Childhood Diseases

Posted by: Salita | 2009-01-21


Please help me


My baby is frequent waking at night (about 6 or 7 times a night) and i am not sure if it is due to:

A) Teething
B) Separation anxiety
C) Hunger
D) Medication
E) Routine issues
F) Over stimulation
G) Habit

Some information you may need that my influence your response:

1) Baby is 8 months old and weighs 9,5kgs

2) Night wakings have been going on for 4 weeks

3) Baby has first tooth - cut through end Dec 2008

4) Domestic has left and baby has been looked after by MIL since begining Jan 09

5) Baby apparently won' t have more than 1 nap at MIL (morning nap) so he is awake from about 12 to 7pm when i have bathed and fed him - he may sleep 20 mins in the car on the way home from MIL at about 5pm

6) Paed has prescribed Pegicol for baby' s constipation - 3 weeks ago (1/2 sachet in morning formula)

7) Paed has suggested cutting down formula feeds from 4 or 5 to 2 or 3

8) Baby is on 3 formula' s and 3 small meals and in total has about 1050ml of fluid a day - 2 formula' s oof 225ml and night bottle of 300ml (NAN2)

9) Baby only sleeps and stops moaning when given something to drink (lasts for about an hour before he moans again) He drinks between 150ml to 300ml of fluid at night - depending if he had all his fluids during the day : Last night was the first time he had 300ml additional but he fell asleep during his last bottle and would not wake up to finish - he left 150ml

10) Baby moans when he rolls on his back but sleeps soundly on his side (we have elevated his head above his feet incase it is reflux)

11) He is happy and bubbly during the day

12) He fights sleep at any time of the day.

Please help me - i do not want to call the doc if not needed.

Expert's Reply



You have set this question out very well.I agree that there are several possible causes for you baby's behaviour and sleep problems. While your baby takes quite a good amount of fluid per day, his real requirement is of the order of 1400ml per day. Of this his milk intake is only about 700ml per day. He may well simply be hungry especially with the cutting down of his formula recently.As he is inclined to constipation, he should be on a formula which will assist with this problem. Try him on Lactogen2 as it is often recommended for hungry babies and also benefits constipated babies. Let me know if there is any improvement. Stop the Pegicol.

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