

  • know why such problems appear in order to be able to prevent them if possible;
  • have an idea of what kind of help the baby may need in each case.

We invite you to assess the state of the baby’s digestive system right now – according to three main indicators of her health . After reviewing each item, “rate” your baby’s tummy (“everything is fine” “there is cause for concern” ) and take into account the advice in the “what to do” format in case there are any problems.

The presence of at least one “unsatisfactory” grade on your list is a reason to take your child to the doctor!

Indicator #1. Chair

Norm deviation

The following table will help determine if a child has a tendency to constipation or diarrhea.

AGE

TYPE OF FEEDING

CHAIR FREQUENCY. NORM

DEVIATION FROM THE NORM

First months of life

Breast-feeding

Up to 6-10 times a day. Mushy chair.

Hard stool.

4.5-6 months

Breast-feeding

1-2 times a day. Mushy chair.

Lack of independent stool during the day.

Hard stool.

0-12 months

Artificial feeding

1-2 times a day. Mushy chair.

Lack of independent stool during the day.

Decorated chair (“sausage”) – a tendency to constipation.

1-2 years

1-2 per day. Decorated chair.

Lack of independent stool during the day.

From two years

1-2 per day. Decorated chair.

Mushy chair.

When to see a doctor :

  • diarrhea is combined with fever, refusal to eat, weakness, vomiting;
  • constipation becomes chronic and is not eliminated after adjusting the diet and diet; in this case, the child should be examined by a gastroenterologist.

What to do:

For diarrhea:

  1. Adjust the mother’s diet if the baby is breastfed. If necessary, skip one meal. For 1-2 days, exclude raw fruits and vegetables from the diet, refrain from eating dairy and sour-milk products. Allowed cereals, potatoes, stale bread, eggs, meat, crackers.
  2. Discuss with the pediatrician the possibility of including a low-lactose milk formula with prebiotics in the baby’s diet, which helps to normalize the stool in children.
  3. Prevent dehydration in your baby. On the recommendation and under the supervision of a doctor, drink the child with special solutions.

For constipation:

  1. Remove from the menu of a nursing mother products that have a fixing effect and cause gas formation. Include sour-milk products in the diet, as well as foods containing dietary fiber.
  2. Drink enough liquid.
  3. If necessary, help the child to empty the bowels every day at the same time (after consulting with the pediatrician!)
  4. Make sure your child gets enough physical activity throughout the day.
  5. Talk to your doctor about the need for formula feeding your baby.

Indicator #2. intestinal colic

Norm deviation

Infantile colic is a spasm in the intestines that occurs due to the accumulation and difficulty of passing gases.

They talk about colic if:

  • the child has a normal and regular stool,
  • The “debut” of colic occurs at the age of three to four weeks,
  • colic disturbs the baby, as a rule, at the same time, usually in the evening,
  • last half an hour or more
  • after a bowel movement, the child experiences relief.

When to see a doctor :

  • colic occurs during or immediately after eating (which may indicate lactase deficiency), urination or defecation;
  • against the background of colic, the baby becomes less active, and his appetite worsens;
  • colic is accompanied by a rash, cough, difficulty urinating, vomiting, diarrhea, fever.

What to do?

  1. Offer your baby only one breast at a time.
  2. Adjust the diet of a nursing mother. Temporarily replace cow’s milk with fermented milk products, exclude from the menu products that cause fermentation processes in the intestines.
  3. For artificial feeding: shorten the intervals between meals and reduce the amount of single feeding. Do not allow uncontrolled transition from one mixture to another.
  4. Keep your baby upright for 15-20 minutes after each feed.
  5. Do gymnastics and tummy massage for your baby (clockwise in a circular motion).
  6. If these measures do not help, discuss with your doctor the possibility of feeding your child with a specialized formula.

Indicator #3. Spitting up and vomiting

Norm deviation

If the baby has less than 5 regurgitations per day with a volume of no more than 3 ml, a good appetite and normal stools are maintained, you should not sound the alarm. This condition, as a rule, disappears spontaneously, without any treatment, by 12-18 months.

When to see a doctor :

  • the child spits up more than 5 times a day, and the contents reach a volume of 1/2 of the amount of food eaten – formula or breast milk;
  • strong and frequent vomiting gives a clear concern to the baby;
  • the baby is not gaining weight well.

What to do?

  1. Do not swaddle your baby tightly before feeding.
  2. Carry your baby in a “column” after each feeding for 15-20 minutes.
  3. When breastfeeding or bottle feeding, make sure that the baby does not swallow air.
  4. Feed the baby more often, but in smaller portions (the daily amount of food should not decrease).
  5. Put your baby to sleep on his tummy or right side (this way the contents of the stomach will be less likely to enter the esophagus).
  6. Talk to your pediatrician about the possibility of including a specialized formula in your baby’s diet.

Easy growing up to your babies and their tummies!

References:

  1. Infectious Diseases, 2013, Vol. 11, No. 1, pp. 50–55.
  2. Schukina T.Yu. Parents about abdominal pain in children. SPb., 2005. – 144 p. – P.58-61.
  3. Denisov M.Yu. Diseases of the digestive system in young children. – M ..: LLC “Medical Information Agency”, 2010. – 304 p. – P.117, 125-126, 148-153.
  4. Engibaryants G.V. Diseases of the gastrointestinal tract in children. Rostov-on-Don: Phoenix, 2013. – 186 p. –
  5. P.150.
  6. A.N. Surkov, V.V. Chernikov. Symptom of flatulence in young children: causes and ways of correction. // Pediatric pharmacology. 2013. V.10. No. 1. P.48.
  7. E.S. Keshishyan. The cry and anxiety of the child in the first months of life. Intestinal colic in infants – approaches to therapy. Pediatric practice. P.31.