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Childhood Diseases

Question
Posted by: | 2018/09/25

Q.

Silent re-flux to constipation

Hi Prof. We have a 12 week old baby. Since birth we had him on Similac Total Comfort. At about 10 weeks feeding became a huge problem. On giving him his bottle he would scream blue murder. This got worse to the point he wasn't getting enough formula in. (At his 8 week check up his growth is perfect) He was also not vomiting but had a sour breath. We then switched over to Similac Isomil which has removed the crying and his having peaceful feeds and his quantities in feeds is picking up. Our new problem is he is constipated. Our pediatrician in the 'early days' said we can give Lacson (1ml). However we feel this is not good for long term use. Should we switch him over to Lactogin? Should we mix between Nov IT and Isomil (one Nov IT; one Isomil)? Should we mix Purity Prune and Pear juice in with his bottle? What would you advise? Thank you.

Expert's Reply

A.

Paediatrician
- 2018/09/25

This question is not easy to answer with certainty. Similac Total comfort is an excellent formula but is a low lactose formula. So your baby not being able to tolerate this formula is probably not due to lactose intolerance. He does well on a soya formula except that he becomes very constipated indeed. What does the fact that he can tolerate a soya formula tell us? Most probably that your baby is allergic to cow's milk formulas. Giving him a stool softener is definitely not the answer to his constipation. In all likelihood he cannot tolerate any cow's milk formula, so he should move to a highly modified formula used for milk allergic infants such as Similac Alimentum.

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