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Childhood-diseases

Question
Posted by: Toni | 2019/02/13

Q.

8 month old struggling with solids

I will try to keep this brief as I can but it will be hard. Baby is nearly 9 months has reflux and on ranitidine and neocate. Around 5 months we weaned off neocate onto Hipp organic , he stopped sleeping through but put down to teething. This continued up until 7 months, still on 50/50 formula as we still didn't see our settled baby back and were cautious. We were advised during a hospital stay for scalded skin that he didn't need to be on mixed feed if no obvious reaction has shown he will be fine fully on regular formula. We were more than happy to make the change as neocate tastes bad. Things got worse, multiple wakings in the night, constipation, runny stool, green and smelly. We thought it was some solids so started to eliminate all solids barring rice and added back colief to the formula we had 5 days great. Health visitor wanted a stool sample so we had to reintroduce food again to get a bad stool, this took 1 day. Sample sent but said no further action. He is now back on neocate which has eliminated the clay poo. But we are still having sleepless nights and constipation. He currently eats pear, avocado, squash, rice crackers, rice cereal. Nothing containing dairy, gluten or wheat. We are waiting on referral because this is not normal it has gone on for months. Please offer me some advice for the time being. Should I stop solids and give multivits for now? He's miserable all night there is no reason why he is struggling to digest or pass stool?

Expert's Reply

A.

Paediatrician
- 2019/02/15

It is almost certain that your baby is highly allergic to cow' milk. Neocate is a very special, highly modified formula for feeding babies with severe cow's milk allergy. Does he have eczema? I see that he developed scalded skin syndrome at one stage. Your baby's acid reflux may have been aggravated by his milk allergy in early infancy. Many babies outgrow their reflux at about 6 months. Zantac is a good treatment for acid reflux in babies, but it can cause constipation. Try him off Zantac in order to see if his constipation becomes less of a problem and in any case he may no longer need to be on this treatment. His diet requires more in the way of fibre/roughage especially as wheat is being excluded, so introduce pumpkin and butternut and also fruit such as apple. He is eating pear which is good. I am guessing that you are in the UK from the treatment that your baby has been on, so your GP needs to make an urgent appointment for your baby son to be seen at a paediatric allergy clinic. It is essential that he is treated by a paediatric allergist.

 

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